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Published in: Drugs 11/2016

01-07-2016 | Review Article

Management of Myopic Choroidal Neovascularization: Focus on Anti-VEGF Therapy

Authors: Kelvin Yi Chong Teo, Wei Yan Ng, Shu Yen Lee, Chui Ming Gemmy Cheung

Published in: Drugs | Issue 11/2016

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Abstract

Myopic choroidal neovascularization (mCNV) is the second most common form of CNV after age-related macular degeneration (AMD). It is a sight-threatening complication of pathologic myopia (PM) and often affects patients in their working years causing significant impact on quality of life. Previous therapies such as photodynamic therapy with verteporfin have shown limited success. Due to the similarities in pathogenesis of mCNV and AMD CNV, anti-vascular endothelial growth factor therapy (anti-VEGF), which has so far been the mainstay of treatment for AMD CNV, has been shown to be effective in the treatment of mCNV and has become the first-line treatment of choice. This article aims to examine briefly the epidemiology and pathophysiology of mCNV, as well as review the evidence for efficacy, safety, and clinical use of anti-VEGF treatment for mCNV.
Literature
2.
go back to reference Wong TY, Ferreira A, Hughes R, Carter G, Mitchell P. Epidemiology and disease burden of pathologic myopia and myopic choroidal neovascularization: an evidence-based systematic review. Am J Ophthalmol. 2014;157(1):9–25 e12. doi:10.1016/j.ajo.2013.08.010. Wong TY, Ferreira A, Hughes R, Carter G, Mitchell P. Epidemiology and disease burden of pathologic myopia and myopic choroidal neovascularization: an evidence-based systematic review. Am J Ophthalmol. 2014;157(1):9–25 e12. doi:10.​1016/​j.​ajo.​2013.​08.​010.
3.
go back to reference Blinder KJ, Blumenkranz MS, Bressler NM, Bressler SB, Donato G, Lewis H, et al. Verteporfin therapy of subfoveal choroidal neovascularization in pathologic myopia: 2-year results of a randomized clinical trial–VIP report no. 3. Ophthalmology. 2003;110(4):667–73.CrossRefPubMed Blinder KJ, Blumenkranz MS, Bressler NM, Bressler SB, Donato G, Lewis H, et al. Verteporfin therapy of subfoveal choroidal neovascularization in pathologic myopia: 2-year results of a randomized clinical trial–VIP report no. 3. Ophthalmology. 2003;110(4):667–73.CrossRefPubMed
5.
go back to reference Baldwin WR. A review of statistical studies of relations between myopia and ethnic, behavioral, and physiological characteristics. Am J Optom Physiol Opt. 1981;58(7):516–27.CrossRefPubMed Baldwin WR. A review of statistical studies of relations between myopia and ethnic, behavioral, and physiological characteristics. Am J Optom Physiol Opt. 1981;58(7):516–27.CrossRefPubMed
8.
go back to reference Resnikoff S, Pascolini D, Mariotti SP, Pokharel GP. Global magnitude of visual impairment caused by uncorrected refractive errors in 2004. Bull World Health Organ. 2008;86(1):63–70.CrossRefPubMedPubMedCentral Resnikoff S, Pascolini D, Mariotti SP, Pokharel GP. Global magnitude of visual impairment caused by uncorrected refractive errors in 2004. Bull World Health Organ. 2008;86(1):63–70.CrossRefPubMedPubMedCentral
11.
go back to reference Avila MP, Weiter JJ, Jalkh AE, Trempe CL, Pruett RC, Schepens CL. Natural history of choroidal neovascularization in degenerative myopia. Ophthalmology. 1984;91(12):1573–81.CrossRefPubMed Avila MP, Weiter JJ, Jalkh AE, Trempe CL, Pruett RC, Schepens CL. Natural history of choroidal neovascularization in degenerative myopia. Ophthalmology. 1984;91(12):1573–81.CrossRefPubMed
14.
go back to reference Curtin BJ, Karlin DB. Axial length measurements and fundus changes of the myopic eye. Am J Ophthalmol. 1971;71(1 Pt 1):42–53.CrossRefPubMed Curtin BJ, Karlin DB. Axial length measurements and fundus changes of the myopic eye. Am J Ophthalmol. 1971;71(1 Pt 1):42–53.CrossRefPubMed
15.
go back to reference Hayashi K, Ohno-Matsui K, Shimada N, Moriyama M, Kojima A, Hayashi W, et al. Long-term pattern of progression of myopic maculopathy: a natural history study. Ophthalmology. 2010;117(8):1595–611, 611 e1–4. doi:10.1016/j.ophtha.2009.11.003. Hayashi K, Ohno-Matsui K, Shimada N, Moriyama M, Kojima A, Hayashi W, et al. Long-term pattern of progression of myopic maculopathy: a natural history study. Ophthalmology. 2010;117(8):1595–611, 611 e1–4. doi:10.​1016/​j.​ophtha.​2009.​11.​003.
