Wet Macular Degeneration
Conditions
Keywords
ketorolac, NSAIDs, wet macular degeneration, choroidal neovascularization
Brief summary
The addition of an anti-inflammatory agent could be a valid option for controlling choroidal neovascularization, as simply inhibiting VEGF addresses neither the multifactorial pathogenesis of choroidal neovascularization nor the underlying cause of VEGF production.
Interventions
3 monthly ranibizumab, then as needed Ketorolac TID
3 monthly ranibizumab, then as needed
Sponsors
Study design
Eligibility
Inclusion criteria
1. ability to provide written informed consent and comply with study assessments for the full duration of the study; 2. age \>40 years; 3. presence of treatment-naïve neovascular AMD with a visual acuity between 20/25 and 20/200 on the Early Treatment Diabetic Retinopathy Study (ETDRS) chart. Inclusion criteria for AMD were neovascularisation, fluid, or haemorrhage under the fovea.
Exclusion criteria
1. any previous intravitreal treatment; 2. previous laser treatment in the study eye; 3. myopia \>7 dioptres in the study eye; 4. concurrent eye disease in the study eye that could compromise visual acuity (eg, diabetic retinopathy, advanced glaucoma); 5. concurrent corneal epithelial disruption or any condition that would affect the ability of the cornea to heal; 6. known sensitivity to any component of the formulations under investigation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| mean change in study eye visual acuity as measured by the best-corrected ETDRS letter score | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| mean change in central macular thickness | 12 months |
| mean number of intravitreal injections over the 12-month period | 12 months |
| adverse ocular events at 12 months | 12 months |
Countries
Italy