Development of Subretinal Fibrosis After Anti-VEGF Treatment in Neovascular Age-Related Macular Degeneration

被引:75
作者
Hwang, John C. [1 ]
Del Priore, Lucian V. [1 ,2 ]
Freund, K. Bailey [2 ]
Chang, Stanley [1 ]
Iranmanesh, Reza [1 ]
机构
[1] Columbia Univ, Med Ctr, Edward S Harkness Eye Inst, New York, NY 10032 USA
[2] Retina Macula Consultants New York, New York, NY USA
关键词
TISSUE GROWTH-FACTOR; CHOROIDAL NEOVASCULARIZATION;
D O I
10.3928/15428877-20100924-01
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
BACKGROUND AND OBJECTIVE: To describe the development or progression of subfoveal fibrosis after anti-vascular endothelial growth factor (VEGF) therapy in the absence of significant subfoveal hemorrhage in neovascular age-related macular degeneration. PATIENTS AND METHODS: Retrospective case series. RESULTS: Seven eyes of seven patients with neovascular age-related macular degeneration developed subfoveal fibrosis after anti-VEGF therapy in the absence of significant subfoveal hemorrhage. Five of seven patients experienced vision loss of 0.3 logarithm of the minimum angle of resolution units or greater. CONCLUSION: Subfoveal fibrosis may develop or progress in neovascular age-related macular degeneration despite the absence of significant subfoveal hemorrhage and treatment with anti-VEGF. Development of anti-fibrotic therapeutics may be beneficial in reducing the incidence of subretinal fibrosis.
引用
收藏
页码:6 / 11
页数:6
相关论文
共 9 条
[1]   Evolving guidelines for intravitreous injections [J].
Aiello, LP ;
Brucker, AJ ;
Chang, S ;
Cunningham, ET ;
D'Amico, DJ ;
Flynn, HW ;
Grillone, LR ;
Hutcherson, S ;
Liebmann, JM ;
O'Brien, TP ;
Scott, IU ;
Spaide, RF ;
Ta, C .
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, 2004, 24 (05) :S3-S19
[2]  
Bressler Neil M, 2004, JAMA, V291, P1900, DOI 10.1001/jama.291.15.1900
[3]  
Friedman DS, 2004, ARCH OPHTHALMOL-CHIC, V122, P564
[4]   A role for connective tissue growth factor in the pathogenesis of choroidal neovascularization [J].
He, S ;
Jin, ML ;
Worpel, V ;
Hinton, DR .
ARCHIVES OF OPHTHALMOLOGY, 2003, 121 (09) :1283-1288
[5]   The Angio-Fibrotic Switch of VEGF and CTGF in Proliferative Diabetic Retinopathy [J].
Kuiper, Esther J. ;
Van Nieuwenhoven, Frans A. ;
de Smet, Marc D. ;
van Meurs, Jan C. ;
Tanck, Michael W. ;
Oliver, Noelynn ;
Klaassen, Ingeborg ;
Van Noorden, Cornelis J. F. ;
Goldschmeding, Roel ;
Schlingemann, Reinier O. .
PLOS ONE, 2008, 3 (07)
[6]  
Resnikoff S, 2004, B WORLD HEALTH ORGAN, V82, P844
[7]   Short-term safety and efficacy of intravitreal bevacizumab (avastin) for neovascular agerelated macular degeneration [J].
Rich, Ryan M. ;
Rosenfeld, Philip J. ;
Puliafito, Carmen A. ;
Dubovy, Sander R. ;
Davis, Janet L. ;
Flynn, Harry W., Jr. ;
Gonzalez, Serafin ;
Feuer, William J. ;
Lin, Richard C. ;
Lalwani, Geeta A. ;
Nguyen, Jackie K. ;
Kumar, Gaurav .
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, 2006, 26 (05) :495-511
[8]   Ranibizumab for neovascular age-related macular degeneration [J].
Rosenfeld, Philip J. ;
Brown, David M. ;
Heier, Jeffrey S. ;
Boyer, David S. ;
Kaiser, Peter K. ;
Chung, Carol Y. ;
Kim, Robert Y. .
NEW ENGLAND JOURNAL OF MEDICINE, 2006, 355 (14) :1419-1431
[9]   Expression of connective tissue growth factor and its potential role in choroidal neovascularization [J].
Watanabe, D ;
Takagi, H ;
Suzuma, K ;
Oh, H ;
Ohashi, H ;
Honda, Y .
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, 2005, 25 (07) :911-918