American Journal of Ophthalmology
Volume 137, Issue 2 , Pages 258-264 , February 2004

Photodynamic therapy for age-related macular degeneration in a clinical setting: visual results and angiographic patterns

  • Ruth Axer-Siegel, MD

      Affiliations

    • Department of Ophthalmology, Rabin Medical Center, Beilinson, Petah Tiqva, Israel (R.A.-S., R.E., I.R., M.K., D.W.)
    • Mor Institute for Medical Data, Bnei Brak, Israel (R.A.-S., Y.K., I.R., M.K., E.P., D.W.)
    • Sackler Faculty of Medicine (R.A.-S., Y.K., D.W.), Tel Aviv University, Tel Aviv, Israel
    • Corresponding Author InformationInquiries to Ruth Axer-Siegel, MD, Department of Ophthalmology, Rabin Medical Center, Beilinson Campus, Petah Tiqva 49 100, Israel; fax: (+972) 3-921-9084
  • ,
  • Rita Ehrlich, MD

      Affiliations

    • Department of Ophthalmology, Rabin Medical Center, Beilinson, Petah Tiqva, Israel (R.A.-S., R.E., I.R., M.K., D.W.)
  • ,
  • Yuval Yassur, MD

      Affiliations

    • Mor Institute for Medical Data, Bnei Brak, Israel (R.A.-S., Y.K., I.R., M.K., E.P., D.W.)
    • Sackler Faculty of Medicine (R.A.-S., Y.K., D.W.), Tel Aviv University, Tel Aviv, Israel
  • ,
  • Irit Rosenblatt, MD

      Affiliations

    • Department of Ophthalmology, Rabin Medical Center, Beilinson, Petah Tiqva, Israel (R.A.-S., R.E., I.R., M.K., D.W.)
    • Mor Institute for Medical Data, Bnei Brak, Israel (R.A.-S., Y.K., I.R., M.K., E.P., D.W.)
  • ,
  • Michal Kramer, MD

      Affiliations

    • Department of Ophthalmology, Rabin Medical Center, Beilinson, Petah Tiqva, Israel (R.A.-S., R.E., I.R., M.K., D.W.)
    • Mor Institute for Medical Data, Bnei Brak, Israel (R.A.-S., Y.K., I.R., M.K., E.P., D.W.)
  • ,
  • Ethan Priel

      Affiliations

    • Mor Institute for Medical Data, Bnei Brak, Israel (R.A.-S., Y.K., I.R., M.K., E.P., D.W.)
  • ,
  • Yoav Benjamini, PhD

      Affiliations

    • Department of Statistics, Sackler Faculty of Exact Sciences (Y.B.), Tel Aviv University, Tel Aviv, Israel
  • ,
  • Dov Weinberger, MD

      Affiliations

    • Department of Ophthalmology, Rabin Medical Center, Beilinson, Petah Tiqva, Israel (R.A.-S., R.E., I.R., M.K., D.W.)
    • Mor Institute for Medical Data, Bnei Brak, Israel (R.A.-S., Y.K., I.R., M.K., E.P., D.W.)
    • Sackler Faculty of Medicine (R.A.-S., Y.K., D.W.), Tel Aviv University, Tel Aviv, Israel

,Accepted 5 August 2003.