17.
go back to reference Ohno-Matsui K, Yoshida T, Futagami S, Yasuzumi K, Shimada N, Kojima A, et al. Patchy atrophy and lacquer cracks predispose to the development of choroidal neovascularisation in pathological myopia. Br J Ophthalmol. 2003;87(5):570–3.CrossRefPubMedPubMedCentral Ohno-Matsui K, Yoshida T, Futagami S, Yasuzumi K, Shimada N, Kojima A, et al. Patchy atrophy and lacquer cracks predispose to the development of choroidal neovascularisation in pathological myopia. Br J Ophthalmol. 2003;87(5):570–3.CrossRefPubMedPubMedCentral
18.
go back to reference Hotchkiss ML, Fine SL. Pathologic myopia and choroidal neovascularization. Am J Ophthalmol. 1981;91(2):177–83.CrossRefPubMed Hotchkiss ML, Fine SL. Pathologic myopia and choroidal neovascularization. Am J Ophthalmol. 1981;91(2):177–83.CrossRefPubMed
19.
go back to reference Tong JP, Chan WM, Liu DT, Lai TY, Choy KW, Pang CP, et al. Aqueous humor levels of vascular endothelial growth factor and pigment epithelium-derived factor in polypoidal choroidal vasculopathy and choroidal neovascularization. Am J Ophthalmol. 2006;141(3):456–62. doi:10.1016/j.ajo.2005.10.012.CrossRefPubMed Tong JP, Chan WM, Liu DT, Lai TY, Choy KW, Pang CP, et al. Aqueous humor levels of vascular endothelial growth factor and pigment epithelium-derived factor in polypoidal choroidal vasculopathy and choroidal neovascularization. Am J Ophthalmol. 2006;141(3):456–62. doi:10.​1016/​j.​ajo.​2005.​10.​012.CrossRefPubMed
20.
go back to reference Okamoto N, Tobe T, Hackett SF, Ozaki H, Vinores MA, LaRochelle W, et al. Transgenic mice with increased expression of vascular endothelial growth factor in the retina: a new model of intraretinal and subretinal neovascularization. Am J Pathol. 1997;151(1):281–91.PubMedPubMedCentral Okamoto N, Tobe T, Hackett SF, Ozaki H, Vinores MA, LaRochelle W, et al. Transgenic mice with increased expression of vascular endothelial growth factor in the retina: a new model of intraretinal and subretinal neovascularization. Am J Pathol. 1997;151(1):281–91.PubMedPubMedCentral
21.
go back to reference Moriyama M, Ohno-Matsui K, Futagami S, Yoshida T, Hayashi K, Shimada N, et al. Morphology and long-term changes of choroidal vascular structure in highly myopic eyes with and without posterior staphyloma. Ophthalmology. 2007;114(9):1755–62. doi:10.1016/j.ophtha.2006.11.034.CrossRefPubMed Moriyama M, Ohno-Matsui K, Futagami S, Yoshida T, Hayashi K, Shimada N, et al. Morphology and long-term changes of choroidal vascular structure in highly myopic eyes with and without posterior staphyloma. Ophthalmology. 2007;114(9):1755–62. doi:10.​1016/​j.​ophtha.​2006.​11.​034.CrossRefPubMed
24.
go back to reference Curtin BJ. Physiologic vs pathologic myopia: genetics vs environment. Ophthalmology. 1979;86(5):681–91.CrossRefPubMed Curtin BJ. Physiologic vs pathologic myopia: genetics vs environment. Ophthalmology. 1979;86(5):681–91.CrossRefPubMed
25.
go back to reference Seko Y, Seko Y, Fujikura H, Pang J, Tokoro T, Shimokawa H. Induction of vascular endothelial growth factor after application of mechanical stress to retinal pigment epithelium of the rat in vitro. Invest Ophthalmol Vis Sci. 1999;40(13):3287–91.PubMed Seko Y, Seko Y, Fujikura H, Pang J, Tokoro T, Shimokawa H. Induction of vascular endothelial growth factor after application of mechanical stress to retinal pigment epithelium of the rat in vitro. Invest Ophthalmol Vis Sci. 1999;40(13):3287–91.PubMed
27.
go back to reference Young TL. Dissecting the genetics of human high myopia: a molecular biologic approach. Trans Am Ophthalmol Soc. 2004;102:423–45.PubMedPubMedCentral Young TL. Dissecting the genetics of human high myopia: a molecular biologic approach. Trans Am Ophthalmol Soc. 2004;102:423–45.PubMedPubMedCentral
28.
go back to reference Hampton GR, Kohen D, Bird AC. Visual prognosis of disciform degeneration in myopia. Ophthalmology. 1983;90(8):923–6.CrossRefPubMed Hampton GR, Kohen D, Bird AC. Visual prognosis of disciform degeneration in myopia. Ophthalmology. 1983;90(8):923–6.CrossRefPubMed
29.
go back to reference Secretan M, Kuhn D, Soubrane G, Coscas G. Long-term visual outcome of choroidal neovascularization in pathologic myopia: natural history and laser treatment. Eur J Ophthalmol. 1997;7(4):307–16.PubMed Secretan M, Kuhn D, Soubrane G, Coscas G. Long-term visual outcome of choroidal neovascularization in pathologic myopia: natural history and laser treatment. Eur J Ophthalmol. 1997;7(4):307–16.PubMed
30.
go back to reference Teo K, Gemmy Cheung C. Choroidal neovascularization secondary to pathological myopia. World J Ophthalmol. 2014;4(3):35–46. Teo K, Gemmy Cheung C. Choroidal neovascularization secondary to pathological myopia. World J Ophthalmol. 2014;4(3):35–46.
