[N. de Seidlitz] / W. Barkanoff

Donateur : Reclus, Élisée (1830-1905)

Two-year outcome of an observe-and-plan regimen for neovascular age-related macular degeneration: how to alleviate the clinical burden with maintained functional results.

PurposeThe purpose of this study was to report the 2-year outcome of an individually tailored 'observe-and-plan' treatment regimen for neovascular age-related macular degeneration (nAMD), and to investigate its clinical value in terms of functional outcome. This regimen aimed to reduce the clinical burden (visits) by employing individually fixed injection intervals, based on the predictability of an individual's need for retreatment.MethodsThis prospective case series included 104 patients (115 eyes) with nAMD. Following three loading doses of ranibizumab, the disease recurrence interval was determined in monthly observation visits. Retreatment was applied in a series of three injections with individually fixed intervals (2 weeks shorter than the recurrence interval), combined with periodic adjustment of the intervals. The allowed injection intervals in treatment plans ranged from 1 to 3 months. If there was no recurrence at 3 months, the patient could change to monitoring alone.ResultsMean visual acuity (VA) improved by 8.7, 9.7, and 9.2 letters at months 3, 12, and 24, respectively. The mean number of injections was 7.8 and 5.8 during years 1 and 2, respectively, whereas the mean number of ophthalmic examinations was 4.0 and 2.9, respectively. The mean treatment interval (after the loading doses) was 2.0 months during year 1, and 2.2 months during year 2.ConclusionThe observe-and-plan regimen significantly improved and maintained VA over the course of 2 years. This favourable functional outcome was achieved with fewer clinic visits compared with other regimens. Therefore, this observe-and-plan regimen has the potential to alleviate the clinical burden of nAMD treatment.Eye advance online publication, 7 November 2014; doi:10.1038/eye.2014.258.

[Illustrations de Faust] / J.P. Laurens, dess. ; Champollion, grav. ; J.W. von Goethe, aut. du texte

Comprend : [Portrait en frontispice : portrait de l'auteur, Goethe.] Goethe, d'après le tableau de May (1779). [Cote : 4 ° Yh 6/Microfilm R 122282] ; [Vignette à la page de titre : marque d'imprimeur avec devise et initiales.] Pictoribus atque Poetis. Occupa Portum. D.J. [Cote : 4 ° Yh 6/Microfilm R 122282] ; [pl. en reg. du Prologue p.11 : dans le ciel, l'archange Gabriel et Méphistophélès.] Prologue. Faust. [Cote : 4 ° Yh 6/Microfilm R 122282] ; [pl. en reg. p.52. : Faust dans son cabinet d'étude avec son chien Barbet qui grandit et gonfle, habité par Méphistophélès.] Le barbet. Faust. [Cote : 4 ° Yh 6/Microfilm R 122282] ; [pl. en reg. p.102 : Faust dans la cuisine de la sorcière, devant un chaudron, ayant la vision d'une femme nue.] La vision. Faust. [Cote : 4 ° Yh 6/Microfilm R 122282] ; [pl. en reg. p.141 : Marguerite et Faust se promènent dans un jardin. Au loin, Marthe et Méphistophélès.] Le jardin. Faust. [Cote : 4 ° Yh 6/Microfilm R 122282] ; [pl. en reg. p.214 : Faust rejoint Marguerite dans son cachot.] La prison. Faust. [Cote : 4 ° Yh 6/Microfilm R 122282] ; [pl. en reg. p.222 : Marguerite, ayant sauvé son âme, est présentée par l'archange Gabriel à Dieu. Elle tient dans ses bras son fils mort, noyé.] Epilogue. Faust. [Cote : 4 ° Yh 6/Microfilm R 122282]