Macular Edema
Conditions
Brief summary
To evaluate whether indomethacin eyedrops plus intravitreal ranibizumab (IVR) provides additional benefit over IVR monotherapy for treatment of choroidal neovascularization (CNV) in age-related macular degeneration.
Interventions
patients received monthly 0.5 mg ranibizumab intravitreal injections for 3 months, after which monthly injections were administered pro re nata
patients self-administered one drop of indomethacin 0.5% eye drops three times a day for 12 months
Sponsors
Study design
Intervention model description
This was a prospective, randomized, pilot study in 58 patients with naï ve CNV. Patients were randomized 1:1 into 2 groups: ranibizumab monotherapy (RM group) and ranibizumab plus indomethacin (RI group). All patients received monthly 0.5 mg ranibizumab intravitreal injections for 3 months, after which monthly injections were administered pro re nata. RI patients also self- administered one drop of indomethacin three times a day for 12 months. All patients were followed up for 12 months.
Eligibility
Inclusion criteria
* provision of written informed consent and compliance with study assessments for the full duration of the study * age \> 40 years * presence of treatment-naïve neovascular AMD.
Exclusion criteria
* any previous intravitreal treatment * previous laser treatment in the study eye * myopia \> 7 diopters in the study eye * concurrent eye disease in the study eye that could compromise visual acuity (e.g., diabetic retinopathy and advanced glaucoma) * concurrent corneal epithelial disruption or any condition that would affect the ability of the cornea to heal * known sensitivity to any component of the formulations being investigated.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Central Retinal Thickness (microns) | 12-month | Optical Coherence Tomography will be used to assess central retinal thickness. |
| Visual Acuity (LogMAR) | 12-month | ETDRS charts will be used to assess best corrected visual acuity |