Week 1 is key
If there had been no OCT at week 1, “we would never have known there was any effect,” he said. “That is a very, very important finding because Centers for Medicare & Medicaid Services only pays for OCTs one month apart. Yet we’ve shown the 1-week time point is most clinically relevant.”
Dr. Tornambe’s group has now performed a case series and findings are mimicking this first case. If the 1-week OCT shows no effect on the membrane, it might suggest switching to another treatment or stopping injection treatments with close follow-up studies to search for recurrences elsewhere, he said.
“This methodology may prove to be the most patient-centered, customized, cost effective and rational way to determine drug selection, follow-up, and switching or stopping treatment for a specific neovascular membrane in a specific macular degeneration eye,” he said.
Paul Tornambe, MD
E: [email protected]
Dr. Tornambe does not have any financial disclosures related to his comments.