title: Intravitreal ranibizumab for choroidal neovascularization in angioid streaks.
abstract: OBJECTIVE
  To analyze retrospectively the efficacy of intravitreal ranibizumab injections for the management of choroidal neovascularization (CNV) in patients with angioid streaks.
  
  
  METHODS
  Nonrandomized, double-center, retrospective, interventional case series.
  
  
  METHODS
  A consecutive series of patients affected with CNV associated with angioid streaks were treated with intravitreal ranibizumab injections (0.5 mg/0.05 mL). Best-corrected visual acuity, fundus photography results, optical coherence tomography (OCT) results, and fluorescein angiography results were examined before and after treatment. The primary end point was the percentage of eyes with stable or improved visual acuity at the end of follow-up. Secondary end points were the percentage of eyes with stable or decreased macular thickness on optical coherence tomography and the percentage of eyes with persistent leakage on fluorescein angiography at the last follow-up examination.
  
  
  RESULTS
  Thirty-five eyes of 27 patients were treated with repeated intravitreal ranibizumab injections (mean, 5.7 injections; range, 2 to 14 injections) for a mean of 24.1 months (range, 6 to 37 months). At the end of follow-up, visual acuity was stabilized or improved in 30 (85.7%) of 35 eyes. Macular thickness had stabilized or decreased in 18 (51.5%) of 35 eyes. At the last follow-up examination, on fluorescein angiography, no further leakage was observed in 23 (65.7%) of 35 eyes.
  
  
  CONCLUSIONS
  In this large series of angioid streaks-associated CNV, ranibizumab injections allowed stabilization of visual acuity. Ranibizumab seems to be a safe therapeutic option in CNV associated with angioid streaks.
authors: Department of Ophthalmology, Hôpital Intercommunal de Créteil, University of Paris XII Henri Mondor, France.
authors: Gerard
authors: G
authors: Mimoun
authors: Julien
authors: J
authors: Tilleul
authors: Anita
authors: A
authors: Leys
authors: Gabriel
authors: G
authors: Coscas
authors: Gisele
authors: G
authors: Soubrane
authors: Eric H
authors: EH
authors: Souied
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000793:Angioid Streaks / Q000150:complications / Q000188:drug therapy* / Q000503:physiopathology; D000911:Antibodies, Monoclonal / Q000008:administration & dosage*; D061067:Antibodies, Monoclonal, Humanized; D020256:Choroidal Neovascularization / Q000188:drug therapy* / Q000209:etiology / Q000503:physiopathology; D005260:Female; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D000069579:Ranibizumab; D012189:Retrospective Studies; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology; D014822:Vitreous Body
chemical_list: D000911:Antibodies, Monoclonal; D061067:Antibodies, Monoclonal, Humanized; D000069579:Ranibizumab