Prospective exploratory study to assess the safety and efficacy of aflibercept in cystoid macular oedema associated with retinitis pigmentosa
British Journal of Ophthalmology Feb 13, 2020
Strong SA, Peto T, Bunce C, et al. - In this first prospective exploratory study comprising 30 patients (30 eyes), researchers tested the effectiveness and safety of intravitreal aflibercept (Eylea) (ivA) for retinitis pigmentosa-associated cystoid macular oedema (RP-CMO) at 12 months via mean central macular thickness (CMT) and reported adverse events. Serial ivA was administered by loading dose (three injections) followed by a treat and extend protocol over 12 months. Twenty-nine out of 30 individuals followed up for 12 months. This investigation shows the safety as well as the acceptability of serial ivA in patients with RP-CMO, effective at decreasing CMT in 37.9% of patients. After their first injection, all patients who showed anatomical response did so. The longer duration of CMO did not adversely affect the anti-VEGF response. More analysis of the efficacy of VEGF blockade in RP-CMO in a larger cohort of patients with shorter CMO duration would be beneficial to better define.
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