PMID- 26114844 OWN - NLM STAT- MEDLINE DCOM- 20160222 LR - 20150627 IS - 2325-8179 (Electronic) IS - 2325-8160 (Linking) VI - 46 IP - 6 DP - 2015 Jun TI - Quantification of Change in Pigment Epithelial Detachment Volume and Morphology After Transition to Intravitreal Aflibercept in Eyes With Recalcitrant Neovascular AMD: 18-Month Results. PG - 638-41 LID - 10.3928/23258160-20150610-07 [doi] AB - BACKGROUND AND OBJECTIVE: To quantitatively evaluate the change in pigment epithelial detachment (PED) morphology on spectral-domain optical coherence tomography (SD-OCT) 18 months after the transition to intravitreal aflibercept in patients with neovascular age-related macular degeneration (AMD) with PED recalcitrant to monthly intravitreal bevacizumab or ranibizumab. PATIENTS AND METHODS: Retrospective case series examining patients with neovascular AMD who had a persistent fibrovascular or serous PED on SD-OCT. PED volume was calculated by manually outlining the PED on individual OCT slices of the raster scan and multiplying by the pixel dimensions. RESULTS: Eleven eyes of 10 patients who had received an average of 25.7 +/- 20.1 (range: 6 to 70) prior bevacizumab or ranibizumab injections over a period of 26.6 +/- 19.8 months (range: 4 to 63) were included. PED volume decreased with aflibercept from 0.687 +/- 0.837 mm(3) to 0.562 +/- 0.705 mm(3) (P = .02), a decrease of 19% +/- 12.27%. CONCLUSION: After 18 months of aflibercept, recalcitrant PED volumes were reduced by 19% while preserving visual acuity in eyes with neovascular AMD. CI - Copyright 2015, SLACK Incorporated. FAU - Kanesa-Thasan, Aditya AU - Kanesa-Thasan A FAU - Grewal, Dilraj S AU - Grewal DS FAU - Gill, Manjot K AU - Gill MK FAU - Lyon, Alice T AU - Lyon AT FAU - Mirza, Rukhsana G AU - Mirza RG LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Ophthalmic Surg Lasers Imaging Retina JT - Ophthalmic surgery, lasers & imaging retina JID - 101599215 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Recombinant Fusion Proteins) RN - 0 (VEGFA protein, human) RN - 0 (Vascular Endothelial Growth Factor A) RN - 15C2VL427D (aflibercept) RN - 2S9ZZM9Q9V (Bevacizumab) RN - EC 2.7.10.1 (Receptors, Vascular Endothelial Growth Factor) RN - ZL1R02VT79 (Ranibizumab) SB - IM MH - Aged MH - Aged, 80 and over MH - Angiogenesis Inhibitors/*therapeutic use MH - Bevacizumab/therapeutic use MH - Drug Resistance MH - Drug Substitution MH - Female MH - Humans MH - Intravitreal Injections MH - Macular Degeneration/*drug therapy/physiopathology MH - Male MH - Ranibizumab/therapeutic use MH - Receptors, Vascular Endothelial Growth Factor/*therapeutic use MH - Recombinant Fusion Proteins/*therapeutic use MH - Retinal Detachment/*diagnosis MH - Retinal Neovascularization/*drug therapy/physiopathology MH - Retinal Pigment Epithelium/*pathology MH - Tomography, Optical Coherence MH - Vascular Endothelial Growth Factor A/antagonists & inhibitors MH - Visual Acuity/physiology EDAT- 2015/06/27 06:00 MHDA- 2016/02/24 06:00 CRDT- 2015/06/27 06:00 PHST- 2014/11/23 00:00 [received] PHST- 2015/05/05 00:00 [accepted] PHST- 2015/06/27 06:00 [entrez] PHST- 2015/06/27 06:00 [pubmed] PHST- 2016/02/24 06:00 [medline] AID - 10.3928/23258160-20150610-07 [doi] PST - ppublish SO - Ophthalmic Surg Lasers Imaging Retina. 2015 Jun;46(6):638-41. doi: 10.3928/23258160-20150610-07.