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Reduced fluorescein angiography and fundus photography use in the management of neovascular macular degeneration and macular edema during the past decade.

Publication ,  Journal Article
Schneider, EW; Mruthyunjaya, P; Talwar, N; Harris Nwanyanwu, K; Nan, B; Stein, JD
Published in: Invest Ophthalmol Vis Sci
January 29, 2014

PURPOSE: We assessed recent trends in the use of diagnostic testing for neovascular age-related macular degeneration (NVAMD) and macular edema (ME). METHODS: Claims data from a managed-care network were analyzed on patients with NVAMD (n = 22,954) or ME (n = 31,810) to assess the use of fluorescein angiography (FA), fundus photography (FP), and optical coherence tomography (OCT) from 2001 to 2009. Repeated-measures logistic regression was performed to compare patients' odds of undergoing these procedures in 2001, 2005, and 2009. In addition, the proportions of patients with an incident NVAMD or ME diagnosis in 2003 or 2008 who underwent FA, FP, and OCT were compared. RESULTS: From 2001 to 2009, among patients with NVAMD, the odds of undergoing OCT increased 23-fold, whereas the odds of receiving FA and FP decreased by 68% and 79%, respectively. Similar trends were observed for ME. From 2003 to 2008, the proportion of patients undergoing OCT within 1 year of initial diagnosis increased by 315% for NVAMD and by 143% for ME; the proportion undergoing OCT without FA within 1 year increased by 463% for NVAMD and by 216% for ME. CONCLUSIONS: Use of OCT increased dramatically during the past decade, whereas use of FA and FP declined considerably, suggesting that OCT may be replacing more traditional diagnostic testing in patients with NVAMD or ME. Future studies should evaluate whether this increased reliance on OCT instead of FA and FP affects patient outcomes.

Duke Scholars

Published In

Invest Ophthalmol Vis Sci

DOI

EISSN

1552-5783

Publication Date

January 29, 2014

Volume

55

Issue

1

Start / End Page

542 / 549

Location

United States

Related Subject Headings

  • Tomography, Optical Coherence
  • Retrospective Studies
  • Retinal Neovascularization
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Macular Edema
  • Macular Degeneration
  • Humans
  • Fundus Oculi
 

Citation

APA
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ICMJE
MLA
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Schneider, E. W., Mruthyunjaya, P., Talwar, N., Harris Nwanyanwu, K., Nan, B., & Stein, J. D. (2014). Reduced fluorescein angiography and fundus photography use in the management of neovascular macular degeneration and macular edema during the past decade. Invest Ophthalmol Vis Sci, 55(1), 542–549. https://doi.org/10.1167/iovs.13-13034
Schneider, Eric W., Prithvi Mruthyunjaya, Nidhi Talwar, Kristen Harris Nwanyanwu, Bin Nan, and Joshua D. Stein. “Reduced fluorescein angiography and fundus photography use in the management of neovascular macular degeneration and macular edema during the past decade.Invest Ophthalmol Vis Sci 55, no. 1 (January 29, 2014): 542–49. https://doi.org/10.1167/iovs.13-13034.
Schneider EW, Mruthyunjaya P, Talwar N, Harris Nwanyanwu K, Nan B, Stein JD. Reduced fluorescein angiography and fundus photography use in the management of neovascular macular degeneration and macular edema during the past decade. Invest Ophthalmol Vis Sci. 2014 Jan 29;55(1):542–9.
Schneider, Eric W., et al. “Reduced fluorescein angiography and fundus photography use in the management of neovascular macular degeneration and macular edema during the past decade.Invest Ophthalmol Vis Sci, vol. 55, no. 1, Jan. 2014, pp. 542–49. Pubmed, doi:10.1167/iovs.13-13034.
Schneider EW, Mruthyunjaya P, Talwar N, Harris Nwanyanwu K, Nan B, Stein JD. Reduced fluorescein angiography and fundus photography use in the management of neovascular macular degeneration and macular edema during the past decade. Invest Ophthalmol Vis Sci. 2014 Jan 29;55(1):542–549.

Published In

Invest Ophthalmol Vis Sci

DOI

EISSN

1552-5783

Publication Date

January 29, 2014

Volume

55

Issue

1

Start / End Page

542 / 549

Location

United States

Related Subject Headings

  • Tomography, Optical Coherence
  • Retrospective Studies
  • Retinal Neovascularization
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Macular Edema
  • Macular Degeneration
  • Humans
  • Fundus Oculi