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Clin Ophthalmol. 2017 Jan 24;11:223-231. doi: 10.2147/OPTH.S119510. eCollection 2017.

Combination verteporfin photodynamic therapy ranibizumab-dexamethasone in choroidal neovascularization due to age-related macular degeneration: results of a phase II randomized trial.

Clinical ophthalmology (Auckland, N.Z.)

Ron P Gallemore, Josh Wallsh, Henry L Hudson, Allen C Ho, Richard Chace, Joel Pearlman

Affiliations

  1. Retina Macula Institute, Torrance, CA.
  2. Retina Centers PC, Tucson, AZ.
  3. Wills Eye Institute, Philadelphia, PA.
  4. Eyesight Ophthalmic Services, Portsmouth, NH.
  5. Retinal Consultants Medical Group, Sacramento, CA, USA.

PMID: 28182161 PMCID: PMC5279866 DOI: 10.2147/OPTH.S119510

Abstract

PURPOSE: To assess whether combination therapy (CT) reduces retreatments when compared to ranibizumab monotherapy (RM), while safely maintaining similar vision outcomes.

METHODS: In this 24-month trial, patients with age-related macular degeneration (AMD) were randomized to 1) quarter-fluence or 2) half-fluence triple therapy (verteporfin photodynamic therapy [vPDT] + ranibizumab + dexamethasone), 3) half-fluence double therapy (vPDT + ranibizumab), or 4) RM. The primary outcomes were number of retreatment visits and change from baseline in visual acuity (VA) at 12 months.

RESULTS: One hundred sixty-two subjects enrolled. There were 4.0 (

CONCLUSION: CT resulted in significantly fewer retreatment visits than a RM regimen at months 12 and 24. VA results appeared similar although wide confidence intervals preclude conclusions regarding vision outcomes.

Keywords: age-related macular degeneration (AMD); combination therapy; photodynamic therapy (PDT); ranibizumab; verteporfin

Conflict of interest statement

The authors report no conflicts of interest in this work.

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