Studies Flashcards
Macular photo coagulation study:
AMD or OHS with extrafoveal CNV, Juxtafoveal CNV, subfoveal CNV, recurrent CNV
Argon tx vs observation
Extrafoveal CNV decreased risk of 6 line lose with argon laser (62 vs 48% in control vs treated)
Juxtafoveal with 61 vs 52% with less than 6 line vision lose
TAP and VIP
Tap. For classic CNV
VIP for occult CNV
Patients that were treated lost 1.5 lines compared to 3 lines in control
Vision
Pegatinib given at 1.5 mg and 3 mg
Vision decreased the first year and stabilized in the second year.
Established an appropriate technique for repeated injections
Leucentis
Eylea
Avastin
Leucentis Binds all isoforms of VEGF
Eylea synthetic Fc fragment that binds both
Has 50 percent higher affinity
Full antibody
Anchor and marina
95 % with stabilization of vision
75% with gain of vision
Marina. 21.5 letter increase and 3.5 line increase
Pier
Leucentis four months in a row the q 3 months.
Gained vision initially then lost back to baseline
EVS (endophthalmitis Vitrectomy study)
for acute post-op endophthalmiitis with VA of LP or better
Underwent Tap and Injection, subconj abx and steroids, topical and oral steroids, and randomized to vitrectomy or tap, and IV abx or not.
IV abx not beneficial
Vitrectomy significant benefit only for patients with LP or worse vision.