Personalized Medicine in Retinal Diseases

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Clinical Medicine, Cell, and Organism Physiology".

Deadline for manuscript submissions: 15 April 2025 | Viewed by 506

Special Issue Editor


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Guest Editor
1. Department of Ophthalmology, St. Franziskus Hospital, 48145 Münster, Germany
2. Achim Wessing Institute for Diagnostic Ophthalmology, Duisburg–Essen University, 45147 Essen, Germany
Interests: age-related macular degeneration (AMD); retinal vascular occlusions; intravitreal injections (IVOM); retinal and vitreous surgery

Special Issue Information

Dear Colleagues,

Retinal diseases are among the most common causes of irreversible blindness. In older adults, it is often the late stage of age-related macular degeneration (AMD), while in working-age individuals, diabetic retinopathy, chronic central serous chorioretinopathy, secondary neovascularizations, or a variety of genetic diseases are more frequently responsible. Since the introduction of anti-VEGF therapy, the prognosis for patients with neovascularizations has significantly improved. However, there is also a great variability in disease progression, with some patients requiring only a few treatments and maintaining good vision in the long term, while others need monthly therapy for decades and experience a significant decline in vision due to complications such as macular hemorrhages, tears of the retinal pigment epithelium, or atrophy of photoreceptors and pigment epithelial cells. Especially with the development of new anti-VEGF agents, the identification of biomarkers that can enable more individualized therapy would be desirable. This also applies to patients with diabetic retinopathy and diabetic macular edema, as well as patients with secondary neovascularization, who are currently treated non-specifically with the same substances. Additionally, with the approval of complement inhibitors, treatment for geographic atrophy (GA) is now available. Even in this late form, several different disease patterns with varying progression rates are already known. Further identification of individual biomarkers could also improve therapy management here. This Special Issue of the Journal of Personalized Medicine aims to present outstanding research dedicated to the individualized investigation of biomarkers for disease progression or therapy response in retinal diseases.

Dr. Henrik Faatz
Guest Editor

Manuscript Submission Information

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Keywords

  • retinal disease
  • age-related macular degeneration
  • diabetic retinopathy
  • gene therapy
  • retinal biomarker
  • personalized medicine
  • retinal imaging

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Published Papers (1 paper)

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Research

12 pages, 554 KiB  
Article
Impact of Anti—Vascular Endothelial Growth Factor Treatment on Neovascular Age-Related Macular Degeneration with and without Retinal Pigment Epithelial Detachment: A Real-World Study
by Yu-Wei Kuo, Cheng-Yung Lee, Yi-Ting Hsieh, Chung-May Yang, Tzyy-Chang Ho, Tso-Ting Lai and Chang-Hao Yang
J. Pers. Med. 2024, 14(10), 1041; https://doi.org/10.3390/jpm14101041 - 28 Sep 2024
Viewed by 361
Abstract
Background/Objectives: This study evaluates the impact of anti-vascular endothelial growth factor (anti-VEGF) treatment on neovascular age-related macular degeneration (nAMD) with and without pigment epithelial detachment (PED) over a one-year period. Methods: Conducted at a tertiary referral center in Taiwan, this retrospective analysis included [...] Read more.
Background/Objectives: This study evaluates the impact of anti-vascular endothelial growth factor (anti-VEGF) treatment on neovascular age-related macular degeneration (nAMD) with and without pigment epithelial detachment (PED) over a one-year period. Methods: Conducted at a tertiary referral center in Taiwan, this retrospective analysis included 88 eyes treated with intravitreal aflibercept injections. Patients were categorized into four groups based on the presence or absence of PED at baseline and 12 months post-treatment. Results: Significant reductions in central macular thickness (CMT) and PED height were observed, although no statistical difference was found in best-corrected visual acuity (BCVA). The presence or type of PED did not negatively impact visual outcomes. Among nAMD patients with persistent PED throughout the first year of anti-VEGF treatment, linear regression analysis showed that mixed-type PED revealed poor final BCVA compared to those with serous PED. The analysis also identified older age and poorer initial BCVA as predictors of less favorable visual outcomes. Conclusions: This study highlights the effectiveness of anti-VEGF therapy in real-world settings and offers insights into factors influencing visual outcomes for nAMD patients with PED. Full article
(This article belongs to the Special Issue Personalized Medicine in Retinal Diseases)
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