Retinal pigment epithelial tears and the management of exudative age-related macular degeneration

Semin Ophthalmol. 2011 May;26(3):94-103. doi: 10.3109/08820538.2011.571055.

Abstract

Tears of the retinal pigment epithelium (RPE) are a known and potentially catastrophic complication of exudative age-related macular degeneration (AMD). Eyes with vascularized retinal pigment epithelial detachments (PED) are especially at risk for the development of RPE tears. This long-recognized complication faces increased scrutiny in an era of improved anti-angiogenic treatments for AMD, particularly given that these newly developed therapeutics have been implicated as a potential factor in the formation of some RPE tears.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Angiogenesis Inhibitors / therapeutic use
  • Antibodies, Monoclonal / therapeutic use
  • Antibodies, Monoclonal, Humanized
  • Bevacizumab
  • Exudates and Transudates
  • Humans
  • Macular Degeneration / complications*
  • Macular Degeneration / drug therapy*
  • Macular Degeneration / physiopathology
  • Retinal Perforations / etiology*
  • Retinal Perforations / physiopathology
  • Retinal Pigment Epithelium / pathology
  • Rupture, Spontaneous
  • Vascular Endothelial Growth Factor A / antagonists & inhibitors

Substances

  • Angiogenesis Inhibitors
  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • VEGFA protein, human
  • Vascular Endothelial Growth Factor A
  • Bevacizumab