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Real-world outcomes of anti-VEGF treatment for retinal vein occlusion in Portugal

dc.contributor.authorVaz-Pereira, S
dc.contributor.authorMarques, I
dc.contributor.authorMatias, JG
dc.contributor.authorMira, F
dc.contributor.authorRibeiro, L
dc.contributor.authorFlores, R
dc.date.accessioned2017-08-23T11:36:09Z
dc.date.available2017-08-23T11:36:09Z
dc.date.issued2017-02-28
dc.description.abstractPURPOSE: Retinal vein occlusion (RVO) is an important cause of visual disability in the modern world. We aim to evaluate the real-world outcomes of patients with RVO treated with anti-vascular endothelial growth factor (VEGF) in Portugal. METHODS: We performed a retrospective, observational, multicenter study including 8 centers across Portugal and 200 patients treated with either ranibizumab or bevacizumab. Data were collected at 3 time points: time of diagnosis (0 time point) and 6 and 12 months after initiating treatment. Demographic and clinical data were collected. RESULTS: Median visual acuity (VA) and central macular thickness (CMT) improved in the branch RVO (BRVO), central RVO (CRVO), bevacizumab, and ranibizumab groups at 6 and 12 months compared to baseline, with CMT improving further only in the CRVO and ranibizumab groups between 6 and 12 months (p = 0.002 and p = 0.001, respectively). The CMT was lower in the ranibizumab group compared to the bevacizumab group both at 6 and 12 months (p<0.02). Median CMT improved in both the good and poor baseline VA groups at 6 and 12 months compared to baseline (p<0.001). Median VA only improved for the group with poor baseline VA at 6 and 12 months of follow-up (p<0.001). Regression analysis identified several baseline variables as predictors of visual outcomes at 6 and 12 months, with different results depending on the analyzed group. CONCLUSIONS: Both treatments were effective, although less effective than results reported in clinical trials. The morphologic response was better with ranibizumab compared to bevacizumab, although functionally there were no differences.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationEur J Ophthalmol. 2017 Feb 28:0.pt_PT
dc.identifier.doi10.5301/ejo.5000943pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.4/2058
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectOclusão da Veia Retinianapt_PT
dc.subjectFactor A de Crescimento do Endotélio Vascularpt_PT
dc.titleReal-world outcomes of anti-VEGF treatment for retinal vein occlusion in Portugalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage0pt_PT
oaire.citation.startPage0pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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