Evaluating Efficacy of Aflibercept in Refractory Exudative Age-Related Macular Degeneration With OCT Segmentation Volumetric Analysis

Copyright 2016, SLACK Incorporated.

Bibliographische Detailangaben
Veröffentlicht in:Ophthalmic surgery, lasers & imaging retina. - 2013. - 47(2016), 3 vom: 03. März, Seite 245-51
1. Verfasser: Choi, Catherine S (VerfasserIn)
Weitere Verfasser: Zhang, Li, Abràmoff, Michael D, Sonka, Milan, Shifera, Amde Selassie, Kay, Christine N
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2016
Zugriff auf das übergeordnete Werk:Ophthalmic surgery, lasers & imaging retina
Schlagworte:Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Angiogenesis Inhibitors Recombinant Fusion Proteins VEGFA protein, human Vascular Endothelial Growth Factor A aflibercept 15C2VL427D Receptors, Vascular Endothelial Growth Factor EC 2.7.10.1
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245 1 0 |a Evaluating Efficacy of Aflibercept in Refractory Exudative Age-Related Macular Degeneration With OCT Segmentation Volumetric Analysis 
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500 |a Citation Status MEDLINE 
520 |a Copyright 2016, SLACK Incorporated. 
520 |a BACKGROUND AND OBJECTIVE: To use automated segmentation software to analyze spectral-domain optical coherence tomography (SD-OCT) scans and evaluate the effectiveness of aflibercept (Eylea; Regeneron, Tarrytown, NY) in the treatment of patients with exudative age-related macular degeneration (AMD) refractory to other treatments 
520 |a PATIENTS AND METHODS: Retrospective chart review of 16 patients refractory to bevacizumab (Avastin; Genentech, South San Francisco, CA)/ranibizumab (Lucentis; Genentech, San Francisco, CA) treatment was conducted. Visual acuity, central foveal thickness (CFT), maximum fluid height, pigment epithelial detachment (PED) volume, sub-retinal fluid (SRF) volume, fluid-free time interval, and adverse effects were evaluated. Automated segmentation analysis was used to quantify improvement 
520 |a RESULTS: With aflibercept treatment, there was a statistically significant improvement in visual acuity by 1 line (P = .020), in CFT by 74.02 µm (P = .001), and in maximum fluid height by 31.9 µm (P= .011). Total PED and SRF volume also decreased significantly by 1.50 µm(3) × 10(8) µm(3) (P = .013). Anatomic improvement was confirmed by automated segmentation analysis 
520 |a CONCLUSION: This study demonstrates utility of automated segmentation software in quantifying anatomic improvement with aflibercept treatment in exudative AMD refractory to other anti-vascular endothelial growth factor treatments 
650 4 |a Journal Article 
650 4 |a Research Support, N.I.H., Extramural 
650 4 |a Research Support, Non-U.S. Gov't 
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650 7 |a Recombinant Fusion Proteins  |2 NLM 
650 7 |a VEGFA protein, human  |2 NLM 
650 7 |a Vascular Endothelial Growth Factor A  |2 NLM 
650 7 |a aflibercept  |2 NLM 
650 7 |a 15C2VL427D  |2 NLM 
650 7 |a Receptors, Vascular Endothelial Growth Factor  |2 NLM 
650 7 |a EC 2.7.10.1  |2 NLM 
700 1 |a Zhang, Li  |e verfasserin  |4 aut 
700 1 |a Abràmoff, Michael D  |e verfasserin  |4 aut 
700 1 |a Sonka, Milan  |e verfasserin  |4 aut 
700 1 |a Shifera, Amde Selassie  |e verfasserin  |4 aut 
700 1 |a Kay, Christine N  |e verfasserin  |4 aut 
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