Bevacizumab in age-related macular degeneration – comparison of subjective estimation of vision with objective test results
 
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1
Department of Ophthalmology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland
 
2
Private Ophthalmologic Surgery, Katowice, Poland
 
3
Clinical Department of Laryngology, School of Medicine in Katowice, Medical University of Silesia, Katowice, Poland
 
 
Corresponding author
Agnieszka Piotrowska-Seweryn
Clinical Department of Laryngology, School of Medicine in Katowice, Medical University of Silesia, ul. Francuska 20-24, 40-027 Katowice, tel. +48 696 729 897, e-mail: agapio.fm@interia.pl
 
 
Ann. Acad. Med. Siles. 2015;69:33-41
 
KEYWORDS
TOPICS
ABSTRACT
Purpose:
Anti-VEGF therapy plays a great role in medicine, especially in opthalmology. The aim of the therapy is to inhibit the VEGF-A factors that are responsible for the angiogenesis in diseases such as the wet form of age-related macular degeneration (AMD). One of the monoclonal anti-VEGF antibodies is bevacizumab (Avastin®; Genentech, Inc., South San Francisco, CA). The aim of the study was to compare the subjective estimation of visual acuity with objective test results in patients undergoing anti-VEGF therapy using Avastin.

Materials and methods:
The authors report a study of 57 patients (37 females and 20 males) with exudative AMD whose near and distance visual acuity was examined before the first dose of Avastin and 1 month after the third injection. Additionally, an original questionnaire evaluating the subjective state of vision during the activities of daily routine was performed.

Results:
When examining distance visual acuity, 29 patients made an improvement, deterioration was reported in 5 cases and in 23 cases the results remained unaltered. The results were correlated with the subjective estimation.

Conclusions:
1. Avastin stabilizes the degeneration process of AMD in most patients and sometimes improves visual acuity. 2. There is a positive correlation between the objective test results and subjective opinion in patients undergoing anti-VEGF therapy using Avastin.

 
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