Intravitreal pegaptanib sodium (Macugen®) for diabetic macular oedema

. Purpose:  To report the functional and anatomical outcomes resulting from the use of intravitreal pegaptanib sodium (Macugen®) in patients with diabetic macular oedema (DMO). Methods:  We conducted a retrospective outcome analysis, by optical coherence tomography (OCT) and best‐corrected visual ac...

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Veröffentlicht in:Acta ophthalmologica (Oxford, England) England), 2009-09, Vol.87 (6), p.623-630
Hauptverfasser: Querques, Giuseppe, Bux, Anna V., Martinelli, Domenico, Iaculli, Cristiana, Noci, Nicola D.
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container_title Acta ophthalmologica (Oxford, England)
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creator Querques, Giuseppe
Bux, Anna V.
Martinelli, Domenico
Iaculli, Cristiana
Noci, Nicola D.
description . Purpose:  To report the functional and anatomical outcomes resulting from the use of intravitreal pegaptanib sodium (Macugen®) in patients with diabetic macular oedema (DMO). Methods:  We conducted a retrospective outcome analysis, by optical coherence tomography (OCT) and best‐corrected visual acuity (BCVA), of eyes with DMO treated with intravitreal pegaptanib sodium. Moreover, we evaluated the foveal transverse photoreceptor (PR) band integrity in the OCT images at the time of the last follow‐up visit. Results:  Sixty‐three eyes of 48 patients with a minimum of 6 months of follow‐up were included for analysis. Intravitreal pegaptanib was found to produce significant improvements in mean BCVA (p = 0.019) and reductions in mean central macular thickness (CMT) (p 
doi_str_mv 10.1111/j.1755-3768.2009.01580.x
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Purpose:  To report the functional and anatomical outcomes resulting from the use of intravitreal pegaptanib sodium (Macugen®) in patients with diabetic macular oedema (DMO). Methods:  We conducted a retrospective outcome analysis, by optical coherence tomography (OCT) and best‐corrected visual acuity (BCVA), of eyes with DMO treated with intravitreal pegaptanib sodium. Moreover, we evaluated the foveal transverse photoreceptor (PR) band integrity in the OCT images at the time of the last follow‐up visit. Results:  Sixty‐three eyes of 48 patients with a minimum of 6 months of follow‐up were included for analysis. Intravitreal pegaptanib was found to produce significant improvements in mean BCVA (p = 0.019) and reductions in mean central macular thickness (CMT) (p &lt; 0.001) as soon as the 6‐week follow‐up. Most eyes (60/63) required a mean of 3.03 ± 0.9 repeated treatments, over a mean follow‐up period of 6.7 ± 1.2 months, to achieve significant improvements in mean BCVA (p &lt; 0.001) and mean CMT (p &lt; 0.001). In our series, the lower visual acuities tended to congregate in the group with the less‐defined PR band (p &lt; 0.001) and the lower CMT tended to congregate in the group with the best‐defined PR band (p = 0.04), even though the higher CMT did not tend to congregate in the group with the less‐defined PR band. Conclusion:  Our findings demonstrate that selective inhibition by intravitreal pegaptanib sodium of vascular endothelial growth factor (VEGF)‐165 may produce a clinically meaningful and statistically significant benefit in the treatment of DMO.</description><identifier>ISSN: 1755-375X</identifier><identifier>EISSN: 1755-3768</identifier><identifier>DOI: 10.1111/j.1755-3768.2009.01580.x</identifier><identifier>PMID: 19678810</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Aged ; Aged, 80 and over ; Aptamers, Nucleotide - administration &amp; dosage ; diabetic macular oedema ; Diabetic Retinopathy - diagnosis ; Diabetic Retinopathy - drug therapy ; Diabetic Retinopathy - physiopathology ; Eyeglasses ; Female ; Follow-Up Studies ; Fovea Centralis - pathology ; Humans ; Injections ; laser photocoagulation ; Macugen ; Macula Lutea - drug effects ; Macula Lutea - pathology ; Macular Edema - diagnosis ; Macular Edema - drug therapy ; Macular Edema - physiopathology ; Male ; Middle Aged ; optical coherence tomography ; pegaptanib sodium ; Photoreceptor Cells, Vertebrate - pathology ; Retrospective Studies ; Tomography, Optical Coherence - methods ; Vascular Endothelial Growth Factor A - antagonists &amp; inhibitors ; Visual Acuity - drug effects ; Vitreous Body</subject><ispartof>Acta ophthalmologica (Oxford, England), 2009-09, Vol.87 (6), p.623-630</ispartof><rights>2009 The Authors. 