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D. Sayag, W. Haddad, E. Souied, G. Coscas, G. Soubrane; Focal Laser Combined With Intravitreal Triamcinolone for Retinal–Choroidal Anastomosis (RCA) With Pigment Epithelium Detachment (PED) in Exudative Macular Degeneration . Invest. Ophthalmol. Vis. Sci. 2005;46(13):1388.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To detect the efficacy of intravitreal triamcinolone combined with laser photocoagulation as treatment for retinal choroidal anastomosis with subfoveal pigment epithelium detachment associated to AMD. Methods: Fifteen eyes with RCA/DEP were included in a prospective study . Biomicroscopy, fluorescein angiography (FA) , indocyanine green angiography (ICG) perform with th SLO (Heidelberg Retina Angiograph [HRA]) and Optical Coherence Tomography (OCT 3000, Humphrey–Zeiss ) were used to iddentify RCA and quantify the height of PED.ETDRS charts were used to assess the visual improvement. Based on FA and ICG , focal laser was apply to the extrafoveal RCA one week prior to 4 mg of intravitreal triamcinolone. Results: Complete inactivity of the choroidal neovascularization anastomosis was seen in fourteen eyes after one or or two laser session. After six months of follow–up , stable vision was noted in 8 eyes ( 67%) , 5 eyes gained 2 or more lines, and 2 eyes lost 3 or more lines. OCT showed the complete resolution of the PED in 6 cases. Conclusions: Laser photocoaglulation combined with intravitreal triamcinolone appears to be an effective treatment modality for RCA lesions in AMD at least at short term
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