32.
go back to reference Cheung CM, Loh BK, Li X, Mathur R, Wong E, Lee SY, et al. Choroidal thickness and risk characteristics of eyes with myopic choroidal neovascularization. Acta Ophthalmol. 2013;91(7):e580–1. doi:10.1111/aos.12117.CrossRefPubMed Cheung CM, Loh BK, Li X, Mathur R, Wong E, Lee SY, et al. Choroidal thickness and risk characteristics of eyes with myopic choroidal neovascularization. Acta Ophthalmol. 2013;91(7):e580–1. doi:10.​1111/​aos.​12117.CrossRefPubMed
34.
go back to reference Bruyere E, Caillaux V, Cohen SY, Martiano D, Ores R, Puche N, et al. Spectral-domain optical coherence tomography of subretinal hyperreflective exudation in myopic choroidal neovascularization. Am J Ophthalmol. 2015;160(4):749–58. doi:10.1016/j.ajo.2015.07.004.CrossRefPubMed Bruyere E, Caillaux V, Cohen SY, Martiano D, Ores R, Puche N, et al. Spectral-domain optical coherence tomography of subretinal hyperreflective exudation in myopic choroidal neovascularization. Am J Ophthalmol. 2015;160(4):749–58. doi:10.​1016/​j.​ajo.​2015.​07.​004.CrossRefPubMed
35.
go back to reference Milani P, Pece A, Pierro L, Bergamini F. Imaging of naive myopic choroidal neovascularization by spectral-domain optical coherence tomography. Ophthalmol J Int d’ophtalmologie Int J Ophthalmol Zeitschrift fur Augenheilkunde. 2014;232(1):28–36. doi:10.1159/000357980.CrossRef Milani P, Pece A, Pierro L, Bergamini F. Imaging of naive myopic choroidal neovascularization by spectral-domain optical coherence tomography. Ophthalmol J Int d’ophtalmologie Int J Ophthalmol Zeitschrift fur Augenheilkunde. 2014;232(1):28–36. doi:10.​1159/​000357980.CrossRef
36.
go back to reference Baba T, Ohno-Matsui K, Yoshida T, Yasuzumi K, Futagami S, Tokoro T, et al. Optical coherence tomography of choroidal neovascularization in high myopia. Acta Ophthalmol Scand. 2002;80(1):82–7.CrossRefPubMed Baba T, Ohno-Matsui K, Yoshida T, Yasuzumi K, Futagami S, Tokoro T, et al. Optical coherence tomography of choroidal neovascularization in high myopia. Acta Ophthalmol Scand. 2002;80(1):82–7.CrossRefPubMed
37.
go back to reference Hee MR, Baumal CR, Puliafito CA, Duker JS, Reichel E, Wilkins JR, et al. Optical coherence tomography of age-related macular degeneration and choroidal neovascularization. Ophthalmology. 1996;103(8):1260–70.CrossRefPubMed Hee MR, Baumal CR, Puliafito CA, Duker JS, Reichel E, Wilkins JR, et al. Optical coherence tomography of age-related macular degeneration and choroidal neovascularization. Ophthalmology. 1996;103(8):1260–70.CrossRefPubMed
38.
go back to reference Ohno-Matsui K, Ito M, Tokoro T. Subretinal bleeding without choroidal neovascularization in pathologic myopia. A sign of new lacquer crack formation. Retina. 1996;16(3):196–202.CrossRefPubMed Ohno-Matsui K, Ito M, Tokoro T. Subretinal bleeding without choroidal neovascularization in pathologic myopia. A sign of new lacquer crack formation. Retina. 1996;16(3):196–202.CrossRefPubMed
40.
go back to reference Watzke RC, Packer AJ, Folk JC, Benson WE, Burgess D, Ober RR. Punctate inner choroidopathy. Am J Ophthalmol. 1984;98(5):572–84.CrossRefPubMed Watzke RC, Packer AJ, Folk JC, Benson WE, Burgess D, Ober RR. Punctate inner choroidopathy. Am J Ophthalmol. 1984;98(5):572–84.CrossRefPubMed
42.
go back to reference Cohen SY, Laroche A, Leguen Y, Soubrane G, Coscas GJ. Etiology of choroidal neovascularization in young patients. Ophthalmology. 1996;103(8):1241–4.CrossRefPubMed Cohen SY, Laroche A, Leguen Y, Soubrane G, Coscas GJ. Etiology of choroidal neovascularization in young patients. Ophthalmology. 1996;103(8):1241–4.CrossRefPubMed
44.
go back to reference Kang HM, Koh HJ. Lack of polypoidal lesions in patients with myopic choroidal neovascularization as evaluated by indocyanine green angiography. Am J Ophthalmol. 2014;157(2):378–83 e1. doi:10.1016/j.ajo.2013.09.018. Kang HM, Koh HJ. Lack of polypoidal lesions in patients with myopic choroidal neovascularization as evaluated by indocyanine green angiography. Am J Ophthalmol. 2014;157(2):378–83 e1. doi:10.​1016/​j.​ajo.​2013.​09.​018.
