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Meta-analysis of best corrected visual acuity after treatment for myopic choroidal neovascularisation
Authors:Lin Zhou  Yi-Qiao Xing  Tuo Li  Yin Li  Xiu-Sheng Song and Jia-Zhang Li
Institution:Department of Ophthalmology, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, China;Department of Ophthalmology, the Central Hospital of Enshi Autonomous Prefecture, Enshi Clinical College of Wuhan University, Enshi 445000, Hubei Province, China;Department of Ophthalmology, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, China;Department of Ophthalmology, the Central Hospital of Enshi Autonomous Prefecture, Enshi Clinical College of Wuhan University, Enshi 445000, Hubei Province, China;Department of Ophthalmology, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, China;Department of Ophthalmology, the Central Hospital of Enshi Autonomous Prefecture, Enshi Clinical College of Wuhan University, Enshi 445000, Hubei Province, China;Department of Ophthalmology, the Central Hospital of Enshi Autonomous Prefecture, Enshi Clinical College of Wuhan University, Enshi 445000, Hubei Province, China;Department of Ophthalmology, the Central Hospital of Enshi Autonomous Prefecture, Enshi Clinical College of Wuhan University, Enshi 445000, Hubei Province, China
Abstract:

AIM

To compare the best corrected visual acuity (BCVA) between Verteporfin with photodynamic therapy (PDT) and intravitreal anti-vascular endothelial growth factor (anti-VEGF) in patients with myopic choroidal neovascularization (CNV).

METHOD

Published literature from Medline, Premedline, Embase and the Cochrane Library from inception until November 2013 were retrieved. All studies evaluating the BCVA between Verteporfin with PDT and intravitreal anti-VEGF for myopic CNV were included. The results were pooled using mean difference (MD), a corresponding 95% confidence interval (CI).

RESULTS

Finally, five studies enrolled 349 eyes were included in the meta-analysis. We inferred that the BCVA of myopic CNV after the treatment of anti-VEGF was significantly better compared with Verteporfin with PDT (MD=0.25, 95%CI:0.17-0.33, Z=5.97, P<0.00001).

CONCLUSION

This meta-analysis suggests that intravitreal anti-VEGF could have a better BCVA after treatment than Verteporfin with PDT for myopic CNV.
Keywords:myopic choroidal neovascularization  Verteporfin with photodynamic therapy  anti–vascular endothelial growth factor  meta-analysis
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