The Presence of Intra- or Subretinal Fluid during the Loading Phase in the Treatment of Exudative Age-Related Macular Degeneration with Intravitreal Ranibizumab Assessed by Optical Coherence Tomography

Andreas Ebneter, Boris Gekkiev, Bhuvan Chanana, Sebastian Wolf, Martin S. Zinkernagel
2015 Ophthalmologica  
ment was independent of residual fluid. Message: Crosshair scans detect relevant collections of retinal fluid accurately and may be sufficient in daily clinical practice. © 2015 S. Karger AG, Basel Key Words Exudative age-related macular degeneration · Anti-vascular endothelial growth factor · Spectral-domain optical coherence tomography · Retinal fluid · Scan protocol Abstract Purpose: To assess intra-and subretinal fluid during the loading phase with intravitreal ranibizumab in exudative
more » ... elated macular degeneration and to quantify the accuracy of crosshair scan spectral-domain optical coherence tomography with regard to retinal fluid. Methods: This is a retrospective study of 31 treatment-naive patients who received 3 monthly intravitreal ranibizumab injections. Visual acuity and the presence of retinal fluid were assessed at each visit using volume and crosshair scan protocols. Results: Visual acuity improved and central retinal thickness decreased significantly during the loading phase. However, retinal fluid persisted in two thirds of the patients. The accuracy of the crosshair scan to detect fluid was 93%. Conclusions: A substantial proportion of eyes had persistent fluid after 3 months of ranibizumab injections. However, visual improve-
doi:10.1159/000430103 pmid:25998752 fatcat:5oa5uvqxmvh2xegmsybdy5dn7q