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260759

Evaluation of Macular and Choroidal Thickness by Optical Coherence Tomography with Direct Acting Antiviral Agents in Patients with Chronic Hepatitis C Virus Infection

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Last updated: 24 Dec 2024

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Abstract

Background: One of the most significant threats to public health is hepatitis C virus infection (HCV). Pegylated interferon alpha (Peg-IFNα) and ribavirin (RBV) had been the main stay of treatment for hepatitis C until recently. This combination often causes systemic and ocular side effects. More effective and safer than IFN therapy is direct acting antiviral agents (DAAs). Objective: The objective of the current study was to assess the impact of sofosbuvir (SOF) and daclatasvir (DAC) on choroidal and macular thickness among HCV cases. Patients and methods: Between June 2018 and February 2019, 30 HCV cases were included and treated using RBV-free SOF/DAC regimen for 12 weeks. They were referred to the ophthalmology department where full ophthalmological assessment was done before and at the end of treatment. Furthermore, macular and choroidal thicknesses were assessed by optical coherence tomography (OCT). Results: 60 eyes of 30 HCV cases (aged from 24-56 years, males: 18 [60%], females: 12 [40%]) received RBV-free SOF/DAC regimen for 12 weeks. During the 3 months of follow-up, no ocular complications were reported. Best corrected visual acuity (BCVA) was not changed. OCT showed increase in macular thickness from baseline. Although there was an increase, it didn't show statistical significance (p=0.743). The choroidal thickness measurements showed no statistically significant difference. Conclusion: There are no observable ophthalmic sequelae among patients treated with DAAs, and this includes the RBV-free SOF/DAC regimen. There appears to be a decreased need for routine ophthalmic follow-up among patients treated with DAAs in comparison to INF.  

DOI

10.21608/ejhm.2022.260759

Keywords

hepatitis C, Ocular complications, Macula, choroid, Optical Coherence Tomography, Direct acting antivirals, Sofosbuvir, Daclatasvir

Authors

First Name

Doaa Saad

Last Name

Yusuf

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Orcid

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First Name

Abdelrahman Gaber

Last Name

Salman

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Email

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Orcid

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First Name

Tarek M.

Last Name

Yosef

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Affiliation

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Email

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Orcid

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First Name

Walid Mohamed

Last Name

Elzawahry

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Affiliation

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Email

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City

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Orcid

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First Name

Walaa M.

Last Name

Hashem

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Affiliation

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Email

walaa.hashem@med.asu.edu.eg

City

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Orcid

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Volume

89

Article Issue

1

Related Issue

36332

Issue Date

2022-10-01

Receive Date

2022-09-22

Publish Date

2022-10-01

Page Start

4,881

Page End

4,886

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_260759.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=260759

Order

118

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Evaluation of Macular and Choroidal Thickness by Optical Coherence Tomography with Direct Acting Antiviral Agents in Patients with Chronic Hepatitis C Virus Infection

Details

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Article

Created At

22 Jan 2023