PMID- 20352440 OWN - NLM STAT- MEDLINE DCOM- 20100917 LR - 20220311 IS - 1435-702X (Electronic) IS - 0721-832X (Linking) VI - 248 IP - 9 DP - 2010 Sep TI - Factors influencing visual outcome of polypoidal choroidal vasculopathy one year after photodynamic therapy. PG - 1233-9 LID - 10.1007/s00417-010-1365-2 [doi] AB - BACKGROUND: Polypoidal choroidal vasculopathy (PCV) is considered to be a good indication for photodynamic therapy (PDT). We evaluated pre-PDT factors predicting better visual acuity (VA) 1 year after PDT in patients with PCV. METHODS: We evaluated 181 eyes of 181 patients who underwent PDT and were followed up for 1 year. Additional treatments, if needed, were given every 3 months, with a maximum of four PDT sessions, for up to 9 months. We compared best-corrected VA (BCVA) 1 year after PDT with that before PDT. Pre-PDT factors favoring better BCVA 1 year after PDT were evaluated using stepwise multiple regression analysis. RESULTS: Mean BCVA improved from 0.29 +/- 0.15 before PDT to 0.43 +/- 0.32 1 year after PDT (p < 0.001). BCVA improved in 55 eyes (30.4%), and was maintained in 110 (60.8%). Pre-PDT factors predicting better BCVA at 1 year were better initial BCVA (beta = 0.271, p < 0.001) within our eligibility criteria up to 0.6, a relatively small diameter of a network of vessels plus polypoidal lesions on indocyanine green angiography (beta = 0.249, p < 0.001), and the absence of a polypoidal lesion under the fovea (beta = 0.175, p = 0.011). CONCLUSION: Better BCVA can be expected 1 year after PDT in eyes with PCV showing better initial BCVA, relatively small lesions on indocyanine green angiography, and no subfoveal polypoidal lesion before PDT. FAU - Mori, Ryusaburo AU - Mori R AD - Department of Ophthalmology, Nihon University, School of Medicine, Surugadai Nihon University Hospital, 1-8-13 Surugadai, Kanda, Chiyoda-ku, Tokyo, Japan. FAU - Yuzawa, Mitsuko AU - Yuzawa M FAU - Lee, Zeon AU - Lee Z FAU - Haruyama, Miho AU - Haruyama M FAU - Akaza, Eriko AU - Akaza E LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100330 PL - Germany TA - Graefes Arch Clin Exp Ophthalmol JT - Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie JID - 8205248 RN - 0 (Coloring Agents) RN - IX6J1063HV (Indocyanine Green) SB - IM CIN - Graefes Arch Clin Exp Ophthalmol. 2011 May;249(5):791; author reply 793. PMID: 20689963 MH - Aged MH - Aged, 80 and over MH - Choroid/*blood supply MH - Choroid Diseases/*drug therapy/physiopathology MH - Coloring Agents MH - Female MH - Fluorescein Angiography MH - Follow-Up Studies MH - Humans MH - Indocyanine Green MH - Male MH - Middle Aged MH - Peripheral Vascular Diseases/*drug therapy/physiopathology MH - *Photochemotherapy MH - Tomography, Optical Coherence MH - Treatment Outcome MH - Visual Acuity/*physiology EDAT- 2010/03/31 06:00 MHDA- 2010/09/21 06:00 CRDT- 2010/03/31 06:00 PHST- 2009/11/10 00:00 [received] PHST- 2010/03/11 00:00 [accepted] PHST- 2010/02/24 00:00 [revised] PHST- 2010/03/31 06:00 [entrez] PHST- 2010/03/31 06:00 [pubmed] PHST- 2010/09/21 06:00 [medline] AID - 10.1007/s00417-010-1365-2 [doi] PST - ppublish SO - Graefes Arch Clin Exp Ophthalmol. 2010 Sep;248(9):1233-9. doi: 10.1007/s00417-010-1365-2. Epub 2010 Mar 30.