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Research on the cause of occult choroidal neovascularization showing treatment resistance

Research Project

Project/Area Number 26462651
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Ophthalmology
Research InstitutionKansai Medical University

Principal Investigator

Otsuji Tsuyoshi  関西医科大学, 医学部, 講師 (90343673)

Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2016: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2015: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Fiscal Year 2014: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords加齢黄斑変性 / ポリープ状脈絡膜血管症 / 中心性漿液性脈絡網膜症
Outline of Final Research Achievements

Vascular endothelial growth factor (VEGF) is considered to be deeply related to the occurrence of exudative age-related macular degeneration (AMD). Currently, intravitreal injection of anti-VEGF drugs is effective for the disease. AMD with occult choroidal neovascularization (CNV), which is a type of AMD, has CNV under the retinal pigment epithelium. AMD with occult CNV is capable of being divided into two groups according to its responsiveness to anti-VEGF drugs. One is the CNV that have good response to the drugs and the other is the CNV that is resistant to the drugs. We analyzed the choroidal thickness of each case with occult CNV and assessed prospectively if the choroidal thickness has relevance to the effectiveness of the treatment. As a result, we found the case with thick choroid responded to the treatment better than the case with thin choroid. In conclusion, it is suggested that VEGF is less involved in the pathogenesis of AMD with thin choroid than that with thick choroid.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (4 results)

All 2016 2015

All Journal Article (1 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (3 results)

  • [Journal Article] Three-year results of a modified photodynamic therapy procedure (Ironing PDT) for age-related macular degeneration patients with large lesions.2016

    • Author(s)
      Otsuji T, Sho K, Tsumura A, Koike N, Nishimura T, Takahashi K.
    • Journal Title

      Clin Ophthalmol

      Volume: 10 Pages: 431-436

    • DOI

      10.2147/opth.s102171

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 抗VEGF薬のスイッチバックが有効であった滲出型加齢黄斑変性の2例2016

    • Author(s)
      境友起夫、尾辻剛、津村晶子、小池直子、三木克朗、山田章悟、西村哲哉、高橋寛二
    • Organizer
      第55回日本網膜硝子体学会
    • Place of Presentation
      東京/ベルサール渋谷ガーデン
    • Year and Date
      2016-12-02
    • Related Report
      2016 Annual Research Report
  • [Presentation] 抗VEGF薬に反応不良の滲出型加齢黄斑変性に対するPDTの効果の検討2016

    • Author(s)
      尾辻剛、小池直子、津村晶子、境友起夫、西村哲哉、高橋寛二
    • Organizer
      第33回日本眼循環学会
    • Place of Presentation
      福岡/アクロス福岡
    • Year and Date
      2016-07-22
    • Related Report
      2016 Annual Research Report
  • [Presentation] 慢性中心性漿液性脈絡網膜症に対するアフリベルセプト硝子体内投与の効果2015

    • Author(s)
      小池直子、尾辻剛、津村晶子、平本裕盛、西村哲哉、高橋寛二
    • Organizer
      第119回日本眼科学会総会
    • Place of Presentation
      札幌市(ロイトン札幌、さっぽろ芸文館、札幌市教育文化会館
    • Year and Date
      2015-04-16 – 2015-04-19
    • Related Report
      2014 Research-status Report

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Published: 2014-04-04   Modified: 2018-03-22  

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