Age-related Macular Degeneration
Conditions
Keywords
Keratin, Ranibizumab
Brief summary
The investigators will evaluate the concentrations of cytokeratin 8 in aqueous humor in eyes with exudative age-related macular degeneration (AMD) before therapy with intravitreal Ranibizumab, and identify associations with visual and anatomical outcome after treatment.
Detailed description
In this non-randomized, and open-label study, the investigators will prospectively evaluate 58 patients with treatment naive exudative age-related macular degeneration (AMD) who receive intravitreal ranibizumab injection. A mean volume of 0.1 ml of aqueous humor samples will be taken each time an intravitreal injection is indicated and performed. Cytokeratin 8 level in aqueous humor will be evaluated, and associations of baseline cytokeratin 8 level and visual (the best corrected visual acuity change) and anatomical (optical coherence tomography parameters) after Ranibizumab injection will be investigated.
Interventions
Three monthly consecutive injections of 0.5-mg ranibizumab will be performed. Aqueous humor samples will be taken each time an intravitreal injection in indicated and performed.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Treatment-naive neovascular AMD patients requiring intravitreal injection of Ranibizumab 2. A recent onset of disease confirmed by history and clinical findings. 3. Patient is required to be least 50 years of age
Exclusion criteria
1. Myopia with a refractive error \>-3.0 diopters or evidence of pathologic myopia (pre-operative refractive data were used to assess pseudophakic eyes) 2. Any history of vitrectomy, anti-VEGF therapy, or photodynamic therapy (PDT) 3. History of cataract surgery within 3 months prior to presentation 4. Evidence of end-stage AMD such as subfoveal fibrosis or atrophy 5. Evidence of other retinal diseases including central serous chorioretinopathy and other neovascularmaculopathies; glaucoma; poor imaging data caused by media opacity; or unstable fixation 6. Patients with uncontrolled systemic diseases, use of immunosuppressive drugs, or malignant tumors of any location
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The changes in the Logarithm of the Minimum Angle of Resolution (LogMAR) visual acuity | From baseline to one month after three monthly consecutive ranibizumab injection | The changes in the Logarithm of the Minimum Angle of Resolution (LogMAR) visual acuity |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The presence of intra/subretinal fluid on Spectral domain (SD)- Optical Coherence Tomography (OCT) | From baseline to one month after three monthly consecutive ranibizumab injection | The presence of intra/subretinal fluid on Spectral domain (SD)- Optical Coherence Tomography (OCT) |
Countries
South Korea