Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.4/1699
Título: Progression of myopic maculopathy after treatment of choroidal neovascularization
Autor: Farinha, CL
Baltar, AS
Nunes, SG
Figueira, JP
Pires, IA
Cachulo, ML
Silva, RM
Palavras-chave: Degenerescência Macular
Miopia Degenerativa
Neovascularização da Coróide
Data: 2014
Citação: Ophthalmologica. 2014;231(4):211-20.
Resumo: Purpose: To evaluate the long-term progression of myopic maculopathy and functional outcome after treatment of myopic choroidal neovascularization (CNV) with photodynamic therapy (PDT) and/or intravitreal ranibizumab (IVR). Methods: Retrospective study with a cross-sectional evaluation. Eyes were assigned to 4 groups (PDT, IVR, PDT + IVR, dry myopic maculopathy) and evaluated with best-corrected visual acuity, color fundus photography and spectral-domain optical coherence tomography. Chorioretinal atrophy progression was quantified. Results: Fifty-four eyes were included with a mean follow-up of 80.6 ± 28.0 months. The prevalence of diffuse, patchy and macular atrophy increased during the follow-up, in contrast with tessellated fundus, lacquer cracks and active CNV. Progression of macular atrophy was significant in the 3 treatment groups (p < 0.05) and predictive of visual acuity. It depended on age, degree of myopia and presence of staphyloma, but not on the type of treatment. Conclusions: The long-term functional outcome of eyes with myopic CNV is more dependent on the progression of macular atrophy, and not on the type of treatment.
Peer review: yes
URI: http://hdl.handle.net/10400.4/1699
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