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47978

Evaluation of the Effect of Intracameral Injection of Bevacizumab in the Treatment of Neovascular Glaucoma

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Last updated: 30 Jan 2023

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Abstract

Background: neovascular glaucoma (NVG) is a severe condition resulting from ischemia caused by conditions such as central retinal vein occlusion (CRVO), diabetic retinopathy (DR) and chronic uveitis. In NVG, there is neovascularization of the iris (NVI) and anterior chamber angle (NVA) mediated by vascular endothelial growth factor (VEGF) leads to elevation in the intraocular pressure (IOP). Intracameral injection of Bevacizumab show good result in regression of iris neovascularization. Objective: it was to determine the effect of intracameral injection of bevacizumab on the neo-vessels over the iris, and on the IOP in patients with NVG. Patients and Methods: this research is a comparative, prospective, non-randomized study. Fifteen patients of neovascular glaucoma (NVG) (≥21mmHg) (with rubeosis iridis) were divided into four groups. Group 1 had peripupillary vessel dilatations, group 2 had early neovascularization mainly in the chamber angle plus to peripupillary vessel dilatations, group 3 had prominent rubeosis with/without neovascular glaucoma, group 4 had most advanced rubeosis and injected with a single intracamerlar bevacizumab (0.05 ml at the limbus in the upper temporal quadrant) at Al-Azhar University hospital between March 2017-March 2018. Results: after six months of following up the 15 patients, only group 1 showed complete regression of iris neovascularization; group 2, group 3 showed partial regression at first but finally there was recurrence of iris neovascularization; and group 4 didnot show response at all to the treatment. Conclusion: regression of iris neovascularization was inversely proportional to the pre-injection grade. Lower grades were associated with a better response.

DOI

10.21608/ejhm.2019.47978

Keywords

Neovascular glaucoma, Central Retinal vein occlusion, diabetic retinopathy, Bevacizumab

Authors

First Name

Salim Mohamed

Last Name

Osemy

MiddleName

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Affiliation

Ophthalmology department, Faculty of Medicine, Al-Azhar University (Assuit), Egypt

Email

drsalim2017@gmail.com

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First Name

Mahmoud Abd El-Badie

Last Name

Mohamed

MiddleName

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Affiliation

Ophthalmology department, Faculty of Medicine, Al-Azhar University (Assuit), Egypt

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Orcid

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First Name

Emad Abd eI-Aal

Last Name

Saleem

MiddleName

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Affiliation

Ophthalmology department, Faculty of Medicine, Al-Azhar University (Assuit), Egypt

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Volume

77

Article Issue

2

Related Issue

7349

Issue Date

2019-10-01

Receive Date

2019-09-13

Publish Date

2019-10-01

Page Start

4,947

Page End

4,951

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_47978.html

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https://ejhm.journals.ekb.eg/service?article_code=47978

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11

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

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

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Article

Created At

22 Jan 2023