45.
go back to reference Caillaux V, Gaucher D, Gualino V, Massin P, Tadayoni R, Gaudric A. Morphologic characterization of dome-shaped macula in myopic eyes with serous macular detachment. Am J Ophthalmol. 2013;156(5):958–67 e1. doi:10.1016/j.ajo.2013.06.032. Caillaux V, Gaucher D, Gualino V, Massin P, Tadayoni R, Gaudric A. Morphologic characterization of dome-shaped macula in myopic eyes with serous macular detachment. Am J Ophthalmol. 2013;156(5):958–67 e1. doi:10.​1016/​j.​ajo.​2013.​06.​032.
47.
go back to reference Kojima A, Ohno-Matsui K, Teramukai S, Ishihara Y, Shimada N, Yoshida T, et al. Estimation of visual outcome without treatment in patients with subfoveal choroidal neovascularization in pathologic myopia. Graefe’s Arch Clin Exp Ophthalmol = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2006;244(11):1474–9. doi:10.1007/s00417-006-0324-4. Kojima A, Ohno-Matsui K, Teramukai S, Ishihara Y, Shimada N, Yoshida T, et al. Estimation of visual outcome without treatment in patients with subfoveal choroidal neovascularization in pathologic myopia. Graefe’s Arch Clin Exp Ophthalmol = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2006;244(11):1474–9. doi:10.​1007/​s00417-006-0324-4.
48.
go back to reference Ohno-Matsui K, Yoshida T. Myopic choroidal neovascularization: natural course and treatment. Curr Opin Ophthalmol. 2004;15(3):197–202.CrossRefPubMed Ohno-Matsui K, Yoshida T. Myopic choroidal neovascularization: natural course and treatment. Curr Opin Ophthalmol. 2004;15(3):197–202.CrossRefPubMed
50.
go back to reference Schmidt-Erfurth U, Hasan T, Gragoudas E, Michaud N, Flotte TJ, Birngruber R. Vascular targeting in photodynamic occlusion of subretinal vessels. Ophthalmology. 1994;101(12):1953–61.CrossRefPubMed Schmidt-Erfurth U, Hasan T, Gragoudas E, Michaud N, Flotte TJ, Birngruber R. Vascular targeting in photodynamic occlusion of subretinal vessels. Ophthalmology. 1994;101(12):1953–61.CrossRefPubMed
52.
go back to reference Adelberg DA, Del Priore LV, Kaplan HJ. Surgery for subfoveal membranes in myopia, angioid streaks, and other disorders. Retina. 1995;15(3):198–205.CrossRefPubMed Adelberg DA, Del Priore LV, Kaplan HJ. Surgery for subfoveal membranes in myopia, angioid streaks, and other disorders. Retina. 1995;15(3):198–205.CrossRefPubMed
53.
go back to reference Thomas MA, Dickinson JD, Melberg NS, Ibanez HE, Dhaliwal RS. Visual results after surgical removal of subfoveal choroidal neovascular membranes. Ophthalmology. 1994;101(8):1384–96.CrossRefPubMed Thomas MA, Dickinson JD, Melberg NS, Ibanez HE, Dhaliwal RS. Visual results after surgical removal of subfoveal choroidal neovascular membranes. Ophthalmology. 1994;101(8):1384–96.CrossRefPubMed
54.
go back to reference Uemura A, Thomas MA. Subretinal surgery for choroidal neovascularization in patients with high myopia. Arch Ophthalmol. 2000;118(3):344–50.CrossRefPubMed Uemura A, Thomas MA. Subretinal surgery for choroidal neovascularization in patients with high myopia. Arch Ophthalmol. 2000;118(3):344–50.CrossRefPubMed
55.
go back to reference Hamelin N, Glacet-Bernard A, Brindeau C, Mimoun G, Coscas G, Soubrane G. Surgical treatment of subfoveal neovascularization in myopia: macular translocation vs surgical removal. Am J Ophthalmol. 2002;133(4):530–6.CrossRefPubMed Hamelin N, Glacet-Bernard A, Brindeau C, Mimoun G, Coscas G, Soubrane G. Surgical treatment of subfoveal neovascularization in myopia: macular translocation vs surgical removal. Am J Ophthalmol. 2002;133(4):530–6.CrossRefPubMed
56.
go back to reference Pe’er J, Folberg R, Itin A, Gnessin H, Hemo I, Keshet E. Upregulated expression of vascular endothelial growth factor in proliferative diabetic retinopathy. Br J Ophthalmol. 1996;80(3):241–5.CrossRefPubMedPubMedCentral Pe’er J, Folberg R, Itin A, Gnessin H, Hemo I, Keshet E. Upregulated expression of vascular endothelial growth factor in proliferative diabetic retinopathy. Br J Ophthalmol. 1996;80(3):241–5.CrossRefPubMedPubMedCentral
57.
go back to reference Kliffen M, Sharma HS, Mooy CM, Kerkvliet S, de Jong PT. Increased expression of angiogenic growth factors in age-related maculopathy. Br J Ophthalmol. 1997;81(2):154–62.CrossRefPubMedPubMedCentral Kliffen M, Sharma HS, Mooy CM, Kerkvliet S, de Jong PT. Increased expression of angiogenic growth factors in age-related maculopathy. Br J Ophthalmol. 1997;81(2):154–62.CrossRefPubMedPubMedCentral
58.
go back to reference Bennett MD, Yee W. Pegaptanib for myopic choroidal neovascularization in a young patient. Graefe’s Arch Clin Exp Ophthalmol = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2007;245(6):903–5. doi:10.1007/s00417-006-0472-6. Bennett MD, Yee W. Pegaptanib for myopic choroidal neovascularization in a young patient. Graefe’s Arch Clin Exp Ophthalmol = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2007;245(6):903–5. doi:10.​1007/​s00417-006-0472-6.
