Neovascular Age Related Macular Degeneration
Conditions
Keywords
IVTA; CNV; age-related macular degeneration; PDT
Brief summary
Background: To identify characteristic morphological changes of the retina, their change over time and the association with visual function after combined photodynamic therapy (PDT) and intravitreal triamcinolone (IVTA). Methods: In this retrospective study, 40 patients (40 eyes) were treated with PDT and same day IVTA. Optical coherence tomography (OCT), fluorescein angiography (FA) and evaluation of distance visual acuity (VA) were performed. Main outcome measures were the anatomical changes within intra- and subretinal compartments and their detailed analysis and grading.
Interventions
PDT plus intravitreal triamcinolone
Sponsors
Study design
Eligibility
Inclusion criteria
* cnv secondary to age related macular degeneration
Exclusion criteria
* glaucoma, diabetic retinopathy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| visual acuity, central retinal thickness (CRT), choroidal perfusion and macular sensitivity (MS) | Day 1, Week 1, 4 and 12 | Changes in macular sensitivity after reduced fluence photodynamic therapy combined with intravitreal triamcinolone Mean DLT decreased from 4.71 dB at baseline to 3.45 dB after 12 months in the SPDT + IVTA group (mean decrease 1.26 dB; p \> 0.05) and from 5.42 dB to 4.92 dB in the RPDT + IVTA group (mean decrease 0.5 dB; p \> 0.05). Absolute and relative scotoma sizes remained stable in both groups at 12 months (mean change 0 and -0.6 test-points; p \> 0.05). Mean DLT values and absolute scotoma sizes correlated well with early and late leakage areas in FA (r = -0.45 to -0.80, p \< 0.02). With regard to MS, RPDT + IVTA did not show significant benefits over SPDT + IVTA at 12 months. Macular sensitivity correlated well with angiographic outcomes. |