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. 2006 Dec;104:221–231.

TABLE 1.

INCLUSION AND EXCLUSION CRITERIA FOR THE MULTICENTER INVESTIGATION OF RHEOPHERESIS FOR AMD (MIRA-1)

INCLUSION CRITERIA
  • Patients can be any race and must be between the ages of 50 and 85 years inclusive.

  • Patients must weigh ≥110 lb (50 kg).

  • Study eye must have a diagnosis of nonexudative “dry” AMD with ≥10 large, soft, semisoft, and/or confluent drusen within 3,000 nm of the foveal center.

  • Study eye must have a best-corrected visual acuity using the ETDRS chart between 20/32 and 20/125 inclusive.

  • Geographic atrophy is allowed as long as it is less than three disc diameters outside of 3,000 nm of the foveal center.

  • Serous pigment epithelial detachment is allowed as long as no clearly identifiable neovascularization is present.

  • Patients must have elevated baseline concentrations of two of the following three rheologic factors: total serum cholesterol level ≥200 mg/dL, fibrinogen level ≥300 mg/dL, or serum immunoglobulin A (IgA) level ≥200 mg/dL, as determined at the qualifying evaluation.

  • Patients must have a score of no more than 75 on the VFQ-25 Visual Functioning Questionnaire.

  • Study eye must not have conditions that limit the view of the fundus.

  • Patients must have normal prothrombin and partial thromboplastin clotting times with the exception of patients who are stable on long-term Coumadin therapy.

  • Patients must have adequate bilateral antecubital venous access.

  • Patients taking lipid-lowering medication at the beginning of the treatment phase must agree to continue to take it throughout the treatment phase using their current regimen.

  • Patients must be available for minimum study duration of about 12 months.

  • Patients must be highly motivated, alert, oriented, mentally competent, and able to understand and comply with the requirements of the study.

  • Patients must agree to discontinue their previous vitamin regimen and to substitute their regimen with a uniform supplement regimen provided by the study, OcularRx (Science-Based Health, Corde Madera, California). This was done to ensure that every patient in the study ingested the same supplement regimen.

EXCLUSION CRITERIA
  • Study eye with concomitant retinal or choroidal disorder other than AMD

  • Study eye with significant central lens opacities

  • Study eye with a diagnosis of exudative “wet” AMD.

  • Study eye with other ocular diseases

  • Patients who are in poor general health

  • Patients with a hematocrit <35%, evidence of active bleeding, or a platelet count <100,000/L

  • Patients with significant cardiac problems

  • Patients with uncontrolled hypertension

  • Patients with recent history of cerebral vascular disease

  • Patients with severe hepatic failure or uncontrolled diabetes

  • Patients with a history of HIV infection, AIDS, hepatitis, or other immunosuppressive disorders

  • Patients who are allergic to fluorescein sodium and to indocyanine green

  • Patients unwilling to adhere to visit or examination schedules

  • Patients with a known history of alcoholism, drug abuse, or any other condition that would limit validity of consent

AIDS, acquired immunodeficiency syndrome; AMD, age-related macular degeneration; HIV, human immunodeficiency virus.