Tachyphylaxis to ranibizumab in the Treatment of Age-related Macular Degeneration

Journal Title: Ophthalmology Research: An International Journal - Year 2014, Vol 2, Issue 6

Abstract

Purpose: To assess the patients with exudative age-related macular degeneration (AMD) who develop tachyphylaxis to ranibizumab after intravitreal injections of ranibizumab (IVR). Methods: We reviewed the records of 115 eyes of 110patients who received IVR from April 2009 to September 2011 at the Kansai Medical University, Takii Hospital. Among the patients who were not regarded as initial non-responders, patients whose response deteriorated after repeated intravitreal use of ranibizumab were defined as having tachyphylaxis. Results: In this study, we found a 5.2% rate (6/115) of subjects with tachyphylaxis. Two eyes of those with tachyphylaxis had a classic choroidal neovascularization component. There was no significant difference in lesion types between patients with tachyphylaxis and responders (P=0.47; chi-square test). Conclusion: There are a few percentages of AMD patients who develop tachyphylaxis to ranibizumab. No significant difference is observed in the prevalence of tachyphylaxis among the lesion types.

Authors and Affiliations

Naoko Koike, Tsuyoshi Otsuji, Akiko Tsumura, Tetsuya Nishimura, Kanji Takahashi

Keywords

Related Articles

Formulation and Physical Characterization of a Novel Sustained-Release Ophthalmic Delivery System for Sparfloxacin: the Effect of the Biological Environment

Aims: The purpose of this study was to prepare and evaluate ocular thermosetting gels containing sparfloxacin-HP-β-CyD. The formulations based mainly on Pluronic F127 alone or combined with other polymers. Study Design:...

Central Cornea Thickness in Glaucoma and Non-Glaucoma African Population

Aim: To determine the pattern of central cornea thickness (CCT) in an indigenous African population attending the glaucoma clinic at University College Hospital (UCH), Ibadan, Nigeria and identify its relationship to spe...

Mechanical Pupil Dilatation Using Oasis Ring versus Non-mechanical Device Pupil Dilatation for Phacoemulsification in Eyes with Narrow Pupil

Purpose: to compare using Oasis ring for mechanical dilatation of the pupil during phacoemulsification in cases of narrow pupil with non-mechanical dilatation. Methods: this study included 80 eyes of 67 patients of catar...

Is the Diagnosis of Acute Posterior Multifocal Placoid Pigment Epitheliopathy with Fatal Cerebral Stroke Correct? A Case Report

Aim: To reiterate the fatal cerebral stroke in association with acute posterior multifocal placoid pigment epitheliopathy (AMPEE). Report of a Case: A previously healthy 9-year-old girl developed acute visual loss in her...

Cytomegalovirus Retinitis: Current State in People with HIV-AIDS in Peru

Purpose: To describe the incidence and progression of cytomegalovirus retinitis (CMVR) in public hospital patients from Peru. Study Design: Prospective study conducted in HIV-AIDS diagnosed patients. Place and Duration o...

Download PDF file
  • EP ID EP339000
  • DOI 10.9734/OR/2014/11330
  • Views 94
  • Downloads 0

How To Cite

Naoko Koike, Tsuyoshi Otsuji, Akiko Tsumura, Tetsuya Nishimura, Kanji Takahashi (2014). Tachyphylaxis to ranibizumab in the Treatment of Age-related Macular Degeneration. Ophthalmology Research: An International Journal, 2(6), 336-343. https://europub.co.uk./articles/-A-339000