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The intra-vitreous injection (IVT) of anti-VEGF (vascular endothelial growth factor) is currently the standard treatment for retinal neovascularization. The VEGF stimulates endothelial cells' proliferation and migration. It also increases microvascular permeability. If the VEGFs have proven their efficiency in the decrease of choroidal neovascular proliferation, their impact of the head of the optic nerve's microvasculature is yet unknown. Knowing that this microvasculature provides the retinal nerve fibers with oxygen, located in the area of the head of the optic nerve, a vasoconstriction induced by the anti-VEGF may have an incidence on the loss of retinal nerve fibers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients treated with anti-VEGF |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Gonioscopy | Device | Study of the trabecular structure by gonioscopy |
|
| Measure | Description | Time Frame |
|---|---|---|
| change in RNFL's thickness in the nasal quadrant of the optic nerve after intra-vitreous Injection of Anti-VEGF | RNFL's thickness (in microns) measured with the Heildelberg glaucoma module of the spectral domain Optical Cohérence Tomographie (OCT Spectralis, Heidelberg engeening). | Change from baseline RNFL's thickness at Month 12 |
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Inclusion Criteria:
Exclusion Criteria:
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Patients will be recruited during a consultation in ophtalmology after prescription of an anti-VEGF treatment.
The study will not change the patient's usual care schedule. Only a different analysis of the images obtained by SD -OCT will be performed, and a gonioscopy will be carried out systematically the inclusion of patient and 12 months.
The data for the study will be collected at the inclusion visit and at the final visit of the study at 12 months.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Pole Vision du val d'Ouest | Lyon | France | ||||
| Fondation Ophtalmologique A. de Rotchschild |
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| ID | Term |
|---|---|
| D015861 | Retinal Neovascularization |
| ID | Term |
|---|---|
| D012164 | Retinal Diseases |
| D005128 | Eye Diseases |
| D009389 | Neovascularization, Pathologic |
| D008679 | Metaplasia |
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| ID | Term |
|---|---|
| D006068 | Gonioscopy |
| ID | Term |
|---|---|
| D003941 | Diagnostic Techniques, Ophthalmological |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| Paris |
| 75019 |
| France |
| Centre médical et chirurgical de la rétine | Strasbourg | France |
| D010335 |
| Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |