Skip to main content

Advertisement

Log in

Retinal angiomatous proliferation treated by intravitreal triamcinolone and photodynamic therapy with verteporfin

  • Short Communication
  • Published:
Graefe's Archive for Clinical and Experimental Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To examine combined treatment of intravitreal triamcinolone acetonide (IVT) and photodynamic therapy (PDT) for retinal angiomatous proliferation (RAP).

Methods

Ten eyes of eight consecutive patients with RAP underwent a single injection (about 20 mg) of IVT followed 1 month later by PDT. Best-corrected visual acuity (BCVA) was measured by standardized protocol refraction.

Results

Median BCVA was 20/160, 20/64, 20/98, 20/89, 20/89, 20/125 at baseline and 1, 3, 6, 9 and 12 months, respectively. Of ten eyes, six (60%) improved BCVA of at least 3 lines at 1, 3, 6 and 9 months. Four (40%) eyes improved BCVA of at least 3 lines at 12 months. Three eyes (30%) lost >3 lines at 12 months. In all patients intraocular pressure was well controlled. No endophthalmitis, retinal detachment or vitreous haemorrhage developed.

Conclusions

Improvement of BCVA suggests that combination treatment with IVT and PDT for RAP merits further investigation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Augustin AJ, Schmidt-Erfurth U (2005) Verteporfin therapy combined with intravitreal triamcinolone in all types of choroidal neovascularization due age-related macular degeneration. Ophthalmology 113:14–22

    Article  PubMed  Google Scholar 

  2. Axer-Siegel R, Ehrlich R, Rosenblatt I et al (2004) Photodynamic therapy for occult choroidal neovascularization with pigment epithelium detachment in age-related macular degeneration. Arch Ophthalmol 122:453–459

    Article  PubMed  Google Scholar 

  3. Boscia F, Furino C, Sborgia L, Reibaldi M, Sborgia C (2004) Photodynamic therapy for retinal angiomatous proliferations and pigment epithelial detachment. Am J Ophthalmol 138:1077–1079

    Article  PubMed  Google Scholar 

  4. Costa RA, Calucci D, Paccola L, Jorge R, Cardillo JA, Castro JC, Scott IU (2005) Occult chorioretinal anastomosis in age-related macular degeneration: a prospective study by optical coherence tomography. Am J Ophthalmol 140(1):107–116

    Article  PubMed  Google Scholar 

  5. Gass JDM, Agarwal A, Lavina AM, Tawansy KA (2003) Focal inner retinal hemorrhages in patients with drusen an early sign of occult choroidal neovascularization and chorioretinal anastomosis. Retina 23:741–751

    Article  PubMed  Google Scholar 

  6. Jonas JB, Spandau UH, Harder B, Vossmerbaeumer U, Kamppeter BA (2005) Intereye difference in exudative age-related macular degeneration with minimally classic or occult subfoveal neovascularization after unilateral intravitreal injection of triamcinolone acetonide. Am J Ophthalmol 139(6):1073–1079

    Article  PubMed  Google Scholar 

  7. Nicolò M, Ghiglione D, Lai S, Nasciuti F, Cicinelli S, Calabria G (2006) Occult with no classic choroidal neovascularization secondary to age-related macular degeneration treated by intravitreal triamcinolone and photodynamic therapy with verteporfin. Retina 26:58–64

    Article  PubMed  Google Scholar 

  8. Spandau UH, Derse M, Schmitz-Valckenberg P, Papoulis C, Sagstetter BU, Stiefvater K, Jonas JB (2005) Triamcinolone acetonide concentration after filtration of the solvent agent. Am J Ophthalmol 139(4):712–713

    Article  PubMed  CAS  Google Scholar 

  9. Yannuzzi LA, Negrao S, Iida T, Carvalho C, Rodriguez-Coleman H, Slakter J, Freund KB, Sorenson J, Orlock D, Borodoker N (2001) Retinal angiomatous proliferation in age-related macular degeneration. Retina 21(5):416–434

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Massimo Nicolò.

Additional information

The authors do not have any proprietary interests.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nicolò, M., Ghiglione, D., Lai, S. et al. Retinal angiomatous proliferation treated by intravitreal triamcinolone and photodynamic therapy with verteporfin. Graefe's Arch Clin Exp Ophthalmo 244, 1336–1338 (2006). https://doi.org/10.1007/s00417-006-0306-6

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00417-006-0306-6

Keywords

Navigation