Aflibercept (EYLEA®) induces a rapid reduction in central retinal thickness (CRT) for patients suffering from neovascular age-related-macular degeneration.1 This early dramatic reduction in CRT is already observed through week 4. Therefore it might be not necessary to consistently perform each of the three monthly consecutive intravitreal injections of the so-called loading phase.
The aim of this study is to assess whether the retina of some patients has dried up after the first or second intravitreal injection of Aflibercept (EYLEA®) 2mg and in that event, to determine the proportion of these patients The analysis of the characteristics could help identify a morphotype that would predict whether and when the retina will dry up within the first 3 months of treatment. For some patients having an early drying-up, the third monthly injection might be not necessary 50 naïve patients will be included and will receive a monthly injection over 12 weeks with a biweekly follow-up. Morphological and functional characteristics will be recorded at each visit and will be analyzed. The rate of patients with dry SD-OCT will be assessed. The study includes 7 visits. The visits are scheduled on an every 2-week basis from baseline to Week 12. V1 (baseline), V3 and V5, the patient will be injected with Aflibercept (EYLEA®) 2mg. In the other visits, the visual acuity test, Fundus photography, SD-OCT, and/or Fluorescein Angiography are performed
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
50
2 mg intravitreal Aflibercept initiated with one injection every 4 weeks for three consecutive doses (loading dose) The duration of the follow-up is 12 weeks. This means 3 injections per patient should be given over the study period
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Occurence of a Dry SD-OCT 12-week after initiation of a treatment by Aflibercept (EYLEA®) 2mg
Time frame: 12-week after initiation of a treatment by Aflibercept (EYLEA®) 2mg
Time to get a dry SD-OCT after initiation of a treatment by Aflibercept
Time frame: Every 2 weeks from treatment initiation (inclusion) to week 12
Evolution of morphological and visual modification under Aflibercept (EYLEA®)
Time frame: Every 2 weeks from treatment initiation (inclusion) to week 12
Occurence of pigment epithelial detachment
Time frame: Every 2 weeks from treatment initiation (inclusion) to week 12
Evolution of retinal hemorrhage if any
Time frame: Every 2 weeks from treatment initiation (inclusion) to week 12
Evolution in the atrophic lesions
Time frame: Every 2 weeks from treatment initiation (inclusion) to week 12
Occurence the central Retinal Thickness
Time frame: Every 2 weeks from treatment initiation (inclusion) to week 12
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