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 medication 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: 2021/09/13

Dr. He Jianxian reply Ophthalmology


After the administration of the medication, it indeed takes several weeks to see effects.
The expected therapeutic outcomes include the regression of neovascularization and improvement in visual distortion.
Dr.
Jian-Hsien Ho, Department of Ophthalmology, Nantou Hospital.

Reply Date: 2021/09/13

More Info


Choroidal neovascularization (CNV) is a condition characterized by the growth of new blood vessels in the choroid layer of the eye, which can lead to vision loss. This condition is often associated with age-related macular degeneration (AMD) and can also occur in individuals with high myopia, as in your case. 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 medication's effects. As your doctor mentioned, the therapeutic effects of Eylea may take 1 to 2 weeks to manifest. During this time, the medication works to reduce the abnormal blood vessel growth and decrease fluid leakage from these vessels, which can help stabilize or improve vision.
Clinical studies have shown that many patients experience improvements in visual acuity and a reduction in retinal fluid after a series of Eylea injections. However, individual responses can vary, and some patients may require additional treatments depending on the severity of their condition and their response to the initial therapy.


Post-Treatment Care and Nutritional Recommendations
After your Eylea injection, it is essential to follow your doctor's post-treatment care instructions. Here are some general tips for maintaining eye health and supporting recovery:
1. Follow-Up Appointments: Ensure you attend all scheduled follow-up appointments with your ophthalmologist. These visits are crucial for monitoring your condition and determining if additional treatments are necessary.

2. Rest and Recovery: After the injection, you may experience some discomfort or blurred vision. It is advisable to rest your eyes and avoid strenuous activities for at least 24 hours post-injection.

3. Nutrition: A healthy diet can support overall eye health. Consider incorporating the following nutrients:
- Omega-3 Fatty Acids: Found in fish like salmon and flaxseeds, these can help reduce inflammation.

- Antioxidants: Vitamins C and E, lutein, and zeaxanthin are beneficial for eye health. These can be found in leafy greens, carrots, and citrus fruits.

- Zinc: This mineral is essential for maintaining the health of the retina and can be found in nuts, seeds, and whole grains.

4. Hydration: Staying well-hydrated is important for overall health, including eye health. Aim to drink plenty of water throughout the day.

5. Protective Eyewear: If you are exposed to bright sunlight or screens for extended periods, consider wearing sunglasses with UV protection and using blue light-blocking glasses.

6. Avoid Smoking: If you smoke, consider quitting, as smoking can exacerbate eye conditions and overall health.

7. Monitor Symptoms: Be vigilant about any changes in your vision or eye discomfort. If you experience sudden vision changes, increased floaters, or flashes of light, contact your healthcare provider immediately.


Conclusion
In summary, Eylea is a promising treatment for choroidal neovascularization, and while its effects may take some time to become apparent, many patients see improvements with continued treatment. Following a healthy lifestyle, including a balanced diet rich in eye-friendly nutrients, can support your recovery and overall eye health. Always consult with your healthcare provider for personalized advice and treatment plans tailored to your specific condition.

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