June 2022
Volume 63, Issue 7
Open Access
ARVO Annual Meeting Abstract  |   June 2022
Treatment of drusen in dry age-related macular degeneration with photobiomodulation : single-center study
Author Affiliations & Notes
  • Manal Benlahbib
    ophtalmologie, Centre Hospitalier Intercommunal de Creteil, Creteil, Île-de-France, France
  • Carl Joe Mehanna
    ophtalmologie, Centre Hospitalier Intercommunal de Creteil, Creteil, Île-de-France, France
  • Hoang Mai Le
    ophtalmologie, Centre Hospitalier Intercommunal de Creteil, Creteil, Île-de-France, France
  • Eric Souied
    ophtalmologie, Centre Hospitalier Intercommunal de Creteil, Creteil, Île-de-France, France
  • Footnotes
    Commercial Relationships   Manal Benlahbib None; Carl Joe Mehanna None; Hoang Mai Le None; Eric Souied None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2022, Vol.63, 374 – F0205. doi:
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    • Get Citation

      Manal Benlahbib, Carl Joe Mehanna, Hoang Mai Le, Eric Souied; Treatment of drusen in dry age-related macular degeneration with photobiomodulation : single-center study. Invest. Ophthalmol. Vis. Sci. 2022;63(7):374 – F0205.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To assess the efficacy and safety of photobiomodulation (PBM) treatment for patients with drusen in dry age-related macular degeneration (AMD).

Methods : Thirteen eyes with dry AMD (age related eye disease study (AREDS) categories 3-4) were included in the study and treated with the Valeda Light Delivery System. All subjects underwent two treatments per week for 5 weeks. Outcome mesures included ; best corrected visual acuity (BCVA), microperimetry- scotopic testing, drusen volume (DV), central drusen thickness (CDT), central retinal thickness (CRT) and retinal volume.

Results : BCVA improved in eyes treated with photobiomodulation with a mean score gain of 4 letters at month 6 (M6). Retinal sensitivity increased by 0.70 dB on average. Mean fixation losses decreased by 7.83 % at M6. Drusen volume and retinal volume decreased by 0.28 mm3 and 0.21 mm3 on average respectively. Central drusen thickness and central retinal thichness was reduced by a mean of 36.5 µm and 40.16 µm respectively at M6.

Conclusions : This study confirm efficacy and safety of using photobiomudulation for treatment of drusen in dry AMD. The functional and anatomical improvements in our patients support previous reports. PBM may provide a therapeutic option for patients with dry AMD mainly in the earliest stages and may potencially slow the progression of the disease. Further studies are needed to confirm if a repeated PBM treatments are necessary to maintain the benefits.

This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.

 

B scan spectral domain optical coherence tomography (SD-OCT) imaging representing an exemple of drusen reduction in a left eye with dry AMD categorized as AREDS 4 treated by PBM. Baseline (top) imaging showing large macular drusenoid pigment epithelium detachement (PED). Month 6 (bottom) imaging illustrate the complete reduction of the drusenoid PED after a serie of 10 PBM-treatments.

B scan spectral domain optical coherence tomography (SD-OCT) imaging representing an exemple of drusen reduction in a left eye with dry AMD categorized as AREDS 4 treated by PBM. Baseline (top) imaging showing large macular drusenoid pigment epithelium detachement (PED). Month 6 (bottom) imaging illustrate the complete reduction of the drusenoid PED after a serie of 10 PBM-treatments.

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