A Systematic Review of the Treat and Extend Treatment Regimen with Anti-VEGF Agents for Neovascular Age-Related Macular Degeneration

被引:42
作者
Gemenetzi M. [1 ]
Patel P.J. [1 ,2 ]
机构
[1] NIHR Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust, London
[2] UCL Institute of Ophthalmology, London
关键词
Age-related macular degeneration; Anti-vascular endothelial growth factor intravitreal injections; Systematic review;
D O I
10.1007/s40123-017-0087-5
中图分类号
学科分类号
摘要
Despite significant progress in retaining vision for neovascular age-related macular degeneration patients in the era of treatment with intravitreal anti-VEGF agents, there is no universally accepted treatment regimen that defines the frequency of treatment needed to achieve the optimal visual outcomes while simultaneously balancing the burden of long-term, frequent and high-cost treatment. Treat and extend has recently and consistently been used by retina specialists to minimise the financial and psychological costs of the need for frequent treatment with anti-VEGF injections. This is a systematic review that presents evidence from clinical trials and the real world on the utilisation of treat and extend with anti-VEGF intravitreal injections in neovascular age-related macular degeneration, and discusses the experience gained thus far from the utilisation of such regimens to preserve vision when treating patients over the long-term. © 2017, The Author(s).
引用
收藏
页码:79 / 92
页数:13
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