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Progression of Geographic Atrophy: Retrospective Analysis of Patients from the IRIS® Registry (Intelligent Research in Sight)
PURPOSE: To evaluate disease progression and associated vision changes in patients with geographic atrophy (GA) secondary to age-related macular degeneration (AMD) in 1 eye and GA or neovascular AMD (nAMD) in the fellow eye using a large dataset from routine clinical practice. DESIGN: Retrospective...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10232896/ https://www.ncbi.nlm.nih.gov/pubmed/37274013 http://dx.doi.org/10.1016/j.xops.2023.100318 |
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author | Rahimy, Ehsan Khan, M. Ali Ho, Allen C. Hatfield, Meghan Nguyen, Thai Hien Jones, Daniel McKeown, Alex Borkar, Durga Leng, Theodore Ribeiro, Ramiro Holekamp, Nancy |
author_facet | Rahimy, Ehsan Khan, M. Ali Ho, Allen C. Hatfield, Meghan Nguyen, Thai Hien Jones, Daniel McKeown, Alex Borkar, Durga Leng, Theodore Ribeiro, Ramiro Holekamp, Nancy |
author_sort | Rahimy, Ehsan |
collection | PubMed |
description | PURPOSE: To evaluate disease progression and associated vision changes in patients with geographic atrophy (GA) secondary to age-related macular degeneration (AMD) in 1 eye and GA or neovascular AMD (nAMD) in the fellow eye using a large dataset from routine clinical practice. DESIGN: Retrospective analysis of clinical data over 24 months. SUBJECTS: A total of 256 635 patients with GA from the American Academy of Ophthalmology (Academy) IRIS® Registry (Intelligent Research in Sight) Registry (January 2016 to December 2017). METHODS: Patients with ≥ 24 months of follow-up were grouped by fellow-eye status: Cohort 1, GA:GA; Cohort 2, GA:nAMD, each with (subfoveal) and without subfoveal (nonsubfoveal) involvement. Eyes with history of retinal disease other than AMD were excluded. Sensitivity analysis included patients who were managed by retina specialists and had a record of imaging within 30 days of diagnosis. MAIN OUTCOME MEASURES: Change in visual acuity (VA), occurrence of new-onset nAMD, and GA progression from nonsubfoveal to subfoveal. RESULTS: In total, 69 441 patients were included: 44 120 (64%) GA:GA and 25 321 (36%) GA:nAMD. Otherwise eligible patients (57 788) were excluded due to follow-up < 24 months. In both GA:GA and GA:nAMD cohorts, nonsubfoveal study eyes had better mean (standard deviation) VA at index (67 [19.3] and 66 [20.3] letters) than subfoveal eyes (59 [23.9] and 47 [26.9] letters), and 24-month mean VA changes were similar for nonsubfoveal (−7.6 and −6.2) and subfoveal (−7.9 and −6.5) subgroups. Progression to subfoveal GA occurred in 16.7% of nonsubfoveal study eyes in the GA:GA cohort and 12.5% in the GA:nAMD cohort. More new-onset study-eye nAMD was observed in the GA:nAMD (21.6%) versus GA:GA (8.2%) cohorts. Sensitivity analysis supported the robustness of the observations in the study. CONCLUSIONS: This retrospective analysis describes the natural progression of GA lesions and the decline in VA associated with the disease. FINANCIAL DISCLOSURE(S): Proprietary or commercial disclosure may be found after the references. |
format | Online Article Text |
id | pubmed-10232896 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-102328962023-06-02 Progression of Geographic Atrophy: Retrospective Analysis of Patients from the IRIS® Registry (Intelligent Research in Sight) Rahimy, Ehsan Khan, M. Ali Ho, Allen C. Hatfield, Meghan Nguyen, Thai Hien Jones, Daniel McKeown, Alex Borkar, Durga Leng, Theodore Ribeiro, Ramiro Holekamp, Nancy Ophthalmol Sci Original Article PURPOSE: To evaluate disease progression and associated vision changes in patients with geographic atrophy (GA) secondary to age-related macular degeneration (AMD) in 1 eye and GA or neovascular AMD (nAMD) in the fellow eye using a large dataset from routine clinical practice. DESIGN: Retrospective analysis of clinical data over 24 months. SUBJECTS: A total of 256 635 patients with GA from the American Academy of Ophthalmology (Academy) IRIS® Registry (Intelligent Research in Sight) Registry (January 2016 to December 2017). METHODS: Patients with ≥ 24 months of follow-up were grouped by fellow-eye status: Cohort 1, GA:GA; Cohort 2, GA:nAMD, each with (subfoveal) and without subfoveal (nonsubfoveal) involvement. Eyes with history of retinal disease other than AMD were excluded. Sensitivity analysis included patients who were managed by retina specialists and had a record of imaging within 30 days of diagnosis. MAIN OUTCOME MEASURES: Change in visual acuity (VA), occurrence of new-onset nAMD, and GA progression from nonsubfoveal to subfoveal. RESULTS: In total, 69 441 patients were included: 44 120 (64%) GA:GA and 25 321 (36%) GA:nAMD. Otherwise eligible patients (57 788) were excluded due to follow-up < 24 months. In both GA:GA and GA:nAMD cohorts, nonsubfoveal study eyes had better mean (standard deviation) VA at index (67 [19.3] and 66 [20.3] letters) than subfoveal eyes (59 [23.9] and 47 [26.9] letters), and 24-month mean VA changes were similar for nonsubfoveal (−7.6 and −6.2) and subfoveal (−7.9 and −6.5) subgroups. Progression to subfoveal GA occurred in 16.7% of nonsubfoveal study eyes in the GA:GA cohort and 12.5% in the GA:nAMD cohort. More new-onset study-eye nAMD was observed in the GA:nAMD (21.6%) versus GA:GA (8.2%) cohorts. Sensitivity analysis supported the robustness of the observations in the study. CONCLUSIONS: This retrospective analysis describes the natural progression of GA lesions and the decline in VA associated with the disease. FINANCIAL DISCLOSURE(S): Proprietary or commercial disclosure may be found after the references. Elsevier 2023-04-19 /pmc/articles/PMC10232896/ /pubmed/37274013 http://dx.doi.org/10.1016/j.xops.2023.100318 Text en © 2023 by the American Academy of Ophthalmology. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Rahimy, Ehsan Khan, M. Ali Ho, Allen C. Hatfield, Meghan Nguyen, Thai Hien Jones, Daniel McKeown, Alex Borkar, Durga Leng, Theodore Ribeiro, Ramiro Holekamp, Nancy Progression of Geographic Atrophy: Retrospective Analysis of Patients from the IRIS® Registry (Intelligent Research in Sight) |
title | Progression of Geographic Atrophy: Retrospective Analysis of Patients from the IRIS® Registry (Intelligent Research in Sight) |
title_full | Progression of Geographic Atrophy: Retrospective Analysis of Patients from the IRIS® Registry (Intelligent Research in Sight) |
title_fullStr | Progression of Geographic Atrophy: Retrospective Analysis of Patients from the IRIS® Registry (Intelligent Research in Sight) |
title_full_unstemmed | Progression of Geographic Atrophy: Retrospective Analysis of Patients from the IRIS® Registry (Intelligent Research in Sight) |
title_short | Progression of Geographic Atrophy: Retrospective Analysis of Patients from the IRIS® Registry (Intelligent Research in Sight) |
title_sort | progression of geographic atrophy: retrospective analysis of patients from the iris® registry (intelligent research in sight) |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10232896/ https://www.ncbi.nlm.nih.gov/pubmed/37274013 http://dx.doi.org/10.1016/j.xops.2023.100318 |
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