Skip to main content
Top
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 6/2013

01-06-2013 | Retinal Disorders

Intravitreal dexamethasone implant (Ozurdex) for macular edema secondary to retinitis pigmentosa

Authors: Mayer Srour, Giuseppe Querques, Nicolas Leveziel, Jennyfer Zerbib, Julien Tilleul, Elise Boulanger-Scemama, Eric H. Souied

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 6/2013

Login to get access

Abstract

Background

To evaluate the anatomical and functional outcomes of intravitreal dexamethasone implant in patients with macular edema (ME) secondary to retinitis pigmentosa (RP).

Methods

Three patients (four eyes), aged 24 to 46 years, presented with refractory ME secondary to RP. Intravitreal dexamethasone implant (Ozurdex) was administered to treat ME. The anatomical (central macular thickness [CMT]) and functional (best-corrected visual acuity [BCVA]) outcomes as well as adverse events were recorded.

Results

All patients completed 6 months follow-up. After intravitreal Ozurdex all patients showed regression of ME. At baseline, mean CMT was 443 ± 185 μm (range 213–619 μm); ME improved to 234 ± 68 μm (range 142–307 μm) at 1 month, to 332 ± 177 μm (range 139–513 μm) at 3 msonth, and to 305 ± 124 μm (range 144–447 μm) at 6 months. Recurrent ME was recorded in 2 patients (both patients at 3 months from intravitreal dexamethasone implant). Retreatment with intravitreal Ozurdex was performed in two patients. Mean BCVA improved form 20/160 (range 20/50–20/200) (baseline) to 20/100 (range 20/40–20/125) at 1 month, to ∼20/125 (range 20/100–20/200) at 3 months, and to ∼ 20/125 (range 20/100–20/160) at 6 months. No serious ocular and systemic adverse events were observed during the study period.

