망막정맥폐쇄 및 당뇨병에 의한 황반부종 환자에서 유리체강내 베바시주맙 주입술의 단기효과

• 영문명: Results of Intravitreal Bevacizumab for Macular Edema with Retinal Vein Occlusion and Diabetic Macular Edema
• 발행기관: 대한안과학회
• 저자명: 김종연 권의용 이동욱 조남천,Jong Youn Kim, M.D., Eui Yong Kweon, M.D., Dong Wook Lee, M.D., Nam Chun Cho, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume49,number8, 1275~1282쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2008.08.15

영문 초록

Purpose: To evaluate the short-term effect and safety of intravitreally injected bevacizumab in patients with macular edema (ME) caused by retinal vein occlusion (RVO) and diabetic macular edema (DME). Methods: We retrospectively evaluated 59 eyes of 51 patients, 29 with ME caused by RVO and 30 with DME, who received intravitreal injection of bevacizumab. Fifty-one consecutive patients (59 eyes) with ME associated with RVO and DME were treated with intravitreal injections of 1.25-2.5 mg (0.05-0.1 ml) of bevacizumab. Ophthalmic evaluation was performed at baseline and at 1, 3, 6 months after each injection. Clinical evidence of toxicity and complications, changes of visual acuity with an ETDRS chart (LogMAR), and central macular thickness (CMT) using optical coherence tomography (OCT), were evaluated. Results: The follow-up period was 7.3 months (7.3±0.31) and the mean number of injections was 1.2. The baseline mean LogMAR was 1.06±0.53 and mean CMT was 479.6±160.4 μm. At 1, 3 and 6 months, the mean LogMAR was 0.90±0.52, 0.80±0.39 and 0.78±0.39, respectively, and the mean CMT was 316.9±86.7 μm, 281.1±67.4 μm and 278.4±64.6 μm, respectively. No adverse incidents were observed, including cataract, retinal detachment, vitreous hemorrhage, and endophthalmitis, although transient increased intraocular pressure was observed. Conclusions: Intravitreal bevacizumab injections are safe and effective in ME caused by RVO and DME. J Korean Ophthalmol Soc 49(8):1275-1282, 2008

키워드

Bevacizumab (Avastin® ), Macular edema, Vascular endothelial growth factor (VEGF)