References 

  1. Lee P, Wang CC, Adamis AP. Ocular neovascularization (an epidemiologic review). Surv Ophthalmol. 1998;43:245–269
  2. Wang JJ, Mitchell P, Smith W, Cumming RG. Bilateral involvement by age-related maculopathy lesions in a population. Br J Ophthalmol. 1998;82:743–747
  3. Gregor Z, Bird AC, Chisholm IH. Senile disciform macular degeneration in the second eye. Br J Ophthalmol. 1977;90:206–217
  4. Kramer M, Miller JW, Michaud N, et al.  Liposomal benzoporphyrin derivative verteporfin photodynamic therapy (selective treatment of choroidal neovascularization in monkeys). Ophthalmology. 1996;103:427–438
  5. Treatment of Age-Related Macular Degeneration with Photodynamic Therapy (TAP) Study Group . Photodynamic therapy of subfoveal choroidal neovascularization in age-related macular degeneration with verteporfin (one-year results of 2 randomized clinical trials—TAP report 1). Arch Ophthalmol. 1999;117:1329–1345
  6. Treatment of Age-Related Macular Degeneration with Photodynamic Therapy (TAP) Study Group . Photodynamic therapy of subfoveal choroidal neovascularization in age-related macular degeneration with verteporfin (one-year results of 2 randomized clinical trials—two-year results of 2 randomized clinical trials—TAP report 2). Arch Ophthalmol. 2001;119:198–207
  7. Flower RW, Csaky KG, Murphy RP. Disparity between fundus camera and scanning laser ophthalmoscope indocyanine green imaging of retinal pigment epithelium detachments. Retina. 1998;18:260–268
  8. Treatment of Age-Related Macular Degeneration with Photodynamic Therapy (TAP) Study Group . Verteporfin therapy of subfoveal choroidal neovascularization in age-related macular degeneration (two-year results of a randomized clinical trial including lesions with occult with no classic choroidal neovascularization—verteporfin in photodynamic therapy report 2). Am J Ophthalmol. 2001;131:541–560
  9. Macular Photocoagulation Study Group . Laser photocoagulation of subfoveal neovascular lesions in age-related macular degeneration (results of a randomized clinical trial). Arch Ophthalmol. 1991;109:1220–1231
  10. Soubrane G, Coscas G, Francais C, Koenig F. Occult subretinal new vessels in age-related macular degeneration (natural history and early laser treatment). Ophthalmology. 1990;97:649–657
  11. Stevens TS, Bressler NM, Maguire MG, et al.  Occult choroidal neovascularization in age-related macular degeneration (a natural history study). Arch Ophthalmol. 1997;115:345–350
  12. Soubrane G, Coscas G, Larcheveque F. Macular degeneration related to age and cystoid macular edema (apropos of 95 cases (100 eyes)). J Fr Ophthalmol. 1988;11:711–720
  13. Bressler NM, Bressler SB, Alexander J, et al.  ., for the Macular Photocoagulation Study Reading Center. Loculated fluid (a previously undescribed fluorescein angiographic finding in chroidal neovascularization associated with macular degeneration). Arch Ophthalmol. 1991;109:211–215
  14. Ting TD, Oh M, Cox TA, et al.  Decreased visual acuity associated with cystoid macular edema in neovascular age-related macular degeneration. Arch Ophthalmol. 2002;120:731–737
  15. Slakter JS, Yannuzzi LA, Schneider U, et al.  Retinal choroidal anastomoses and occult choroidal neovascularization in age-related macular degeneration. Ophthalmol. 2000;107:742–754
  16. Axer-Siegel R, Bourla D, Priel E, et al.  Angiographic and flow patterns of retinal choroidal anastomoses in age-related macular degeneration with occult chroidal neovascularization. Ophthalmol. 2002;109:1726–1736
  17. Kuhn D, Meunier I, Soubrane G, Coscas G. Imaging of chorioretinal anastomoses in vascularized retinal pigment epithelium detachments. Arch Ophthalmol. 1995;113:1392–1398
  18. Flower RW, Snyder WJ. Expanded hypothesis on the mechanism of photodynamic therapy action on choroidal neovascularization. Retina. 1999;19:365–369
  19. Schmidt-Erfurht U, Laqua H, Scholtzer-Schrehard U, et al.  Histopathological changes following photodynamic therapy in human eyes. Arch Ophthalmol. 2002;6:835–844
  20. Ghazi NG, Jabbour NM, De La Cruz ZC, Green WR. Clinicopathologic studies of age-related macular degeneration with classic subfoveal choroidal neovascularization treated with photodynamic therapy. Retina. 2001;21:478–486
  21. Moshfeghi DM, Kaiser PK, Grossniklaus HE, et al.  Clinicopathologic study after submacular removal of choroidal neovascular membranes treated with verteporfin ocular photodynamic therapy. Am J Ophthalmol. 2003;135:343–350
  22. Schmidt-Erfurth U, Michels S, Barbazetto I, Laqua H. Photodynamic effects on choroidal neovascularization and physiologic choroid. Invest Ophthalmol Vis Sci. 2002;43:830–840
  23. Miller JW, Walsh AW, Kramer M, et al.  Photodynamic therapy of experimental choroidal neovascularization using lipoprotein-delivered benzoporphyrin. Arch Ophthalmol. 1995;113:810–818
  24. Husain D, Kramer M, Kenney AG, et al.  Effects of photodynamic therapy using verteporfin on experimental choroidal neovascularization and normal retina and choroid up to 7 weeks after treatment. Invest Ophthalmol Vis Sci. 1999;40:2322–2331

 Biosketches and/or additional material at www.ajo.com doi:10.1016/j.ajo.2003.08.009Internet Advance publication at ajo.com Sept 10, 2003.

PII: S0002-9394(03)00946-2

doi: 10.1016/j.ajo.2003.08.009

American Journal of Ophthalmology
Volume 137, Issue 2 , Pages 258-264 , February 2004