| Treatments of Stage 1 Retinal Angiomatous Proliferation. |
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Phil Young Lee, Won Ki Lee |
1Department of Ophthalmology, Seoul Veterans Hospital, Seoul, Korea.
2Department of Ophthalmology, College of Medicine, The Catholic University of Korea, Seoul, Korea. wklee@catholic.ac.kr |
| 1단계 망막혈관종성증식의 치료 |
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이필영1ㆍ이원기2 |
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"Department of Ophthalmology, Seoul Veterans Hospital1, Seoul, Korea Department of Ophthalmology, College of Medicine, The Catholic University of Korea2, Seoul, Korea" |
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Correspondence:
Phil Young Lee, M.D.1 |
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| Abstract |
PURPOSE
To evaluate the results of single or combined treatment methods administered to patients with stage 1 retinal angiomatous proliferation (RAP). METHODS: A retrospective clinical study was performed in 9 eyes of 8 patients with stage I RAP. According to fundus angiography findings taken regularly after treatment, the results were categorized as closure of stage 1, recurrence of stage 1, or progress to stage 2. RESULTS: The mean follow-up period was 25 (14~40) months. In two eyes treated with laser photocoagulation only, the lesions progressed to stage 2. In two eyes treated with laser photocoagulation and intravitreal triamcinolone injection, the lesions also progressed to stage 2. In four eyes treated with photodynamic therapy and intravitreal triamcinolone injection, stage 1 lesions recurred in 3 eyes, and the lesion progressed to stage 2 in one eye. In one eye treated with photodynamic therapy, intravitreal triamcinolone injection, and laser photocoagulation, the stage 1 lesion recurred. Final visual acuity was stable in the case of stage 1 recurrence but was lower than the pretreatment level when the lesion progressed to stage 2. CONCLUSIONS: With either single or combined therapy, temporary closure of the stage 1 RAP lesion was possible, but complete closure could not be achieved for a long period because the lesion either recurred or progressed. |
| Key Words:
Intravitreal triamcinolone injection;Laser photocoagulation;Photodynamic therapy;Retinal angiomatous proliferation;Stage 1 |
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