Purpose: To report any variation in foveal thickness in eyes with and without reflux during anti-VEGF injection.Method: Review of electronic case notes and scans.Results: 18 patients receiving bevazicumab were identified as having reflux (n?=?3) or no reflux (n?=?15). Pre-injection average central foveal thickness (CFT) was 439 microns (µ) and post-injection average CFT was 417µ. The change in mean CFT was -22 µ (range -330 to 336 µ). 70 patients receiving ranibizumab (lucentis) were identified as having reflux (n?=?22) or no reflux (n?=?48). Average pre-injection CFT was 336 µ and post-injection average CFT was 289 µ. The change in mean CFT was -48 µ (range -163 to 443 µ). The change in CFT between the group with reflux and no reflux in bevazicumab and ranibizumab injections was statistically insignificant.Conclusion: Reflux following injection of anti-VEGF agents does not appear to cause a sub-therapeutic effect. 相似文献
目的 研究全视网膜光凝术(PRP)联合雷珠单抗对糖尿病性黄斑水肿患者最佳矫正视力的治疗效果。方法125例患者(合计125只眼)被分为两组,即观察组(n=62)与对照组(n=63)。对照组接受PRP进行治疗,而观察组患者联合使用PRP与雷珠单抗进行治疗。结果相比较对照组,观察组治疗后(3个月、6个月)最佳矫正视力明显增高,视网膜新生血管渗漏面积、中心区视网膜厚度、黄斑总体积明显更低。且观察组治疗有效率明显高于对照组(90.48% vs 67.44%,P<0.05),同时无严重并发症发生。结论PRP联合雷珠单抗治疗糖尿病性黄斑水肿安全有效,值得推广。 相似文献
Purpose: To report improvement in cystoid macular edema from central retinal vein occlusion with one injection of ranibizumab after failure with seven injections of bevacizumab.Methods: Case report.Results: A 74-year-old female developed persistent blurred vision for three months. Ocular examination revealed macular edema secondary to nonischemic central retinal vein occlusion. The patient was treated with intravitreal bevacizumab (1.25?mg in 0.05?mL). She received seven injections (every 5–6 weeks). Vision fluctuated between 20/30 and 20/60 with minimal variation in central foveal thickness (449-574 μm). However, weeks after one injection of ranibizumab the patient’s vision improved to 20/20 with near resolution of macular edema (CFT?=?343 μm).Conclusions: Patients with no response to bevacizumab injections can show a rapid and large improvement with ranibizumab. This underscores the important differences between these two medications. Further study is required to determine if these initial effects of ranibizumab can be maintained. 相似文献
Age-related macular degeneration (ARMD) is the most common cause for visual impairment in the elderly in western countries. Recently several anti-vascular endothelial growth factor (VEGF) drugs like pegaptanib sodium (Macugen), ranibizumab (Lucentis) and bevacizumab (Avastin) are available for use in the management of wet ARMD. A major limitation of these drugs is that they require multiple intravitreal injections, every 4 to 6 weeks interval for a period of 2 years. Moreover, most of these drugs are too expensive for the general masses to afford in developing nations. Avastin, though used "off-label", offers a comparable result at affordable cost, however, long term results are awaited. The drug industry should review the entire pricing policy of these drugs in developing countries like India, and develop affordable alternative compounds. The article reviews the economic burden and affordability issues of these Anti-VEGF drugs in ARMD. 相似文献