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[Photodynamic therapy for severe myopia].

I Krebs1, S Binder, U Stolba

  • 1Augenabteilung der Krankenanstalt Rudolfstiftung, Ludwig Boltzmanninstitut für Retinologie und biomikroskopische Laserchirurgie, Wien. ilse.krebs@wienkav.at

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
|February 12, 2004
PubMed
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Photodynamic therapy (PDT) can stabilize reading acuity and visual field in pathologic myopia. This treatment demonstrated effectiveness in preserving vision-related quality of life for patients.

Area of Science:

  • Ophthalmology
  • Medical Retina
  • Visual Electrophysiology

Background:

  • Reading ability is crucial for quality of life in Western societies.
  • Pathologic myopia can lead to significant visual impairment.
  • Photodynamic therapy (PDT) is a potential treatment for complications of myopia.

Purpose of the Study:

  • To evaluate the efficacy of PDT in stabilizing reading acuity.
  • To assess the impact of PDT on central visual field.
  • To determine the effect of PDT on multifocal electroretinogram (mERG) in pathologic myopia.

Main Methods:

  • A study involving 20 eyes with pathologic myopia.
  • Regular assessments included distance acuity, reading acuity, and visual field testing.
  • Multifocal electroretinogram (mERG), OCT, and fluorescein angiography were utilized.

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Main Results:

  • 80% of patients achieved stabilized reading acuity after one year.
  • Central visual field and mERG were stabilized in 60% and 55% of eyes, respectively.
  • Younger patients (<60 years) demonstrated better outcomes.

Conclusions:

  • PDT is effective in treating classic, small, superficial choroidal neovascular membranes.
  • Functional and morphological results showed good correlation.
  • PDT offers a viable option for managing vision loss in specific cases of pathologic myopia.