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Complications after photodynamic therapy.

Ute E K Schnurrbusch1, Claudia Jochmann, Wilma Einbock

  • 1Department of Ophthalmology, University Eye Hospital, Bern, Switzerland.

Archives of Ophthalmology (Chicago, Ill. : 1960)
|October 13, 2005
PubMed
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Photodynamic therapy (PDT) for age-related macular degeneration and pathologic myopia is generally safe, with uncommon complications. Acute severe visual events occurred in about 3% of patients, a risk outweighed by PDT

Area of Science:

  • Ophthalmology
  • Medical Treatments
  • Retinal Diseases

Background:

  • Age-related macular degeneration (AMD) and pathologic myopia are leading causes of vision loss.
  • Subfoveal choroidal neovascularization (CNV) is a common complication of these conditions.
  • Photodynamic therapy (PDT) with verteporfin is a treatment option for subfoveal CNV.

Purpose of the Study:

  • To evaluate the incidence of complications associated with photodynamic therapy (PDT) using verteporfin.
  • To assess the safety profile of PDT in patients with subfoveal CNV secondary to AMD and pathologic myopia.

Main Methods:

  • Retrospective interventional case series analysis of patient medical records.
  • Inclusion of patients with AMD and pathologic myopia treated with PDT.

Related Experiment Videos

  • Review of complications including systemic adverse events, injection site effects, and ocular adverse events.
  • Main Results:

    • 273 patients (198 AMD, 75 pathologic myopia) with 485 PDT sessions were analyzed.
    • Infusion-related pain (2.2%), dyspnea/flushing (0.7%), body pain/SOB/elevated BP (4.8%), and pruritus (2.2%) were reported.
    • Acute severe visual acuity decrease occurred in 2.9% of patients within 7 days of treatment.

    Conclusions:

    • Complications from PDT are uncommon in patients with AMD and pathologic myopia.
    • Acute severe visual events are a potential complication, occurring in approximately 3% of patients.
    • The benefits of PDT for visual function likely outweigh the risks in most patients.