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Therapeutic effects of photodynamic therapy on choroidal neovascularization with or without cystoid macular edema

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF OCULAR FUNDUS DISEASES
Issue:
1
DOI:
10.3760/cma.j.issn.1005-1015.2010.01.04
Key Word:
黄斑变性/并发症;脉络膜新生血管化/治疗;黄斑水肿/治疗;光化学疗法;体层摄影术,光学相干;Macular degeneration/complications;Choroidal neovascularization/therapy;Macular edema/therapy;Photochemotherapy;Tomography,optical coherence

Abstract: Objective To observe the therapeutic effects of photodynamic therapy(PDT)on ehoroidalneovascularization(CNV) with or without cystoid macular edema (CME)in patients with wet age-related macular degeneration(AMD).Methods The clinical data of 54 patients (54 eyes) with wet AMD who had undergone the standard PDT,including 16 patients (21 eyes) with CME and 28 patients (33 eyes) without CME were retrospectively analyzed.The visual acuity and BFT of patients were examined by early treatment diabetic retinopathy study (ETDRS) and optical coherence tomography(OCT)before and per three months after PDT.The follow-up was 3-18 months with the mean of 8.3 months.Results At the last time of follow-up,in CME group,ETDRS letter score was(29.429±17.907) and the BFT was (316.429±77.161) μm,compared with that before the treatment,the difference were statistically significant (t=-0.389,2.246;P=0.701,0.019).In non-CME group,ETDRS letter score was (48.121±17.911) and the BFT was (244.667±37.619) μm,compared with that before the treatment,the difference were statistically significant (t=-3.424,6.880;P=0.002,0.000).There were statistical significance for the change of ETDRS letter score and BFT between the two groups (t=-2.194,2.212,P=0.033,0.031)).Conclusions Therapeutic effect of PDT on CNV with CME was better than without CME in patients with wet AMD.

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