Choroidal Neovascularization: Eylea Treatment and Recovery Tips - Ophthalmology

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Choroidal neovascularization


Hello, doctor.
I have high myopia that has led to the proliferation of blood vessels in the macula.
Three days ago, I received an Eylea injection treatment, and the doctor informed me that the medication may take 1 to 2 weeks to show effects.
I would like to understand the expected efficacy and the timeline for the drug to take effect.
Additionally, are there any recommendations for post-operative care or specific foods or nutrients I should consume? Thank you.

Niming, 30~39 year old female. Ask Date: 2021/06/08

Dr. He Jianxian reply Ophthalmology


Basically, this type of medication promotes the regression of neovascularization, and its efficacy varies from person to person, but it is generally effective.
For maintenance, it is advisable to consume antioxidant-rich vegetables, fruits, and carrots.
Most importantly, continuous monitoring is essential; if the condition recurs, reinjection may be necessary.
Dr.
Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.

Reply Date: 2021/06/08

More Info


Choroidal neovascularization (CNV) is a condition often associated with age-related macular degeneration (AMD) and can also occur in individuals with high myopia, as you have experienced. It involves the growth of new blood vessels in the choroid layer of the eye, which can lead to vision loss if not treated promptly. Eylea (aflibercept) is an anti-VEGF (vascular endothelial growth factor) medication used to treat CNV by inhibiting the growth of these abnormal blood vessels.


Expected Efficacy and Onset of Action
After receiving an Eylea injection, it is common for patients to experience a delay in the onset of the drug's effects. Typically, the medication may take about 1 to 2 weeks to start showing its therapeutic effects. During this period, it is crucial to monitor your vision and report any significant changes to your healthcare provider. The full benefits of the treatment may take several weeks to months to manifest, and regular follow-up appointments are essential to assess the effectiveness of the treatment and make any necessary adjustments.


Post-Treatment Care and Nutritional Recommendations
Following your Eylea injection, there are several recommendations to help support your recovery and overall eye health:
1. Rest and Recovery: It is advisable to rest your eyes, especially in the first few days after the injection. Avoid strenuous activities and protect your eyes from bright lights and screens when possible.

2. Hydration: Staying well-hydrated is essential for overall health, including eye health. Drinking plenty of water can help maintain optimal bodily functions.

3. Nutrition: A balanced diet rich in antioxidants can support eye health. Foods that are particularly beneficial include:
- Leafy Greens: Spinach, kale, and collard greens are high in lutein and zeaxanthin, which are known to protect against macular degeneration.

- Fruits and Vegetables: Carrots, sweet potatoes, and bell peppers are rich in beta-carotene, while berries and citrus fruits provide vitamin C.

- Fatty Fish: Salmon, mackerel, and sardines are high in omega-3 fatty acids, which are beneficial for retinal health.

- Nuts and Seeds: Almonds, walnuts, and flaxseeds provide essential fatty acids and vitamin E, which can help protect the eyes from oxidative stress.

4. Regular Eye Check-ups: After your treatment, it is crucial to have regular follow-ups with your eye care specialist. They will monitor your condition and determine if additional treatments are necessary.

5. Avoid Smoking and Limit Alcohol: Smoking and excessive alcohol consumption can exacerbate eye conditions and should be avoided to promote better eye health.

6. Protective Eyewear: Wearing sunglasses that block UV rays can help protect your eyes from further damage, especially if you spend time outdoors.


Conclusion
In summary, while Eylea is an effective treatment for choroidal neovascularization, it is essential to have realistic expectations regarding the onset of its effects. Following the injection, focus on rest, hydration, and a nutrient-rich diet to support your recovery. Regular follow-up appointments with your eye care provider will ensure that your treatment is effective and that any necessary adjustments can be made. If you have any concerns or experience changes in your vision, do not hesitate to contact your healthcare provider.

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