J Korean Ophthalmol Soc > Volume 52(7); 2011 > Article
Journal of the Korean Ophthalmological Society 2011;52(7):838-845.
DOI: https://doi.org/10.3341/jkos.2011.52.7.838    Published online July 15, 2011.
Intravitreal Ranibizumab Therapy for Neovascular Age-Related Macular Degeneration with a Predominantly Hemorrhagic Lesion.
Yoon Jung Cho, Sung Pyo Park
Department of Ophthalmology, Kang Dong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. sungpyo@hanafos.com
출혈우세병변이 동반된 연령관련 황반변성 환자에서의 유리체강 내 라니비주맙 주입술의 효과
조윤정⋅박성표
Department of Ophthalmology, Kang Dong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea
Abstract
PURPOSE
To report the efficacy and safety of intravitreal ranibizumab monotherapy in patients with age-related macular degeneration with a predominantly hemorrhagic lesion. METHODS: Nineteen eyes of 19 patients with submacular hemorrhage involving the fovea were treated with intravitreal ranibizumab (0.5 mg/0.05 ml) injections as needed. All patients completed at least 4 months of follow-up. Ophthalmologic examinations, fluorescence angiographic evaluations, optical coherence tomography (OCT) examination, and hemorrhage size were analyzed before the injections, and at 1,2,4,6, and 12 months follow-up. RESULTS: The average VA and mean central retinal thickness (CRT) before ranibizumab treatment were 0.62 +/- 0.39 log MAR and 335.76 +/- 111.22 microm, respectively. Additionally, the VA and CRT four months after the initial injections were 0.54 +/- 0.43 log MAR and 241.42 +/- 107.55 microm, respectively. The mean size of the hemorrhage was significantly reduced from 2.87 +/- 2.44 DA (disk areas) at baseline to 0.9 +/- 1.28 DA at four month follow up. CONCLUSIONS: Intravitreal injection of ranibizumab is an effective treatment option for patients with age-related macular degeneration with a predominantly hemorrhagic lesion.
Key Words: Age-related macular degeneration;Predominantly hemorrhagic lesion;Ranibizumab


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