59.
go back to reference Chan WM, Lai TY, Chan KP, Li H, Liu DT, Lam DS, et al. Changes in aqueous vascular endothelial growth factor and pigment epithelial-derived factor levels following intravitreal bevacizumab injections for choroidal neovascularization secondary to age-related macular degeneration or pathologic myopia. Retina. 2008;28(9):1308–13. doi:10.1097/IAE.0b013e31818358b2.CrossRefPubMed Chan WM, Lai TY, Chan KP, Li H, Liu DT, Lam DS, et al. Changes in aqueous vascular endothelial growth factor and pigment epithelial-derived factor levels following intravitreal bevacizumab injections for choroidal neovascularization secondary to age-related macular degeneration or pathologic myopia. Retina. 2008;28(9):1308–13. doi:10.​1097/​IAE.​0b013e31818358b2​.CrossRefPubMed
61.
go back to reference Wolf S, Balciuniene VJ, Laganovska G, Menchini U, Ohno-Matsui K, Sharma T, et al. RADIANCE: a randomized controlled study of ranibizumab in patients with choroidal neovascularization secondary to pathologic myopia. Ophthalmology. 2014;121(3):682–92 e2. doi:10.1016/j.ophtha.2013.10.023. Wolf S, Balciuniene VJ, Laganovska G, Menchini U, Ohno-Matsui K, Sharma T, et al. RADIANCE: a randomized controlled study of ranibizumab in patients with choroidal neovascularization secondary to pathologic myopia. Ophthalmology. 2014;121(3):682–92 e2. doi:10.​1016/​j.​ophtha.​2013.​10.​023.
62.
go back to reference Ikuno Y, Sayanagi K, Soga K, Sawa M, Tsujikawa M, Gomi F, et al. Intravitreal bevacizumab for choroidal neovascularization attributable to pathological myopia: one-year results. Am J Ophthalmol. 2009;147(1):94–100 e1. doi:10.1016/j.ajo.2008.07.017. Ikuno Y, Sayanagi K, Soga K, Sawa M, Tsujikawa M, Gomi F, et al. Intravitreal bevacizumab for choroidal neovascularization attributable to pathological myopia: one-year results. Am J Ophthalmol. 2009;147(1):94–100 e1. doi:10.​1016/​j.​ajo.​2008.​07.​017.
64.
66.
go back to reference Gharbiya M, Giustolisi R, Allievi F, Fantozzi N, Mazzeo L, Scavella V, et al. Choroidal neovascularization in pathologic myopia: intravitreal ranibizumab versus bevacizumab–a randomized controlled trial. Am J Ophthalmol. 2010;149(3):458–64 e1. doi:10.1016/j.ajo.2009.10.010. Gharbiya M, Giustolisi R, Allievi F, Fantozzi N, Mazzeo L, Scavella V, et al. Choroidal neovascularization in pathologic myopia: intravitreal ranibizumab versus bevacizumab–a randomized controlled trial. Am J Ophthalmol. 2010;149(3):458–64 e1. doi:10.​1016/​j.​ajo.​2009.​10.​010.
68.
go back to reference Tufail A, Narendran N, Patel PJ, Sivaprasad S, Amoaku W, Browning AC, et al. Ranibizumab in myopic choroidal neovascularization: the 12-month results from the REPAIR study. Ophthalmology. 2013;120(9):1944–5 e1. doi:10.1016/j.ophtha.2013.06.010. Tufail A, Narendran N, Patel PJ, Sivaprasad S, Amoaku W, Browning AC, et al. Ranibizumab in myopic choroidal neovascularization: the 12-month results from the REPAIR study. Ophthalmology. 2013;120(9):1944–5 e1. doi:10.​1016/​j.​ophtha.​2013.​06.​010.
70.
go back to reference Gharbiya M, Allievi F, Conflitti S, Esposito M, Scavella V, Moramarco A, et al. Intravitreal bevacizumab for treatment of myopic choroidal neovascularization: the second year of a prospective study. La Clinica terapeutica. 2010;161(3):e87–93.PubMed Gharbiya M, Allievi F, Conflitti S, Esposito M, Scavella V, Moramarco A, et al. Intravitreal bevacizumab for treatment of myopic choroidal neovascularization: the second year of a prospective study. La Clinica terapeutica. 2010;161(3):e87–93.PubMed
71.
