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나이관련황반변성에 동반된 맥락막신생혈관에서 유리체내 라니비주맙 주사의 2년 장기 효과
장효주,송수정,배정훈.Hyo Ju Jang. MD. Su Jeong Song. MD. Jeong Hoon Bae. MD 대한안과학회 2013 대한안과학회지 Vol.54 No.9
Purpose: To evaluate long-term efficacy and safety of intravitreal ranibizumab on choroidal neovascularization (CNV) in age-related macular degeneration (AMD) in Korean patients over a 2-year period. Methods: Twenty-three eyes of 23 patients who underwent intravitreal ranibizumab injection for secondary CNV in AMD were followed up more than 2 years, and their records were retrospectively investigated. The best corrected visual acuity (BCVA), central macular thickness (CRT) were compared at baseline and at 6, 12, 18 and 24 months after injection. Results: The mean BCVA (log MAR) was 0.58 ± 0.36, 0.54 ± 0.49, 0.59 ± 0.49, 0.64 ± 0.51, and 0.61 ± 0.51 at baseline, 6, 12, 18 and 24 months, respectively (p = 0.332, p = 1.000, p = 0.670, p = 0.697). The mean CRT was 283.75 ± 61.41 μm, 239.93 ± 53.12 μm, 244.89 ± 47.44 μm, 246.36 ± 55.78, and 244.70 ± 54.86 at baseline, 6, 12, 18 and 24 months, respectively (p = 0.009, p = 0.036, p = 0.01, p = 0.015). The mean number of injection was 5.96 ± 2.93 over a 2-year period. Conclusions: In Korean patients who underwent intravitreal ranibizumab injection for secondary CNV in AMD, long-term efficacy in diminishing CRT was evident. However, long-term efficacy in increasing visual acuity was not observed.