Effects of Intravitreal Ranibizumab Injection on Chinese Patients with Wet Age-Related Macular Degeneration: 5-Year Follow-Up Results

Purpose. To observe the effect of intravitreal ranibizumab injection on wet age-related macular degeneration (wAMD) over 5 years in Chinese patients. Methods. Thirty-seven patients who were diagnosed with wAMD in our hospital from June 2007 to June 2014 were retrospectively reviewed. The PRN regimen...

Full description

Saved in:
Bibliographic Details
Main Authors: Yingyi Lu, Jianfeng Huang, Jing Zhao, Xiaobing Yu, Li Long, Hong Dai
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2016/6538192
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849399793459134464
author Yingyi Lu
Jianfeng Huang
Jing Zhao
Xiaobing Yu
Li Long
Hong Dai
author_facet Yingyi Lu
Jianfeng Huang
Jing Zhao
Xiaobing Yu
Li Long
Hong Dai
author_sort Yingyi Lu
collection DOAJ
description Purpose. To observe the effect of intravitreal ranibizumab injection on wet age-related macular degeneration (wAMD) over 5 years in Chinese patients. Methods. Thirty-seven patients who were diagnosed with wAMD in our hospital from June 2007 to June 2014 were retrospectively reviewed. The PRN regimen and the treatment and extend regimen were applied. Best corrected visual acuity (BCVA), number of ranibizumab injections, and changes in the choroidal neovascularization (CNV) lesion over 5 years were analyzed. Results. The mean BCVA measured by the ETDRS chart at baseline was 47.4 and 5 years after the treatment it was 34.89 letters, which was significantly different (p=0.013). Fourteen eyes (37.8%) had improved visual acuity after 5 years. The number of injections in 5 years was 11.53, and most of the injections were in the first two years. Seventeen (45.9%) cases developed fibrous lesions, and 2 (5.4%) cases had atrophic lesions after 5 years. The fibrosis/atrophy was significantly correlated with the injection numbers (Pearson, r=0.663, and p=0.000). Conclusion. Most of the patients can maintain visual acuity treated by ranibizumab in the first 3 years. After 5 years, some patients can still improve or maintain visual acuity. Fibrous scarring of the lesion is the main reason for a decrease in vision of wAMD patients.
format Article
id doaj-art-9ca0e36d58ea4f5485a652f4c83d0925
institution Kabale University
issn 2090-004X
2090-0058
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Journal of Ophthalmology
spelling doaj-art-9ca0e36d58ea4f5485a652f4c83d09252025-08-20T03:38:15ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/65381926538192Effects of Intravitreal Ranibizumab Injection on Chinese Patients with Wet Age-Related Macular Degeneration: 5-Year Follow-Up ResultsYingyi Lu0Jianfeng Huang1Jing Zhao2Xiaobing Yu3Li Long4Hong Dai5Department of Ophthalmology, Beijing Hospital, National Center of Gerontology, No. 1 Dahua Road, Dongdan, Beijing 100730, ChinaDepartment of Ophthalmology, Beijing Hospital, National Center of Gerontology, No. 1 Dahua Road, Dongdan, Beijing 100730, ChinaDepartment of Ophthalmology, Beijing Hospital, National Center of Gerontology, No. 1 Dahua Road, Dongdan, Beijing 100730, ChinaDepartment of Ophthalmology, Beijing Hospital, National Center of Gerontology, No. 1 Dahua Road, Dongdan, Beijing 100730, ChinaDepartment of Ophthalmology, Beijing Hospital, National Center of Gerontology, No. 1 Dahua Road, Dongdan, Beijing 100730, ChinaDepartment of Ophthalmology, Beijing Hospital, National Center of Gerontology, No. 1 Dahua Road, Dongdan, Beijing 100730, ChinaPurpose. To observe the effect of intravitreal ranibizumab injection on wet age-related macular degeneration (wAMD) over 5 years in Chinese patients. Methods. Thirty-seven patients who were diagnosed with wAMD in our hospital from June 2007 to June 2014 were retrospectively reviewed. The PRN regimen and the treatment and extend regimen were applied. Best corrected visual acuity (BCVA), number of ranibizumab injections, and changes in the choroidal neovascularization (CNV) lesion over 5 years were analyzed. Results. The mean BCVA measured by the ETDRS chart at baseline was 47.4 and 5 years after the treatment it was 34.89 letters, which was significantly different (p=0.013). Fourteen eyes (37.8%) had improved visual acuity after 5 years. The number of injections in 5 years was 11.53, and most of the injections were in the first two years. Seventeen (45.9%) cases developed fibrous lesions, and 2 (5.4%) cases had atrophic lesions after 5 years. The fibrosis/atrophy was significantly correlated with the injection numbers (Pearson, r=0.663, and p=0.000). Conclusion. Most of the patients can maintain visual acuity treated by ranibizumab in the first 3 years. After 5 years, some patients can still improve or maintain visual acuity. Fibrous scarring of the lesion is the main reason for a decrease in vision of wAMD patients.http://dx.doi.org/10.1155/2016/6538192
spellingShingle Yingyi Lu
Jianfeng Huang
Jing Zhao
Xiaobing Yu
Li Long
Hong Dai
Effects of Intravitreal Ranibizumab Injection on Chinese Patients with Wet Age-Related Macular Degeneration: 5-Year Follow-Up Results
Journal of Ophthalmology
title Effects of Intravitreal Ranibizumab Injection on Chinese Patients with Wet Age-Related Macular Degeneration: 5-Year Follow-Up Results
title_full Effects of Intravitreal Ranibizumab Injection on Chinese Patients with Wet Age-Related Macular Degeneration: 5-Year Follow-Up Results
title_fullStr Effects of Intravitreal Ranibizumab Injection on Chinese Patients with Wet Age-Related Macular Degeneration: 5-Year Follow-Up Results
title_full_unstemmed Effects of Intravitreal Ranibizumab Injection on Chinese Patients with Wet Age-Related Macular Degeneration: 5-Year Follow-Up Results
title_short Effects of Intravitreal Ranibizumab Injection on Chinese Patients with Wet Age-Related Macular Degeneration: 5-Year Follow-Up Results
title_sort effects of intravitreal ranibizumab injection on chinese patients with wet age related macular degeneration 5 year follow up results
url http://dx.doi.org/10.1155/2016/6538192
work_keys_str_mv AT yingyilu effectsofintravitrealranibizumabinjectiononchinesepatientswithwetagerelatedmaculardegeneration5yearfollowupresults
AT jianfenghuang effectsofintravitrealranibizumabinjectiononchinesepatientswithwetagerelatedmaculardegeneration5yearfollowupresults
AT jingzhao effectsofintravitrealranibizumabinjectiononchinesepatientswithwetagerelatedmaculardegeneration5yearfollowupresults
AT xiaobingyu effectsofintravitrealranibizumabinjectiononchinesepatientswithwetagerelatedmaculardegeneration5yearfollowupresults
AT lilong effectsofintravitrealranibizumabinjectiononchinesepatientswithwetagerelatedmaculardegeneration5yearfollowupresults
AT hongdai effectsofintravitrealranibizumabinjectiononchinesepatientswithwetagerelatedmaculardegeneration5yearfollowupresults