PURPOSE: To investigate whether patients with exudative age-related macular degeneration and a submacular hemorrhage, retinal pigment epithelium (RPE) tear or nonresponders to anti-vascular endothelial growth factor (VEGF) benefit more from a free RPE-choroid graft transplantation surgery than from (continuation of) anti-VEGF treatment.
PROCEDURES: A total of 20 patients were included in this prospective, international, multicenter, randomized intervention study.
RESULTS: The change in the mean number of Early Treatment of Diabetic Retinopathy Study (ETDRS) letters in the graft group 1 year postoperatively was -15 (range -54 to +26), whilst 2 patients experienced a gain of >10 letters. The median preoperative visual acuity (VA) was 0.75 logMAR (range 0.46-2.8), and the mean postoperative VA was 1.48 logMAR (range 0.14-2.8). The change in the mean number of ETDRS letters in the anti-VEGF group was -8 (range -26 to +6); no patients experienced a >10 letter gain. The median preoperative VA was 1.36 logMAR (range 0.58-1.6), and the median postoperative VA was 1.42 logMAR (range 0.44-1.66).
CONCLUSIONS: The included patient group is far too small to draw conclusions. However, both gain and loss of VA may be experienced by patients undergoing either treatment method; more gain might be possible for patients with a graft in the absence of complications.
|Number of pages||12|
|Publication status||Published - 2015|
- Aged, 80 and over
- Angiogenesis Inhibitors/therapeutic use
- Intravitreal Injections
- Middle Aged
- Prospective Studies
- Retinal Hemorrhage/therapy
- Retinal Perforations/therapy
- Retinal Pigment Epithelium/transplantation
- Tomography, Optical Coherence
- Vascular Endothelial Growth Factor A/antagonists & inhibitors
- Visual Acuity/physiology
- Wet Macular Degeneration/drug therapy