Transpupillary Thermotherapy in the Treatment of Age-related Macular Degeneration an Open Case Control Study
Cordes A., Dahlke C., Schlossmacher B., Schrage N. F.
University Eye Clinic, Aachen University
Purpose: The treatment of exsudative age related macular degeneration is a therapeutic challenge despite of the introduction of the photodynamic therapy and operative procedures. Occult choroidal neovascularisatons are especially very difficult to treat. Pilot studies by Reichel et al and Newsom et al introduced the transpupillary thermotherapy (TTT) as option for alternative treatment .
Method: From January 2002 till December 2002 184 eyes were included in this open case control study. The first control examination was performed on average 65 days after initial treatment. 54 patients underwent a second TTT and the control examination was performed on average 128 days after the initial treatment. 17 of these patients received another TTT and were re-examined 203 days after initial treatment. All Patients got an ophthalmological examination and the diagnosis exsudative macular degeneration was based on a combined fluorescein-ICG-angiographie. They were treated with an 810nm diode laser with a energy of 650mW, a spot size of 3mm and exposition of 60s.
Results: In respect to the visual acuity after first TTT we observed a stabilisation (Zurück | Back