The Role of Epiretinal Membrane on Treatment of Neovascular Age-Related Macular Degeneration with Intravitreal Bevacizumab

Purpose. To determine the effect of epiretinal membranes (ERM) on the treatment response and the number of intravitreal bevacizumab injections (IVB) in patients with neovascular age-related macular degeneration (nAMD). Methods. A retrospective chart review was performed on 63 eyes of 63 patients. Th...

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Main Authors: Zeynep Alkin, Abdullah Ozkaya, Ozen Ayranci Osmanbasoglu, Alper Agca, Yalcin Karakucuk, Ahmet Taylan Yazici, Ahmet Demirok
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2013/958724
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author Zeynep Alkin
Abdullah Ozkaya
Ozen Ayranci Osmanbasoglu
Alper Agca
Yalcin Karakucuk
Ahmet Taylan Yazici
Ahmet Demirok
author_facet Zeynep Alkin
Abdullah Ozkaya
Ozen Ayranci Osmanbasoglu
Alper Agca
Yalcin Karakucuk
Ahmet Taylan Yazici
Ahmet Demirok
author_sort Zeynep Alkin
collection DOAJ
description Purpose. To determine the effect of epiretinal membranes (ERM) on the treatment response and the number of intravitreal bevacizumab injections (IVB) in patients with neovascular age-related macular degeneration (nAMD). Methods. A retrospective chart review was performed on 63 eyes of 63 patients. The patients were divided into AMD group (n=35) and AMD/ERM group (n=28). Best corrected visual acuity (BCVA) and central retinal thickness (CRT), as well as the number of injections, were evaluated. Results. There was a significant improvement in BCVA at 3 months for the AMD and AMD/ERM groups (P=0.02, P=0.03, resp.). At 6, 12, and 18 months, BCVA did not change significantly in either of the groups compared to baseline (P>0.05 for all). At 3, 6, 12, and 24 months, the AMD group had an improvement in BCVA (logMAR) of 0.09, 0.06, 0.06, and 0.03 versus 0.08, 0.07, 0.05, and 0.03 for the AMD/ERM group (P=0.29, P=0.88, P=0.74, P=0.85, resp.). A significant decrease in CRT occurred in both groups for all time points (P<0.001 for all). The change in CRT was not statistically different between the two groups at all time points (P>0.05 for all). The mean number of injections over 24 months was 8.8 in the AMD group and 9.2 in the AMD/ERM group (P=0.76). Conclusion. During 24 months, visual and anatomical outcomes of IVB in nAMD patients were comparable with those in nAMD patients with ERM with similar injection numbers.
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spelling doaj-art-dae97e0e2d904aadaa2f939ca85c7a802025-08-20T02:21:35ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/958724958724The Role of Epiretinal Membrane on Treatment of Neovascular Age-Related Macular Degeneration with Intravitreal BevacizumabZeynep Alkin0Abdullah Ozkaya1Ozen Ayranci Osmanbasoglu2Alper Agca3Yalcin Karakucuk4Ahmet Taylan Yazici5Ahmet Demirok6Beyoglu Eye Training and Research Hospital, Bereketzade Cami Sok No. 2 Beyoglu, Istanbul, TurkeyBeyoglu Eye Training and Research Hospital, Bereketzade Cami Sok No. 2 Beyoglu, Istanbul, TurkeyBeyoglu Eye Training and Research Hospital, Bereketzade Cami Sok No. 2 Beyoglu, Istanbul, TurkeyBeyoglu Eye Training and Research Hospital, Bereketzade Cami Sok No. 2 Beyoglu, Istanbul, TurkeyBeyoglu Eye Training and Research Hospital, Bereketzade Cami Sok No. 2 Beyoglu, Istanbul, TurkeyBeyoglu Eye Training and Research Hospital, Bereketzade Cami Sok No. 2 Beyoglu, Istanbul, TurkeyBeyoglu Eye Training and Research Hospital, Bereketzade Cami Sok No. 2 Beyoglu, Istanbul, TurkeyPurpose. To determine the effect of epiretinal membranes (ERM) on the treatment response and the number of intravitreal bevacizumab injections (IVB) in patients with neovascular age-related macular degeneration (nAMD). Methods. A retrospective chart review was performed on 63 eyes of 63 patients. The patients were divided into AMD group (n=35) and AMD/ERM group (n=28). Best corrected visual acuity (BCVA) and central retinal thickness (CRT), as well as the number of injections, were evaluated. Results. There was a significant improvement in BCVA at 3 months for the AMD and AMD/ERM groups (P=0.02, P=0.03, resp.). At 6, 12, and 18 months, BCVA did not change significantly in either of the groups compared to baseline (P>0.05 for all). At 3, 6, 12, and 24 months, the AMD group had an improvement in BCVA (logMAR) of 0.09, 0.06, 0.06, and 0.03 versus 0.08, 0.07, 0.05, and 0.03 for the AMD/ERM group (P=0.29, P=0.88, P=0.74, P=0.85, resp.). A significant decrease in CRT occurred in both groups for all time points (P<0.001 for all). The change in CRT was not statistically different between the two groups at all time points (P>0.05 for all). The mean number of injections over 24 months was 8.8 in the AMD group and 9.2 in the AMD/ERM group (P=0.76). Conclusion. During 24 months, visual and anatomical outcomes of IVB in nAMD patients were comparable with those in nAMD patients with ERM with similar injection numbers.http://dx.doi.org/10.1155/2013/958724
spellingShingle Zeynep Alkin
Abdullah Ozkaya
Ozen Ayranci Osmanbasoglu
Alper Agca
Yalcin Karakucuk
Ahmet Taylan Yazici
Ahmet Demirok
The Role of Epiretinal Membrane on Treatment of Neovascular Age-Related Macular Degeneration with Intravitreal Bevacizumab
The Scientific World Journal
title The Role of Epiretinal Membrane on Treatment of Neovascular Age-Related Macular Degeneration with Intravitreal Bevacizumab
title_full The Role of Epiretinal Membrane on Treatment of Neovascular Age-Related Macular Degeneration with Intravitreal Bevacizumab
title_fullStr The Role of Epiretinal Membrane on Treatment of Neovascular Age-Related Macular Degeneration with Intravitreal Bevacizumab
title_full_unstemmed The Role of Epiretinal Membrane on Treatment of Neovascular Age-Related Macular Degeneration with Intravitreal Bevacizumab
title_short The Role of Epiretinal Membrane on Treatment of Neovascular Age-Related Macular Degeneration with Intravitreal Bevacizumab
title_sort role of epiretinal membrane on treatment of neovascular age related macular degeneration with intravitreal bevacizumab
url http://dx.doi.org/10.1155/2013/958724
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