go back to reference Iacono P, Parodi MB, Papayannis A, Kontadakis S, Sheth S, Bandello F. Intravitreal bevacizumab therapy on an as-per-needed basis in subfoveal choroidal neovascularization secondary to pathological myopia: 2-year outcomes of a prospective case series. Retina. 2011;31(9):1841–7. doi:10.1097/IAE.0b013e31821800a4.CrossRefPubMed Iacono P, Parodi MB, Papayannis A, Kontadakis S, Sheth S, Bandello F. Intravitreal bevacizumab therapy on an as-per-needed basis in subfoveal choroidal neovascularization secondary to pathological myopia: 2-year outcomes of a prospective case series. Retina. 2011;31(9):1841–7. doi:10.​1097/​IAE.​0b013e31821800a4​.CrossRefPubMed
72.
go back to reference Ruiz-Moreno JM, Gomez-Ulla F, Montero JA, Ares S, Lopez-Lopez F, Rodriguez M, et al. Intravitreous bevacizumab to treat subfoveal choroidal neovascularization in highly myopic eyes: short-term results. Eye. 2009;23(2):334–8. doi:10.1038/sj.eye.6703052.CrossRefPubMed Ruiz-Moreno JM, Gomez-Ulla F, Montero JA, Ares S, Lopez-Lopez F, Rodriguez M, et al. Intravitreous bevacizumab to treat subfoveal choroidal neovascularization in highly myopic eyes: short-term results. Eye. 2009;23(2):334–8. doi:10.​1038/​sj.​eye.​6703052.CrossRefPubMed
73.
74.
go back to reference Franqueira N, Cachulo ML, Pires I, Fonseca P, Marques I, Figueira J, et al. Long-term follow-up of myopic choroidal neovascularization treated with ranibizumab. Ophthalmologica J Int d’ophtalmologie Int J Ophthalmol Zeitschrift fur Augenheilkunde. 2012;227(1):39–44. doi:10.1159/000333213.CrossRef Franqueira N, Cachulo ML, Pires I, Fonseca P, Marques I, Figueira J, et al. Long-term follow-up of myopic choroidal neovascularization treated with ranibizumab. Ophthalmologica J Int d’ophtalmologie Int J Ophthalmol Zeitschrift fur Augenheilkunde. 2012;227(1):39–44. doi:10.​1159/​000333213.CrossRef
75.
go back to reference Oishi A, Yamashiro K, Tsujikawa A, Ooto S, Tamura H, Nakata I, et al. Long-term effect of intravitreal injection of anti-VEGF agent for visual acuity and chorioretinal atrophy progression in myopic choroidal neovascularization. Graefe’s Arch Clin Exp Ophthalmol = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2013;251(1):1–7. doi:10.1007/s00417-012-2022-8. Oishi A, Yamashiro K, Tsujikawa A, Ooto S, Tamura H, Nakata I, et al. Long-term effect of intravitreal injection of anti-VEGF agent for visual acuity and chorioretinal atrophy progression in myopic choroidal neovascularization. Graefe’s Arch Clin Exp Ophthalmol = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2013;251(1):1–7. doi:10.​1007/​s00417-012-2022-8.
76.
go back to reference Yang HS, Kim JG, Kim JT, Joe SG. Prognostic factors of eyes with naive subfoveal myopic choroidal neovascularization after intravitreal bevacizumab. Am J Ophthalmol. 2013;156(6):1201–10 e2. doi:10.1016/j.ajo.2013.08.002. Yang HS, Kim JG, Kim JT, Joe SG. Prognostic factors of eyes with naive subfoveal myopic choroidal neovascularization after intravitreal bevacizumab. Am J Ophthalmol. 2013;156(6):1201–10 e2. doi:10.​1016/​j.​ajo.​2013.​08.​002.
77.
go back to reference Ruiz-Moreno JM, Montero JA, Amat-Peral P. Myopic choroidal neovascularization treated by intravitreal bevacizumab: comparison of two different initial doses. Graefe’s Arch Clin Exp Ophthalmol = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2011;249(4):595–9. doi:10.1007/s00417-010-1599-z. Ruiz-Moreno JM, Montero JA, Amat-Peral P. Myopic choroidal neovascularization treated by intravitreal bevacizumab: comparison of two different initial doses. Graefe’s Arch Clin Exp Ophthalmol = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2011;249(4):595–9. doi:10.​1007/​s00417-010-1599-z.
79.
go back to reference Niwa Y, Sawada O, Miyake T, Kakinoki M, Sawada T, Kawamura H, et al. Comparison between one injection and three monthly injections of intravitreal bevacizumab for myopic choroidal neovascularization. Ophthalmic Res. 2012;47(3):135–40. doi:10.1159/000330499.CrossRefPubMed Niwa Y, Sawada O, Miyake T, Kakinoki M, Sawada T, Kawamura H, et al. Comparison between one injection and three monthly injections of intravitreal bevacizumab for myopic choroidal neovascularization. Ophthalmic Res. 2012;47(3):135–40. doi:10.​1159/​000330499.CrossRefPubMed
80.
go back to reference Kung YH, Wu TT, Huang YH. One-year outcome of two different initial dosing regimens of intravitreal ranibizumab for myopic choroidal neovascularization. Acta Ophthalmol. 2014;92(8):e615–20. doi:10.1111/aos.12457.CrossRefPubMed Kung YH, Wu TT, Huang YH. One-year outcome of two different initial dosing regimens of intravitreal ranibizumab for myopic choroidal neovascularization. Acta Ophthalmol. 2014;92(8):e615–20. doi:10.​1111/​aos.​12457.CrossRefPubMed
83.
