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P. Rosenfeld, J. Heier, G. Hantsbarger, Naveed Shams (2006)
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Editorial Avastin Versus Lucentis: Ethical Issues in Treatment of Age-Related Macular Degeneration here is controversy over the use of ranibizumab look at the patient’s contribution to this decision-making T (Lucentis; Genentech, Inc., South San Francisco, process. CA) and bevacizumab (Avastin; Genentech, Inc.) for Retinal specialists, deciding on treatment options treating wet age-related macular degeneration (AMD), for their patients with wet AMD, have access to data the leading cause of blindness in the United States in from randomized, double-masked studies of Lucen- 2– 4 5–14 people older than 65 years of age. Evidence of this tis, observational studies of Avastin, and a large controversy is seen in journal articles, specialty meet- body of shared clinical experience. Traditionally, the ings, Internet discussions, and survey statistics. The controlled, double-masked clinical trial is the “gold American Society of Retinal Surgeons’ Preferences standard” for clinical information. However, the and Trends Survey in 2006, for example, shows a unique chronology of the introduction of these two sharp division between those ophthalmologists who drugs in treating wet AMD produced an unusual sit- prefer to treat wet AMD with Lucentis (9 –39%) and uation that, for many retinal specialists, has made the those who prefer to treat
Retina – Wolters Kluwer Health
Published: Nov 1, 2007
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