Okawa Kazuyoshi, Maruyama-Inoue Maiko, Chin Jacob Yuhang, Inoue Tatsuya, Yanagi Yasuo, Kadonosono Kazuaki
Department of Ophthalmology, Yokohama City University Medical Center, Yokohama, Japan.
National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore.
J Vitreoretin Dis. 2025 Jul 20:24741264251352888. doi: 10.1177/24741264251352888.
To investigate the 1-year functional and morphologic outcomes of intravitreal (IVT) faricimab in treatment-naïve Japanese patients with neovascular age-related macular degeneration (nAMD). A retrospective study was performed to examine the outcomes of patients with nAMD who received IVT faricimab using a treat-and-extend regimen. The best-corrected visual acuity (BCVA), central foveal thickness (CFT), central choroidal thickness, dry macular achievement, and treatment intervals at 48 weeks were evaluated. Furthermore, the presence of polypoidal lesions at 48 weeks, as indicated by indocyanine green angiography, was investigated in patients with polypoidal choroidal vasculopathy (PCV). This study included 48 Japanese treatment-naïve patients with nAMD assessed at 1 year of follow-up. The BCVA was significantly improved 1 year after initial treatment ( < .001). CFT and central choroidal thickness were also significantly decreased after 1 year ( < .001 and < .001, respectively). Dry macula was achieved in 42 eyes (87.5%), and the mean (±SD) treatment interval at 12 months was 14.5 ± 4.4 weeks. The 1-year polyp regression rate was 76.9% (10/13 eyes). IVT faricimab was well tolerated and appeared to improve both functional and anatomic outcomes in Japanese patients with nAMD. In addition, a high rate of polyp regression was seen in patients with PCV.
研究玻璃体内注射法西单抗对初治日本新生血管性年龄相关性黄斑变性(nAMD)患者的1年功能和形态学结局。进行一项回顾性研究,以检查接受玻璃体内注射法西单抗并采用治疗并延长方案的nAMD患者的结局。评估了48周时的最佳矫正视力(BCVA)、中心凹厚度(CFT)、脉络膜中央厚度、干性黄斑实现情况和治疗间隔。此外,对息肉样脉络膜血管病变(PCV)患者,通过吲哚菁绿血管造影研究了48周时息肉样病变的存在情况。本研究纳入了48例初治日本nAMD患者,随访1年。初始治疗1年后BCVA显著改善(<.001)。1年后CFT和脉络膜中央厚度也显著降低(分别为<.001和<.001)。42只眼(87.5%)实现了干性黄斑,12个月时的平均(±标准差)治疗间隔为14.5±4.4周。1年时息肉消退率为76.9%(10/13只眼)。玻璃体内注射法西单抗耐受性良好,似乎可改善日本nAMD患者的功能和解剖学结局。此外,PCV患者的息肉消退率很高。