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  • Purpose: To evaluate the experience with rheohaemapheresis (RH) in the treatment of age-related macular degeneration (AMD). Methods: Thirty-eight patients were each treated with 8 procedures of RH (14 males, 24 females). The control group consisted of 34 random patients (30 females, 4 males) with the dry form of AMD but not treated by RH. Our modification of the cascade method (named rheohaemapheresis) was used for plasma separation. After plasma separation (blood cell separator, Cobe Spectra, Denver, CO, USA), the separated plasma was pumped through a rheofilter (Evaflux 4A, Kuraray, Osaka, Japan) to remove lipoproteins and other high-molecular-weight rheologic factors. Results: In treated patients, best-corrected visual acuity (BCVA) increased significantly from 0.61 (0.06-1.00) to 0.68 (0.35-1.00) after 2.5 years (p = 0.035). We found no significant changes or differences in scotopic activity, whereas cone response and paramacular activity in the more peripheral region between 14 degrees and 22 degrees of eccentricity were significantly higher in treated patients after 2.5 years. Conclusion: RH therapy favourably influenced BCVA. During 2.5 years after the therapy, no progression of dry to wet AMD was observed in our patients. RH reduced the area of drusenoid retinal pigment epithelium detachment (which increased during the natural course of dry form AMD). RH influenced rheological markers and probably improved metabolism in the affected retinal areas which lead to the aforementioned positive results.
  • Purpose: To evaluate the experience with rheohaemapheresis (RH) in the treatment of age-related macular degeneration (AMD). Methods: Thirty-eight patients were each treated with 8 procedures of RH (14 males, 24 females). The control group consisted of 34 random patients (30 females, 4 males) with the dry form of AMD but not treated by RH. Our modification of the cascade method (named rheohaemapheresis) was used for plasma separation. After plasma separation (blood cell separator, Cobe Spectra, Denver, CO, USA), the separated plasma was pumped through a rheofilter (Evaflux 4A, Kuraray, Osaka, Japan) to remove lipoproteins and other high-molecular-weight rheologic factors. Results: In treated patients, best-corrected visual acuity (BCVA) increased significantly from 0.61 (0.06-1.00) to 0.68 (0.35-1.00) after 2.5 years (p = 0.035). We found no significant changes or differences in scotopic activity, whereas cone response and paramacular activity in the more peripheral region between 14 degrees and 22 degrees of eccentricity were significantly higher in treated patients after 2.5 years. Conclusion: RH therapy favourably influenced BCVA. During 2.5 years after the therapy, no progression of dry to wet AMD was observed in our patients. RH reduced the area of drusenoid retinal pigment epithelium detachment (which increased during the natural course of dry form AMD). RH influenced rheological markers and probably improved metabolism in the affected retinal areas which lead to the aforementioned positive results. (en)
Title
  • Rheohaemapheresis in the treatment of nonvascular age-related macular degeneration
  • Rheohaemapheresis in the treatment of nonvascular age-related macular degeneration (en)
skos:prefLabel
  • Rheohaemapheresis in the treatment of nonvascular age-related macular degeneration
  • Rheohaemapheresis in the treatment of nonvascular age-related macular degeneration (en)
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  • RIV/00216208:11150/13:10133889!RIV14-MSM-11150___
http://linked.open...avai/predkladatel
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I
http://linked.open...iv/cisloPeriodika
  • 1
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 102897
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11150/13:10133889
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Electroretinography; Rheological parameters; Blood viscosity; Rheohaemapheresis (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • IE - Irsko
http://linked.open...ontrolniKodProRIV
  • [7161FCC3CDA8]
http://linked.open...i/riv/nazevZdroje
  • Atherosclerosis Supplements
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 14
http://linked.open...iv/tvurceVysledku
  • Bláha, Milan
  • Rozsíval, Pavel
  • Sobotka, Luboš
  • Lánská, Miriam
  • Bláha, Vladimír
  • Langrová, Hana
  • Rencová, Eva
  • Studnička, Jan
http://linked.open...ain/vavai/riv/wos
  • 000314885000030
issn
  • 1567-5688
number of pages
http://bibframe.org/vocab/doi
  • 10.1016/j.atherosclerosissup.2012.10.023
http://localhost/t...ganizacniJednotka
  • 11150
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