PMID- 32332680 OWN - NLM STAT- MEDLINE DCOM- 20200511 LR - 20221005 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 99 IP - 17 DP - 2020 Apr TI - Changes in inner retinal layer thickness in patients with exudative age-related macular degeneration during treatment with anti-vascular endothelial growth factor. PG - e19955 LID - 10.1097/MD.0000000000019955 [doi] LID - e19955 AB - The aim of this study was to identify any changes that occur in the retinal nerve fiber layer (RNFL) and ganglion cell-inner plexiform layer (GC-IPL) in patients with exudative age-related macular degeneration (AMD) during treatment with anti-vascular endothelial growth factor (VEGF) injections.Patients were enrolled in this retrospective study if they had exudative AMD, had received at least 3 injections of ranibizumab or aflibercept, and had a minimum of 12 months of follow-up. We analyzed the changes in the RNFL and GC-IPL using spectral-domain optical coherence tomography in rescan mode.Fifty-two eyes of 52 patients who had been treated with repeated anti-VEGF injections for exudative AMD were included. At the final visit, there was no significant between-group difference in best-corrected visual acuity or intraocular pressure. There was a significant decrease in central macular thickness in all groups (P < .05). There was a decrease in RNFL thickness that was only statistically significant in the ranibizumab group and when the ranibizumab or aflibercept groups were combined (P = .036 and .044, respectively). The thickness of the GC-IPL layer was significantly decreased in the aflibercept and total group (P = .035 and P = .048, respectively).The thicknesses of the RNFL and GC-IPL decreased in patients with exudative AMD who underwent repeated anti-VEGF injections. FAU - Lee, Seong Woo AU - Lee SW AD - Department of Ophthalmology, Sanggye Paik Hospital, Inje University, Seoul. FAU - Sim, Ha Eun AU - Sim HE AD - Department of Ophthalmology, Sanggye Paik Hospital, Inje University, Seoul. FAU - Park, Jae Yong AU - Park JY AD - Department of Ophthalmology, Sanggye Paik Hospital, Inje University, Seoul. FAU - Kim, Jae Suk AU - Kim JS AD - Department of Ophthalmology, Sanggye Paik Hospital, Inje University, Seoul. FAU - Chang, In Beom AU - Chang IB AD - Department of Ophthalmology, Busan Paik Hospital, Inje University, Busan. FAU - Park, Young Soon AU - Park YS AD - Eye love eye Clinic, Seoul, South Korea. FAU - Hwang, Je Hyung AU - Hwang JH AD - Department of Ophthalmology, Sanggye Paik Hospital, Inje University, Seoul. LA - eng PT - Journal Article PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R RN - 0 (Angiogenesis Inhibitors) RN - 0 (Recombinant Fusion Proteins) RN - 0 (Vascular Endothelial Growth Factors) RN - 15C2VL427D (aflibercept) 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/pharmacology/therapeutic use MH - Female MH - Humans MH - Macular Degeneration/*drug therapy MH - Male MH - Middle Aged MH - Ranibizumab/pharmacology/therapeutic use MH - Receptors, Vascular Endothelial Growth Factor/therapeutic use MH - Recombinant Fusion Proteins/pharmacology/therapeutic use MH - Retina/*pathology/physiopathology MH - Retrospective Studies MH - Statistics, Nonparametric MH - Vascular Endothelial Growth Factors/pharmacology/*therapeutic use MH - *Weights and Measures PMC - PMC7220743 COIS- The authors have no conflicts of interest to disclose. EDAT- 2020/04/26 06:00 MHDA- 2020/05/12 06:00 PMCR- 2020/04/24 CRDT- 2020/04/26 06:00 PHST- 2020/04/26 06:00 [entrez] PHST- 2020/04/26 06:00 [pubmed] PHST- 2020/05/12 06:00 [medline] PHST- 2020/04/24 00:00 [pmc-release] AID - 00005792-202004240-00091 [pii] AID - MD-D-19-08837 [pii] AID - 10.1097/MD.0000000000019955 [doi] PST - ppublish SO - Medicine (Baltimore). 2020 Apr;99(17):e19955. doi: 10.1097/MD.0000000000019955.