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Journal of Retina-Vitreous
2010, Volume 18, Number 2, Page(s) 143-148
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Results of Intravitreal Ranibizumab Treatment for Choroidal Neovascularization Secondary to Age-Related Macular Degeneration
Alper ŞENGÜL1, Özgür ARTUNAY2, Erdal YÜZBAŞIOĞLU2, Rıfat RASİER1, Amber ŞENEL1, Halil BAHÇECİOĞLU3
1İstanbul Bilim Üniversitesi, Göz A.D., İstanbul, Asist. Dr.
2İstanbul Bilim Üniversitesi, Göz A.D., İstanbul, Yard. Doç. Dr.
3İstanbul Bilim Üniversitesi, Göz A.D., İstanbul, Prof.Dr.
Keywords: Intravitreal ranibizumab, age related macular degeneration, neovascularization

Purpose: To report the efficacy and results of intravitreal ranibizumab (IVR) injection for choroidal neovascularization due to age-related macular degeneration (ARMD).

Materials and Methods: Fifty-eight eyes of 43 ARMD patients received 287 injections of 0.5 mg/0.05 mL IVR and were followed up for at least one year prospectively. The mean age was 67.64 ± 8.14. All patients received three consecutive monthly IVR injections. IVR injections were readministered based on visual acuity (VA) measurements, fundus fluorescein angiography (FFA), and optic coherence tomography (OCT) results.

Results: By three months, 28 eyes (48.3%) had an increase in VA of 5 letters or more, 27 eyes (46.5%) had no change, and 3 eyes (5.2%) had a decrease of 5 letters or more. After the 12-month follow-up VA results were as follows: 26 eyes (44.8%) had an increase of 5 letters or more, 28 eyes (48.3%) had no change, and 4 eyes (6.9%) had a decrease of 5 letters or more. In 44 eyes (75.9%), central macular thickness (CMT) decreased by 100 μm or more, in 12 eyes (20.7%) there was no change, and in 2 eyes (3.4%) CMT increased by 100 μm or more at the third month. After the 12-month follow-up, CMT decreased by 100 μm or more in 42 eyes (72.4%) and increased by 100 μm or more in 3 eyes (5.2%), while 13 eyes (22.4%) had no change.

Conclusions: IVR provides significant anatomic and functional improvement compared the baseline in choroidal neovascularization due to ARMD.

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