go back to reference Chen L, Miller JW, Vavvas D, Kim IK. Anti-vascular endothelial growth factor monotherapy versus combination treatment with photodynamic therapy for subfoveal choroidal neovascularization secondary to causes other than age-related macular degeneration. Retina. 2011;31(10):2078–83. doi:10.1097/IAE.0b013e3182109074.CrossRefPubMed Chen L, Miller JW, Vavvas D, Kim IK. Anti-vascular endothelial growth factor monotherapy versus combination treatment with photodynamic therapy for subfoveal choroidal neovascularization secondary to causes other than age-related macular degeneration. Retina. 2011;31(10):2078–83. doi:10.​1097/​IAE.​0b013e3182109074​.CrossRefPubMed
84.
go back to reference Peiretti E, Vinci M, Fossarello M. Intravitreal bevacizumab as a treatment for choroidal neovascularisation secondary to myopia: 4-year study results. Can J Ophthalmol J Canadien d’ophtalmologie. 2012;47(1):28–33. doi:10.1016/j.jcjo.2011.12.009.CrossRef Peiretti E, Vinci M, Fossarello M. Intravitreal bevacizumab as a treatment for choroidal neovascularisation secondary to myopia: 4-year study results. Can J Ophthalmol J Canadien d’ophtalmologie. 2012;47(1):28–33. doi:10.​1016/​j.​jcjo.​2011.​12.​009.CrossRef
86.
go back to reference Ruiz-Moreno JM, Montero JA, Araiz J, Arias L, Garcia-Layana A, Carneiro A, et al. Intravitreal anti-vascular endothelial growth factor therapy for choroidal neovascularization secondary to pathologic myopia: six years outcome. Retina. 2015. doi:10.1097/iae.0000000000000632. Ruiz-Moreno JM, Montero JA, Araiz J, Arias L, Garcia-Layana A, Carneiro A, et al. Intravitreal anti-vascular endothelial growth factor therapy for choroidal neovascularization secondary to pathologic myopia: six years outcome. Retina. 2015. doi:10.​1097/​iae.​0000000000000632​.
87.
go back to reference Sarao V, Veritti D, Macor S, Lanzetta P. Intravitreal bevacizumab for choroidal neovascularization due to pathologic myopia: long-term outcomes. Graefe’s Arch Clin Exp Ophthalmol = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2016;254(3):445–54. doi:10.1007/s00417-015-3076-1. Sarao V, Veritti D, Macor S, Lanzetta P. Intravitreal bevacizumab for choroidal neovascularization due to pathologic myopia: long-term outcomes. Graefe’s Arch Clin Exp Ophthalmol = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2016;254(3):445–54. doi:10.​1007/​s00417-015-3076-1.
88.
go back to reference Calvo-Gonzalez C, Reche-Frutos J, Donate J, Fernandez-Perez C, Garcia-Feijoo J. Intravitreal ranibizumab for myopic choroidal neovascularization: factors predictive of visual outcome and need for retreatment. Am J Ophthalmology. 2011;151(3):529–34. doi:10.1016/j.ajo.2010.09.021.CrossRef Calvo-Gonzalez C, Reche-Frutos J, Donate J, Fernandez-Perez C, Garcia-Feijoo J. Intravitreal ranibizumab for myopic choroidal neovascularization: factors predictive of visual outcome and need for retreatment. Am J Ophthalmology. 2011;151(3):529–34. doi:10.​1016/​j.​ajo.​2010.​09.​021.CrossRef
89.
go back to reference Ahn SJ, Park KH, Woo SJ. Subfoveal choroidal thickness changes following anti-vascular endothelial growth factor therapy in myopic choroidal neovascularization. Invest Ophthalmol Vis Sci. 2015;56(10):5794–800. doi:10.1167/iovs.14-16006.CrossRefPubMed Ahn SJ, Park KH, Woo SJ. Subfoveal choroidal thickness changes following anti-vascular endothelial growth factor therapy in myopic choroidal neovascularization. Invest Ophthalmol Vis Sci. 2015;56(10):5794–800. doi:10.​1167/​iovs.​14-16006.CrossRefPubMed
90.
go back to reference Uemoto R, Nakasato-Sonn H, Kawagoe T, Akira M, Okada E, Mizuki N. Factors associated with enlargement of chorioretinal atrophy after intravitreal bevacizumab for myopic choroidal neovascularization. Graefe’s Arch Clin Exp Ophthalmol = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2012;250(7):989–97. doi:10.1007/s00417-011-1921-4. Uemoto R, Nakasato-Sonn H, Kawagoe T, Akira M, Okada E, Mizuki N. Factors associated with enlargement of chorioretinal atrophy after intravitreal bevacizumab for myopic choroidal neovascularization. Graefe’s Arch Clin Exp Ophthalmol = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2012;250(7):989–97. doi:10.​1007/​s00417-011-1921-4.
