Laird Harrison August 11, 2014

SAN DIEGO — Fixed-interval dosing with vascular endothelial growth-factor (VEGF) inhibitors might be more effective than as-needed dosing, a new study shows.
“It’s a safe, effective means of treating wet macular degeneration,” Marc Peden, MD, from the University of Florida in Gainesville, said here at the 32nd Annual Meeting of the American Society of Retina Specialists.
Concerns about geographic atrophy with VEGF inhibitors has led some clinicians to reduce dosing by using an as-needed or treat-and-extend approach.
Although previous research has shown good results with fixed-interval dosing for up to 2 years, longer-term data are lacking, said Dr. Peden. To help fill that gap, he and his team retrospectively analyzed data on macular degeneration patients treated at fixed intervals with ranibizumab, bevacizumab, or aflibercept at the University of Florida.
They identified 109 eyes with 5 years of follow-up data, 74 eyes with 6 years, and 44 eyes with 7 years. The patients received an average of 10.5 injections per year. To measure visual acuity, they converted Snellen vision data recorded at each injection to logMAR and then letter values.The team documented a peak gain of 16.1 letters at 2 years, and then a mean decline of approximately 0.54 letters per year over the next 5 years. Still, driving vision was maintained by 46.8% of patients at 5 years and by 43.2% at 7 years..more: http://www.medscape.com/viewarticle/829700 
Source: Medscape

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