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Purpose:  To report the functional and anatomical outcomes resulting from the use of intravitreal pegaptanib sodium (Macugen®) in patients with diabetic macular oedema (DMO). Methods:  We conducted a retrospective outcome analysis, by optical coherence tomography (OCT) and best‐corrected visual acuity (BCVA), of eyes with DMO treated with intravitreal pegaptanib sodium. Moreover, we evaluated the foveal transverse photoreceptor (PR) band integrity in the OCT images at the time of the last follow‐up visit. Results:  Sixty‐three eyes of 48 patients with a minimum of 6 months of follow‐up were included for analysis. Intravitreal pegaptanib was found to produce significant improvements in mean BCVA (p = 0.019) and reductions in mean central macular thickness (CMT) (p &lt; 0.001) as soon as the 6‐week follow‐up. Most eyes (60/63) required a mean of 3.03 ± 0.9 repeated treatments, over a mean follow‐up period of 6.7 ± 1.2 months, to achieve significant improvements in mean BCVA (p &lt; 0.001) and mean CMT (p &lt; 0.001). In our series, the lower visual acuities tended to congregate in the group with the less‐defined PR band (p &lt; 0.001) and the lower CMT tended to congregate in the group with the best‐defined PR band (p = 0.04), even though the higher CMT did not tend to congregate in the group with the less‐defined PR band. Conclusion:  Our findings demonstrate that selective inhibition by intravitreal pegaptanib sodium of vascular endothelial growth factor (VEGF)‐165 may produce a clinically meaningful and statistically significant benefit in the treatment of DMO.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aptamers, Nucleotide - administration &amp; dosage</subject><subject>diabetic macular oedema</subject><subject>Diabetic Retinopathy - diagnosis</subject><subject>Diabetic Retinopathy - drug therapy</subject><subject>Diabetic Retinopathy - physiopathology</subject><subject>Eyeglasses</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fovea Centralis - pathology</subject><subject>Humans</subject><subject>Injections</subject><subject>laser photocoagulation</subject><subject>Macugen</subject><subject>Macula Lutea - drug effects</subject><subject>Macula Lutea - pathology</subject><subject>Macular Edema - diagnosis</subject><subject>Macular Edema - drug therapy</subject><subject>Macular Edema - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>optical coherence tomography</subject><subject>pegaptanib sodium</subject><subject>Photoreceptor Cells, Vertebrate - pathology</subject><subject>Retrospective Studies</subject><subject>Tomography, Optical Coherence - methods</subject><subject>Vascular Endothelial Growth Factor A - antagonists &amp; 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Bux, Anna V. ; Martinelli, Domenico ; Iaculli, Cristiana ; Noci, Nicola D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4830-7a3e37106c1e2f21d1b00c7ce28a1606090b3a688d4485afe6d49575a9f794e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aptamers, Nucleotide - administration &amp; dosage</topic><topic>diabetic macular oedema</topic><topic>Diabetic Retinopathy - diagnosis</topic><topic>Diabetic Retinopathy - drug therapy</topic><topic>Diabetic Retinopathy - physiopathology</topic><topic>Eyeglasses</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fovea Centralis - pathology</topic><topic>Humans</topic><topic>Injections</topic><topic>laser photocoagulation</topic><topic>Macugen</topic><topic>Macula Lutea - drug effects</topic><topic>Macula Lutea - pathology</topic><topic>Macular Edema - diagnosis</topic><topic>Macular Edema - drug therapy</topic><topic>Macular Edema - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>optical coherence tomography</topic><topic>pegaptanib sodium</topic><topic>Photoreceptor Cells, Vertebrate - pathology</topic><topic>Retrospective Studies</topic><topic>Tomography, Optical Coherence - methods</topic><topic>Vascular Endothelial Growth Factor A - antagonists &amp; inhibitors</topic><topic>Visual Acuity - drug effects</topic><topic>Vitreous Body</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Querques, Giuseppe</creatorcontrib><creatorcontrib>Bux, Anna V.</creatorcontrib><creatorcontrib>Martinelli, Domenico</creatorcontrib><creatorcontrib>Iaculli, Cristiana</creatorcontrib><creatorcontrib>Noci, Nicola D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta ophthalmologica (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Querques, Giuseppe</au><au>Bux, Anna V.</au><au>Martinelli, Domenico</au><au>Iaculli, Cristiana</au><au>Noci, Nicola D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intravitreal pegaptanib sodium (Macugen®) for diabetic macular oedema</atitle><jtitle>Acta ophthalmologica (Oxford, England)</jtitle><addtitle>Acta Ophthalmol</addtitle><date>2009-09</date><risdate>2009</risdate><volume>87</volume><issue>6</issue><spage>623</spage><epage>630</epage><pages>623-630</pages><issn>1755-375X</issn><eissn>1755-3768</eissn><abstract>. Purpose:  To report the functional and anatomical outcomes resulting from the use of intravitreal pegaptanib sodium (Macugen®) in patients with diabetic macular oedema (DMO). Methods:  We conducted a retrospective outcome analysis, by optical coherence tomography (OCT) and best‐corrected visual acuity (BCVA), of eyes with DMO treated with intravitreal pegaptanib sodium. Moreover, we evaluated the foveal transverse photoreceptor (PR) band integrity in the OCT images at the time of the last follow‐up visit. Results:  Sixty‐three eyes of 48 patients with a minimum of 6 months of follow‐up were included for analysis. Intravitreal pegaptanib was found to produce significant improvements in mean BCVA (p = 0.019) and reductions in mean central macular thickness (CMT) (p &lt; 0.001) as soon as the 6‐week follow‐up. Most eyes (60/63) required a mean of 3.03 ± 0.9 repeated treatments, over a mean follow‐up period of 6.7 ± 1.2 months, to achieve significant improvements in mean BCVA (p &lt; 0.001) and mean CMT (p &lt; 0.001). In our series, the lower visual acuities tended to congregate in the group with the less‐defined PR band (p &lt; 0.001) and the lower CMT tended to congregate in the group with the best‐defined PR band (p = 0.04), even though the higher CMT did not tend to congregate in the group with the less‐defined PR band. Conclusion:  Our findings demonstrate that selective inhibition by intravitreal pegaptanib sodium of vascular endothelial growth factor (VEGF)‐165 may produce a clinically meaningful and statistically significant benefit in the treatment of DMO.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19678810</pmid><doi>10.1111/j.1755-3768.2009.01580.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Aged, 80 and over
Aptamers, Nucleotide - administration & dosage
diabetic macular oedema
Diabetic Retinopathy - diagnosis
Diabetic Retinopathy - drug therapy
Diabetic Retinopathy - physiopathology
Eyeglasses
Female
Follow-Up Studies
Fovea Centralis - pathology
Humans
Injections
laser photocoagulation
Macugen
Macula Lutea - drug effects
Macula Lutea - pathology
Macular Edema - diagnosis
Macular Edema - drug therapy
Macular Edema - physiopathology
Male
Middle Aged
optical coherence tomography
pegaptanib sodium
Photoreceptor Cells, Vertebrate - pathology
Retrospective Studies
Tomography, Optical Coherence - methods
Vascular Endothelial Growth Factor A - antagonists & inhibitors
Visual Acuity - drug effects
Vitreous Body
title Intravitreal pegaptanib sodium (Macugen®) for diabetic macular oedema
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