93.
go back to reference Voykov B, Gelisken F, Inhoffen W, Voelker M, Bartz-Schmidt KU, Ziemssen F. Bevacizumab for choroidal neovascularization secondary to pathologic myopia: Is there a decline of the treatment efficacy after 2 years? Graefe’s Arch Clin Exp Ophthalmol = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2010;248(4):543–50. doi:10.1007/s00417-009-1285-1. Voykov B, Gelisken F, Inhoffen W, Voelker M, Bartz-Schmidt KU, Ziemssen F. Bevacizumab for choroidal neovascularization secondary to pathologic myopia: Is there a decline of the treatment efficacy after 2 years? Graefe’s Arch Clin Exp Ophthalmol = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2010;248(4):543–50. doi:10.​1007/​s00417-009-1285-1.
94.
go back to reference Nakanishi H, Tsujikawa A, Yodoi Y, Ojima Y, Otani A, Tamura H, et al. Prognostic factors for visual outcomes 2-years after intravitreal bevacizumab for myopic choroidal neovascularization. Eye. 2011;25(3):375–81. doi:10.1038/eye.2010.226. Nakanishi H, Tsujikawa A, Yodoi Y, Ojima Y, Otani A, Tamura H, et al. Prognostic factors for visual outcomes 2-years after intravitreal bevacizumab for myopic choroidal neovascularization. Eye. 2011;25(3):375–81. doi:10.​1038/​eye.​2010.​226.
97.
go back to reference Milani P, Massacesi A, Ciaccia S, Setaccioli M, Moschini S, Bergamini F. Only first intravitreal bevacizumab injection achieves statistically significant visual improvement in naive myopic choroidal neovascularization. Clin Ophthalmol. 2012;6:1885–94. doi:10.2147/OPTH.S34649.CrossRefPubMedPubMedCentral Milani P, Massacesi A, Ciaccia S, Setaccioli M, Moschini S, Bergamini F. Only first intravitreal bevacizumab injection achieves statistically significant visual improvement in naive myopic choroidal neovascularization. Clin Ophthalmol. 2012;6:1885–94. doi:10.​2147/​OPTH.​S34649.CrossRefPubMedPubMedCentral
98.
go back to reference Farinha CL, Baltar AS, Nunes SG, Franqueira NF, Figueira JP, Pires IA, et al. Choroidal thickness after treatment for myopic choroidal neovascularization. Eur J Ophthalmol. 2013;23(6):887–98. doi:10.5301/ejo.5000323.PubMed Farinha CL, Baltar AS, Nunes SG, Franqueira NF, Figueira JP, Pires IA, et al. Choroidal thickness after treatment for myopic choroidal neovascularization. Eur J Ophthalmol. 2013;23(6):887–98. doi:10.​5301/​ejo.​5000323.PubMed
99.
go back to reference Wang J, Kang Z. Summary of prognostic factors for choroidal neovascularization due to pathological myopia treated by intravitreal bevacizumab injection. Graefe’s Arch Clin Exp Ophthalmol = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2012;250(12):1717–23. doi:10.1007/s00417-012-2159-5. Wang J, Kang Z. Summary of prognostic factors for choroidal neovascularization due to pathological myopia treated by intravitreal bevacizumab injection. Graefe’s Arch Clin Exp Ophthalmol = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 2012;250(12):1717–23. doi:10.​1007/​s00417-012-2159-5.
100.
go back to reference Ahn SJ, Woo SJ, Kim KE, Park KH. Association between choroidal morphology and anti-vascular endothelial growth factor treatment outcome in myopic choroidal neovascularization. Invest Ophthalmol Vis Sci. 2013;54(3):2115–22. doi:10.1167/iovs.12-11542.CrossRefPubMed Ahn SJ, Woo SJ, Kim KE, Park KH. Association between choroidal morphology and anti-vascular endothelial growth factor treatment outcome in myopic choroidal neovascularization. Invest Ophthalmol Vis Sci. 2013;54(3):2115–22. doi:10.​1167/​iovs.​12-11542.CrossRefPubMed
103.
104.
go back to reference Tokoro T. On the definition of pathologic myopia in group studies. Acta Ophthalmol Suppl. 1988;185:107–8.PubMed Tokoro T. On the definition of pathologic myopia in group studies. Acta Ophthalmol Suppl. 1988;185:107–8.PubMed
106.
107.
go back to reference Ikuno Y, Nagai Y, Matsuda S, Arisawa A, Sho K, Oshita T, et al. Two-year visual results for older Asian women treated with photodynamic therapy or bevacizumab for myopic choroidal neovascularization. Am J Ophthalmol. 2010;149(1):140–6. doi:10.1016/j.ajo.2009.08.008.CrossRefPubMed Ikuno Y, Nagai Y, Matsuda S, Arisawa A, Sho K, Oshita T, et al. Two-year visual results for older Asian women treated with photodynamic therapy or bevacizumab for myopic choroidal neovascularization. Am J Ophthalmol. 2010;149(1):140–6. doi:10.​1016/​j.​ajo.​2009.​08.​008.CrossRefPubMed
Metadata
Title
Management of Myopic Choroidal Neovascularization: Focus on Anti-VEGF Therapy
Authors
Kelvin Yi Chong Teo
Wei Yan Ng
Shu Yen Lee
Chui Ming Gemmy Cheung
Publication date
01-07-2016
Publisher
Springer International Publishing
Published in
Drugs / Issue 11/2016
Print ISSN: 0012-6667
Electronic ISSN: 1179-1950
DOI
https://doi.org/10.1007/s40265-016-0605-0

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