Combined photodynamic therapy and intravitreal bevacizumab for idiopathic polypoidal choroidal vasculopathy: One-year follow-up

Mario R. Romano, Ugo Cipollone, Francesco Semeraro, Michele Rinaldi, Ciro Costagliola

Research output: Contribution to journalArticle

Abstract

Objective: To report the efficacy and safety of combined photodynamic therapy (PDT) and intravitreal bevacizumab (IVB) injection in the treatment of idiopathic polypoidal choroidal vasculopathy (IPCV). Material and methods: A prospective case series of 10 eyes of 10 consecutive patients affected by IPCV with subfoveal involvement. PDT plus IVB (1.25 mg/0.05 mL) injection two weeks later was performed in all patients. Two adjunctive injections of bevacizumab were scheduled at four and eight weeks after the initial treatment. Best-corrected visual acuity (BCVA), fluorescein and indocyanine green angiographies, and optical coherence tomography were obtained at baseline, and at one, three, six, nine, and 12 months. Results: The combined treatment led to an improvement of both neurosensory detachment and pigmented epithelial detachment in all eyes, with a decrease of exudation and regression of macular thickness, which remained stable to the end of follow-up. However, BCVA remained stable over the 12 months of follow-up. Conclusion: These findings demonstrate that PDT/IVB combined therapy is able to achieve morphologic stabilization of the IPCV lesion, through a rapid decrease of macular thickness and regression of the size of polypoidal vascular lesion.

Original languageEnglish
Pages (from-to)1237-1241
Number of pages5
JournalClinical Ophthalmology
Volume4
Issue number1
DOIs
Publication statusPublished - 2010

Keywords

  • Age-related macular degeneration
  • Combined treatment
  • Idiopathic polypoidal choroidal vasculopathy
  • Intravitreal bevacizumab
  • Photodynamic therapy

ASJC Scopus subject areas

  • Ophthalmology

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