Effects of Anti-Vascular Endothelial Growth Factor Drugs Before and After Pars Plana Vitrectomy in Patients with Polypoidal Choroidal Vasculopathy and Vitreous Hemorrhage

To compare the clinical effects of postoperative versus perioperative injection of anti-vascular endothelial growth factor (VEGF) drugs before and after pars plana vitrectomy (PPV) in patients with vitreous hemorrhage secondary to polypoidal choroidal vasculopathy (PCV). This was a retrospective stu...

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Veröffentlicht in:Journal of ocular pharmacology and therapeutics 2021-12, Vol.37 (10), p.591-596
Hauptverfasser: Chen, Lishuang, Qu, Linghui, Gui, Qian, Wang, Sangsang, Mao, Jinghai, Fu, Xiangxiang, Li, Wendie, Wang, Yanyan, Yi, Quanyong
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container_end_page 596
container_issue 10
container_start_page 591
container_title Journal of ocular pharmacology and therapeutics
container_volume 37
creator Chen, Lishuang
Qu, Linghui
Gui, Qian
Wang, Sangsang
Mao, Jinghai
Fu, Xiangxiang
Li, Wendie
Wang, Yanyan
Yi, Quanyong
description To compare the clinical effects of postoperative versus perioperative injection of anti-vascular endothelial growth factor (VEGF) drugs before and after pars plana vitrectomy (PPV) in patients with vitreous hemorrhage secondary to polypoidal choroidal vasculopathy (PCV). This was a retrospective study of patients who underwent PPV due to vitreous hemorrhage between October 2013 and June 2019 at Ningbo Eye Hospital. The patients who underwent PPV surgery due to PCV-secondary vitreous hemorrhage were included. The primary outcome was the changes in best-corrected visual acuity. The secondary outcome was the central macular thickness. Compared with the postoperative group (  = 20), the perioperative group (  = 18) showed a smaller number of postoperative anti-VEGF injections (5.1 ± 0.8 vs. 8.0 ± 1.5,  
doi_str_mv 10.1089/jop.2021.0039
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This was a retrospective study of patients who underwent PPV due to vitreous hemorrhage between October 2013 and June 2019 at Ningbo Eye Hospital. The patients who underwent PPV surgery due to PCV-secondary vitreous hemorrhage were included. The primary outcome was the changes in best-corrected visual acuity. The secondary outcome was the central macular thickness. Compared with the postoperative group (  = 20), the perioperative group (  = 18) showed a smaller number of postoperative anti-VEGF injections (5.1 ± 0.8 vs. 8.0 ± 1.5,  &lt; 0.05) and lower frequencies of early hyphema (5.6% vs. 30.0%,  &lt; 0.05), and recurrent vitreous hemorrhage (11.1% vs. 30.0%,  &lt; 0.05). The logarithm of minimal angle resolution (LogMAR) was smaller in the perioperative group compared with the postoperative group at 1 week, 1 month, and 3 months after PPV (  &lt; 0.05), but there were no differences thereafter. Compared with the postoperative group, the perioperative group had thinner fovea at 1 week, 1 month, and 3 months (  &lt; 0.05), but the differences disappeared after 3 months. In patients with PCV and vitreous hemorrhage, compared with postoperative anti-VEGF, perioperative anti-VEGF could reduce the difficulty of surgery and reduce the occurrence of postoperative complications, but there were no differences in long-term vision and macular thickness after surgery.</description><identifier>ISSN: 1080-7683</identifier><identifier>EISSN: 1557-7732</identifier><identifier>DOI: 10.1089/jop.2021.0039</identifier><identifier>PMID: 34678098</identifier><language>eng</language><publisher>United States</publisher><subject>Aged ; Aged, 80 and over ; Choroidal Neovascularization - surgery ; Female ; Humans ; Male ; Middle Aged ; Postoperative Complications - epidemiology ; Retrospective Studies ; Vascular Endothelial Growth Factors - antagonists &amp; inhibitors ; Visual Acuity ; Vitrectomy - adverse effects ; Vitrectomy - methods ; Vitreous Hemorrhage - surgery</subject><ispartof>Journal of ocular pharmacology and therapeutics, 2021-12, Vol.37 (10), p.591-596</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c293t-7ea61f3ffe222b1bc1ab9d7014ffd39514734bf368a8bdbaab3abbd01b3c94f63</citedby><cites>FETCH-LOGICAL-c293t-7ea61f3ffe222b1bc1ab9d7014ffd39514734bf368a8bdbaab3abbd01b3c94f63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34678098$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Lishuang</creatorcontrib><creatorcontrib>Qu, Linghui</creatorcontrib><creatorcontrib>Gui, Qian</creatorcontrib><creatorcontrib>Wang, Sangsang</creatorcontrib><creatorcontrib>Mao, Jinghai</creatorcontrib><creatorcontrib>Fu, Xiangxiang</creatorcontrib><creatorcontrib>Li, Wendie</creatorcontrib><creatorcontrib>Wang, Yanyan</creatorcontrib><creatorcontrib>Yi, Quanyong</creatorcontrib><title>Effects of Anti-Vascular Endothelial Growth Factor Drugs Before and After Pars Plana Vitrectomy in Patients with Polypoidal Choroidal Vasculopathy and Vitreous Hemorrhage</title><title>Journal of ocular pharmacology and therapeutics</title><addtitle>J Ocul Pharmacol Ther</addtitle><description>To compare the clinical effects of postoperative versus perioperative injection of anti-vascular endothelial growth factor (VEGF) drugs before and after pars plana vitrectomy (PPV) in patients with vitreous hemorrhage secondary to polypoidal choroidal vasculopathy (PCV). This was a retrospective study of patients who underwent PPV due to vitreous hemorrhage between October 2013 and June 2019 at Ningbo Eye Hospital. The patients who underwent PPV surgery due to PCV-secondary vitreous hemorrhage were included. The primary outcome was the changes in best-corrected visual acuity. The secondary outcome was the central macular thickness. Compared with the postoperative group (  = 20), the perioperative group (  = 18) showed a smaller number of postoperative anti-VEGF injections (5.1 ± 0.8 vs. 8.0 ± 1.5,  &lt; 0.05) and lower frequencies of early hyphema (5.6% vs. 30.0%,  &lt; 0.05), and recurrent vitreous hemorrhage (11.1% vs. 30.0%,  &lt; 0.05). The logarithm of minimal angle resolution (LogMAR) was smaller in the perioperative group compared with the postoperative group at 1 week, 1 month, and 3 months after PPV (  &lt; 0.05), but there were no differences thereafter. Compared with the postoperative group, the perioperative group had thinner fovea at 1 week, 1 month, and 3 months (  &lt; 0.05), but the differences disappeared after 3 months. 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subjects Aged
Aged, 80 and over
Choroidal Neovascularization - surgery
Female
Humans
Male
Middle Aged
Postoperative Complications - epidemiology
Retrospective Studies
Vascular Endothelial Growth Factors - antagonists & inhibitors
Visual Acuity
Vitrectomy - adverse effects
Vitrectomy - methods
Vitreous Hemorrhage - surgery
title Effects of Anti-Vascular Endothelial Growth Factor Drugs Before and After Pars Plana Vitrectomy in Patients with Polypoidal Choroidal Vasculopathy and Vitreous Hemorrhage
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