PMID- 28467427 OWN - NLM STAT- MEDLINE DCOM- 20170918 LR - 20190208 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 12 IP - 5 DP - 2017 TI - Comparison between 1-year outcomes of aflibercept with and without photodynamic therapy for polypoidal choroidal vasculopathy: Retrospective observation study. PG - e0176100 LID - 10.1371/journal.pone.0176100 [doi] LID - e0176100 AB - Polypoidal choroidal vasculopathy (PCV) is characterized by polyp-like choroidal neovascularization and a branching vascular network. Intravitreal aflibercept injection (IAI) or photodynamic therapy (PDT) is used for treatment. We retrospectively compared the 1-year outcomes of IAI monotherapy and its combination with initial PDT for PCV. Twelve eyes with naive PCV received three IAIs and a single PDT after the first IAI and as needed injection (combination group); 11 eyes with naive PCV received three IAIs and as needed injections (IAI group). Significant improvements in visual acuity after 2 months and in CRT after 1 month were maintained at 12 months in both groups (both P < 0.05); groups did not differ significantly at any time point. CCT significantly reduced after 3 and 12 months in the combination group (both P < 0.05) but not in the IAI group. A mean of 3.7 +/- 0.9 and 5.6 +/- 2.0 injections was administered to the combination and IAI groups, respectively (P = 0.013). Within a 1-year period, combination therapy was found to yield similar visual acuity and retinal structure improvements and maintenance as IAI monotherapy while requiring fewer IAIs. FAU - Takayama, Kei AU - Takayama K AD - Department of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan. AD - Department of Ophthalmology, National Defense Medical College, Tokorozawa, Japan. FAU - Kaneko, Hiroki AU - Kaneko H AUID- ORCID: 0000-0003-0731-6465 AD - Department of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Kataoka, Keiko AU - Kataoka K AD - Department of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Hattori, Kyoko AU - Hattori K AD - Department of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Ra, Eimei AU - Ra E AD - Department of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Tsunekawa, Taichi AU - Tsunekawa T AD - Department of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Fukukita, Hiroshi AU - Fukukita H AD - Department of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Haga, Fuminori AU - Haga F AD - Department of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Ito, Yasuki AU - Ito Y AD - Department of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Terasaki, Hiroko AU - Terasaki H AD - Department of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan. LA - eng PT - Comparative Study PT - Journal Article PT - Observational Study DEP - 20170503 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Recombinant Fusion Proteins) RN - 15C2VL427D (aflibercept) RN - EC 2.7.10.1 (Receptors, Vascular Endothelial Growth Factor) SB - IM MH - Aged MH - Choroidal Neovascularization/*etiology/physiopathology MH - Female MH - Humans MH - Male MH - *Photochemotherapy MH - Receptors, Vascular Endothelial Growth Factor/*therapeutic use MH - Recombinant Fusion Proteins/*therapeutic use MH - Treatment Outcome MH - Visual Acuity PMC - PMC5415056 COIS- Competing Interests: HT received personal fees from Bayer HealthCare, Novartis, Santen, Wakamoto, and Pfizer, as well as research funding from Novartis, Santen, Wakamoto, and Pfizer. There are no patents, products in development or marketed products to declare. This does not alter our adherence to all the PLOS ONE policies on sharing data and materials. EDAT- 2017/05/04 06:00 MHDA- 2017/09/19 06:00 PMCR- 2017/05/03 CRDT- 2017/05/04 06:00 PHST- 2017/01/21 00:00 [received] PHST- 2017/04/05 00:00 [accepted] PHST- 2017/05/04 06:00 [entrez] PHST- 2017/05/04 06:00 [pubmed] PHST- 2017/09/19 06:00 [medline] PHST- 2017/05/03 00:00 [pmc-release] AID - PONE-D-17-02840 [pii] AID - 10.1371/journal.pone.0176100 [doi] PST - epublish SO - PLoS One. 2017 May 3;12(5):e0176100. doi: 10.1371/journal.pone.0176100. eCollection 2017.