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Measuring the benefit of 4 years of intravitreal ranibizumab treatment for neovascular age-related macular degeneration

Lookup NU author(s): Andrew Browning


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Aim To analyse the benefit of intravitreal ranibizumab over 4 years for patients with neovascular age-related macular degeneration (AMD).Methods A retrospective case note review of all patients who started treatment between August 2007 and September 2009 in our unit, minimum follow-up 2 years, maximum 4 years. The main outcome measures were: numbers of patients with different levels of vision, changes in visual acuity, number of treatments and numbers remaining under follow-up.Results 1086 eyes of 1017 patients received treatment. Numbers of patients remaining under follow-up were 892/1017 (87.71%) at 12 months, 730/1017 (71.78%) at 24 months, 468/730 (64.11%) at 36 months and 110/217 (50.69%) at48 months. The main reasons for patients no longer being under follow-up were the consequences of old age or transfer of care. 50% of patients had 6/18 or better over 4 years. Patients received on average 5.79 +/- 2.53, 9.15 +/- 3.79, 11.22 +/- 4.92 and 13.7 +/- 7.84 injections by 12, 24, 36 and 48 months, respectively.Conclusions We suggest that the numbers of patients with a particular level of vision may best reflect the actual benefit of AMD treatment provided by a service. Long-term follow-up is required as only 72/730 (10%) had been discharged at 36 months, half of whom had good vision of greater than 60 letters. 83% and 65% of patients needed treatment in the third and fourth year. Follow-up may be for the rest of the patients' life or at some point they may no longer be well enough to attend.

Publication metadata

Author(s): Pushpoth S, Sykakis E, Merchant K, Browning AC, Gupta R, Talks SJ

Publication type: Article

Publication status: Published

Journal: British Journal of Ophthalmology

Year: 2012

Volume: 96

Issue: 12

Pages: 1469-1473

Print publication date: 01/12/2012

Online publication date: 21/09/2012

Acceptance date: 18/08/2012

ISSN (print): 0007-1161

ISSN (electronic): 1468-2079

Publisher: BMJ Publishing Group


DOI: 10.1136/bjophthalmol-2012-302167


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