4.4 Review

Combination therapy for the treatment of neovascular age-related macular degeneration

Journal

CURRENT OPINION IN OPHTHALMOLOGY
Volume 24, Issue 3, Pages 233-238

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/ICU.0b013e32835f8eaa

Keywords

antiplatelet-derived growth factor; combination treatment; neovascular AMD; radiation therapy; triple therapy

Categories

Funding

  1. Consultant
  2. Alcon
  3. Novartis
  4. Genentech
  5. Bayer
  6. Regeneron
  7. Oraya
  8. Ophthotech
  9. Research to Prevent Blindness

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Purpose of review To discuss the current combination treatments that involve existing as well as novel drugs that show promise for the treatment of neovascular age-related macular degeneration. Recent findings Photodynamic therapy in combination with antivascular endothelial growth factor (VEGF) and steroids is currently used as a second-line therapy in patients not responding to monotherapy with anti-VEGF agents or in whom the treatment burden of monthly injections is too great. It is used as a primary therapy for idiopathic polypoidal choroidal vasculopathy. Radiation and antiplatelet-derived growth factor therapy show promising results and are currently under investigation. Summary Using combination treatments that target other pathways involved in angiogenesis will hopefully improve on the results of current anti-VEGF agents and may result in greater visual improvement and more convenient dosing regimens.

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