维替泊芬光动力学疗法治疗体外照射放疗后持续性中心凹下脉络膜新生血管1年研究结果

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PURPOSE: To determine the safety and efficacy of verteporfin photodynamic ther apy (PDT) for the treatment of persistent choroidal neovascularization (CNV) pre viously treated with external beam radiotherapy (EBRT). DESIGN: Retrospective ca se series. METHODS: Verteporfin PDT was performed on 14 eyes of 13 patients with symptomatic leakage from CNV previously treated by EBRT. Principal outcome measures were: comparison of visual acuity at 12 months post -PDT with baseline and the recording of any ocular or systemic adverse events. RESULTS: At baseline, the mean logMAR (±SD) VA was 0.81 ±0.33, whereas at the 12-month point it was 0.89 ±0.43 (P=.326). At the 12-month examination 10 eye s had lost less than 3 lines of VA, and 8 eyes had lost less than 1.5 lines. Dur ing this time, there were 2.1 PDT treatment sessions per eye on average (range=1 to 4). There were no ocular or systemic adverse events recorded. CONCLUSIONS: T his short-term study shows that verteporfin PDT is safe after EBRT and may be o f benefit for recalcitrant CNV. PURPOSE: To determine the safety and efficacy of verteporfin photodynamic ther apy (PDT) for the treatment of persistent choroidal neovascularization (CNV) previously treated with external beam radiotherapy (EBRT). DESIGN: Retrospective ca se series. METHODS: Verteporfin PDT was performed on 14 eyes of 13 patients with symptomatic leakage from CNV previously treated by EBRT. Principal outcome measures were: comparison of visual acuity at 12 months post-PDT with baseline and the recording of any ocular or systemic adverse events. RESULTS: At baseline, the mean logMAR (± SD) VA was 0.81 ± 0.33, while at the 12-month point it was 0.89 ± 0.43 (P = .326). At the 12-month examination 10 eye s had lost less than 3 lines of VA, and 8 eyes had lost less than 1.5 lines. Dur ing this time, there were 2.1 PDT treatment sessions per eye on average (range = 1 to 4). There were no ocular or systemic adverse events recorded. CONCLUSIONS: T his short-term study shows that verteporfin PDT is safe after EBRT and may be o f benefit for recalcitrant CNV.
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