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The treatment of neovascular age-related macular degeneration (ARMD) is a major issue of public health. The therapeutic arsenal has widely grown throughout the years with the emergence of intra-vitreous anti-angiogenic treatments, under different surveillance protocols. The "PRN" surveillance (pro re nata: an on-demand treatment with monthly follow-up) allows a faster re-injection in case of neovascular relapse in order to maintain the best visual acuity. This therapeutic protocol is guided by the sub-retinal neovascular signs of activity. The monitoring is done during common practice via OCT B scans showing indirect signs of neovascular activity (exudation signs). OCT retinal imaging has been recently enriched with new programs allowing the visualization of sub-retinal neovessels without the use dyes (OCT angiography). The OCT angiography is automatically done by a program using standard OCT sections. During the monitoring of a patient using the OCT A, the signs of renewed neovascular activity are represented by an "arterialization" or the development of an arteriole network of the neovessel with the reappearance of a hyper reflective flow after a neovascular regressive phase. Indeed, the visualization of neovessels during the monitoring by Angio-OCT may lead to therapeutical modifications (anticipation of the injections). Knowing that the injection time-table of ARMD patients treated with anti-angiogenics is determined by sub-retinal neovascular signs of activity. This activity is evaluated during routine clinical practice by very specific signs, observable on OCT B scans. The hypothesis of this study is that the search of activity sins on the Angio-OCT, a new technic of image analysis performed on the OCT, may modify this injection time-table, with an impact of the patient's visual acuity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tested patients | Experimental | Patients treated with anti-angiogenics for ARMD : monitoring using optical coherence tomography angiography |
|
| Control patients | Active Comparator | Patients treated with anti-angiogenics for ARMD : monitoring during common practice via optical coherence tomography B scans |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OCT B-scans | Device |
| ||
| OCT angiography |
| Measure | Description | Time Frame |
|---|---|---|
| Visual acuity improvement or stabilization | Proportion of patients with visual acuity improvement or stabilization | Between the inclusion and 1 year of follow-up |
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Inclusion Criteria:
Exclusion Criteria
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fondation Ophtalmologique A. de Rotchschild | Paris | 75019 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35285308 | Result | Sukkarieh G, Vasseur V, Lejoyeux R, Wolff B, Mauget-Faysse M. One-year outcome of neovascular age-related macular degeneration patients followed-up using different optical coherence tomography modalities. Eur J Ophthalmol. 2022 Nov;32(6):3503-3509. doi: 10.1177/11206721221088260. Epub 2022 Mar 14. |
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| ID | Term |
|---|---|
| D008268 | Macular Degeneration |
| ID | Term |
|---|---|
| D012162 | Retinal Degeneration |
| D012164 | Retinal Diseases |
| D005128 | Eye Diseases |
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