Conclusions

Intravitreal dexamethasone implant provides anatomic and functional improvements and may represent a valuable treatment option for patients with ME secondary to RP.
Literature
1.
go back to reference Newsome DA, Blacharski PA (1987) Grid photocoagulation for macular oedema in patients with retinitis pigmentosa. Am J Ophthalmol 103:161–166PubMed Newsome DA, Blacharski PA (1987) Grid photocoagulation for macular oedema in patients with retinitis pigmentosa. Am J Ophthalmol 103:161–166PubMed
2.
go back to reference García-Arumí J, Martinez V, Sararols L, Corcostegui B (2003) Vitreoretinal surgery for cystoid macular edema associated with retinitis pigmentosa. Ophthalmology 110:1164–1169PubMedCrossRef García-Arumí J, Martinez V, Sararols L, Corcostegui B (2003) Vitreoretinal surgery for cystoid macular edema associated with retinitis pigmentosa. Ophthalmology 110:1164–1169PubMedCrossRef
3.
go back to reference Cox SN, Hay E, Bird AC (1988) Treatment of chronic macular oedema with acetazola- mide. Arch Ophthalmol 106:1190–1195PubMedCrossRef Cox SN, Hay E, Bird AC (1988) Treatment of chronic macular oedema with acetazola- mide. Arch Ophthalmol 106:1190–1195PubMedCrossRef
4.
go back to reference Saraiva VS, Sallum JMF, Farah ME (2003) Treatment of cystoid macular oedema related to retinitis pigmentosa with intravitreal triamcinolone acetonide. Ophthalmic Surg Lasers Imaging 34:398–400PubMed Saraiva VS, Sallum JMF, Farah ME (2003) Treatment of cystoid macular oedema related to retinitis pigmentosa with intravitreal triamcinolone acetonide. Ophthalmic Surg Lasers Imaging 34:398–400PubMed
5.
go back to reference Scorolli L, Morara M, Meduri A, Reggiani LB, Ferreri G, Scalinci SZ, Meduri RA (2007) Treatment of cystoid macular edema in retinitis pigmentosa with intravitreal triamcinolone. Arch Ophthalmol 125:759–764PubMedCrossRef Scorolli L, Morara M, Meduri A, Reggiani LB, Ferreri G, Scalinci SZ, Meduri RA (2007) Treatment of cystoid macular edema in retinitis pigmentosa with intravitreal triamcinolone. Arch Ophthalmol 125:759–764PubMedCrossRef
6.
go back to reference Bressler NM, Schachat AP (2010) Management of macular edema from retinal vein occlusions you can never have too many choices. Ophthalmology 117:1061–1063PubMedCrossRef Bressler NM, Schachat AP (2010) Management of macular edema from retinal vein occlusions you can never have too many choices. Ophthalmology 117:1061–1063PubMedCrossRef
7.
go back to reference Goldfien A (1995) Adrenocorticosteroids and adrenocortical antagonists. In: Katzung BG (ed) Basic and Clinical Pharmacology, 6th edn. Prentice Hall International, London, pp 592–607 Goldfien A (1995) Adrenocorticosteroids and adrenocortical antagonists. In: Katzung BG (ed) Basic and Clinical Pharmacology, 6th edn. Prentice Hall International, London, pp 592–607
8.
go back to reference Kuppermann BD, Blumenkranz MS, Haller JA, Williams GA, Weinberg DV, Chou C, Whitcup SM, Dexamethasone DDS Phase II Study Group (2007) Randomized controlled study of an intravitreous dexamethasone drug delivery system in patients with persistent macular edema. Arch Ophthalmol 125:309–317PubMedCrossRef Kuppermann BD, Blumenkranz MS, Haller JA, Williams GA, Weinberg DV, Chou C, Whitcup SM, Dexamethasone DDS Phase II Study Group (2007) Randomized controlled study of an intravitreous dexamethasone drug delivery system in patients with persistent macular edema. Arch Ophthalmol 125:309–317PubMedCrossRef
9.
go back to reference Haller J, Bandello F, Belfort R Jr, Blumenkranz MS, Gillies M, Heier J, Loewenstein A, Yoon YH, Jacques ML, Jiao J, Li XY, Whitcup SM, OZURDEX GENEVA Study Group (2010) Randomized, sham-controlled trial of dexamethasone intravitreal implant in patients with macular edema due to retinal vein occlusion. Ophthalmology 117:1134–1146PubMedCrossRef Haller J, Bandello F, Belfort R Jr, Blumenkranz MS, Gillies M, Heier J, Loewenstein A, Yoon YH, Jacques ML, Jiao J, Li XY, Whitcup SM, OZURDEX GENEVA Study Group (2010) Randomized, sham-controlled trial of dexamethasone intravitreal implant in patients with macular edema due to retinal vein occlusion. Ophthalmology 117:1134–1146PubMedCrossRef
10.
go back to reference Heckenlively JR, Jordan BL, Aptsiauri N (1999) Association of antiretinal antibodies and cystoid macular edema in patients with retinitis pigmentosa. Am J Ophthalmol 127:565–573PubMedCrossRef Heckenlively JR, Jordan BL, Aptsiauri N (1999) Association of antiretinal antibodies and cystoid macular edema in patients with retinitis pigmentosa. Am J Ophthalmol 127:565–573PubMedCrossRef
11.
go back to reference Giusti C, Forte R, Vingolo EM (2002) Deflazacort treatment of cystoid macular edema in patients affected by Retinitis Pigmentosa: a pilot study. Eur Rev Med Pharmacol Sci 6:1–8PubMed Giusti C, Forte R, Vingolo EM (2002) Deflazacort treatment of cystoid macular edema in patients affected by Retinitis Pigmentosa: a pilot study. Eur Rev Med Pharmacol Sci 6:1–8PubMed
12.
go back to reference Ozdemir H, Karacorlu M, Karacorlu S (2005) Intravitreal triamcinolone acetonide for treatment of cystoid macular oedema in patients with retinitis pigmentosa. Acta Ophthalmol Scand 83:248–251PubMedCrossRef Ozdemir H, Karacorlu M, Karacorlu S (2005) Intravitreal triamcinolone acetonide for treatment of cystoid macular oedema in patients with retinitis pigmentosa. Acta Ophthalmol Scand 83:248–251PubMedCrossRef
13.
go back to reference SCORE Study Research Group (2009) A randomized trial comparing the efficacy and safety of intravitreal triamcinolone with standard care to treat vision loss associated with macular edema secondary to branch retinal vein occlusion: the Standard Care vs Corticosteroid for Retinal Vein Occlusion (SCORE) Study report 6. Arch Ophthalmol 127:1115–1128CrossRef SCORE Study Research Group (2009) A randomized trial comparing the efficacy and safety of intravitreal triamcinolone with standard care to treat vision loss associated with macular edema secondary to branch retinal vein occlusion: the Standard Care vs Corticosteroid for Retinal Vein Occlusion (SCORE) Study report 6. Arch Ophthalmol 127:1115–1128CrossRef
Metadata
Title
Intravitreal dexamethasone implant (Ozurdex) for macular edema secondary to retinitis pigmentosa
Authors
Mayer Srour
Giuseppe Querques
Nicolas Leveziel
Jennyfer Zerbib
Julien Tilleul
Elise Boulanger-Scemama
Eric H. Souied
Publication date
01-06-2013
Publisher
Springer-Verlag
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 6/2013
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-012-2249-4

Other articles of this Issue 6/2013

Graefe's Archive for Clinical and Experimental Ophthalmology 6/2013 Go to the issue