Abstract

To assess the changes in intraocular pressure (IOP) after intravitreal aflibercept injections in Japanese patients with neovascular age-related macular degeneration (nAMD) complicated by glaucoma. Retrospective observational study. We retrospectively reviewed 27 eyes of 25 Japanese patients diagnosed with nAMD complicated by glaucoma. The patients were treated with 2mg/0.05ml of aflibercept and followed for 52weeks according to a treat-and-extend (TAE) regimen after 3 consecutive monthly injections. The IOP of each eye was measured at each visit using non-contact tonometry. IOP changes as well as additional glaucoma treatments during 52weeks were recorded. The mean of aflibercept injections was 8.3 ± 1.9. The mean IOP at baseline was 14.0 ± 3.1mmHg, and the mean IOP after aflibercept therapy was 13.0 ± 2.4mmHg at the final visit (P = 0.0463). No patients received additional glaucoma treatment of eye drops or surgery. Our results suggest that intravitreal aflibercept injections may be beneficial for patients with nAMD complicated by glaucoma.

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