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Pegaptanib for wet age-related macular degeneration (AMD)

Pegaptanib sodium (Macugen) is a new drug that appears to be effective in slowing the growth of abnormal blood vessels caused by advanced (wet) age-related macular degeneration.1 The treatment may help stop vision loss in people who cannot benefit from other treatments such as laser photocoagulation or photodynamic therapy.

When wet AMD develops, weak abnormal blood vessels grow under the retina and lead to vision loss. The growth of these vessels is triggered by a protein called vascular endothelial growth factor (VEGF).

Pegaptanib stops the growth of abnormal vessels by blocking the effects of VEGF. Pegaptanib is injected into the eye every 6 weeks. A normal course of treatment lasts 48 weeks.

Although most people tolerated treatment well in initial trials, reported side effects of pegaptanib injections include:

  • Changes in vision.
  • Inflammation of different parts of the eye.
  • Cataract.
  • Bleeding.
  • Fluid in the cornea.
  • Eye discharge.
  • Eye pain or discomfort.
  • High blood pressure.
  • Increased pressure inside the eye.

Many reported side effects may be caused by the actual injection procedure rather than the drug itself.

Long-term effects of the drug are still not known.

Other types of anti-VEGF drugs are currently being studied, including some that may be injected into a vein (intravenously) rather than into the eye.

References

Citations

  1. Gragoudas ES, et al. (2004). Pegaptanib for neovascular age-related macular degeneration. New England Journal of Medicine, 351(27): 2805–2816.

Credits

AuthorStuart J. Bryson
EditorGeri Metzger
Associate EditorTerrina Vail
Primary Medical ReviewerPatrice Burgess, MD
- Family Medicine
Specialist Medical ReviewerIan MacDonald, MDCM, FRCSC
- Ophthalmology
Last UpdatedAugust 25, 2005

Author: Stuart J. BrysonLast Updated August 25, 2005
Medical Review: Patrice Burgess, MD - Family Medicine
Ian MacDonald, MDCM, FRCSC - Ophthalmology

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