Intracameral bevacizumab and mitomycin C Trabeculectomy for eyes with neovascular glaucoma: a case series

The purpose of this study was to describe the surgical outcomes and safety of intracameral bevacizumab during trabeculectomy in eyes with neovascular glaucoma. Pilot study included four eyes (four patients) with refractory neovascular glaucoma submitted to fornix-based trabeculectomy with adjunctive...

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Veröffentlicht in:Journal of ocular biology, diseases, and informatics diseases, and informatics, 2009-03, Vol.2 (1), p.40-46
Hauptverfasser: de Moraes, Carlos Gustavo Vasconcelos, Facio, Antonio Carlos, Costa, José Humberto, Malta, Roberto Freire Santiago
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container_title Journal of ocular biology, diseases, and informatics
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creator de Moraes, Carlos Gustavo Vasconcelos
Facio, Antonio Carlos
Costa, José Humberto
Malta, Roberto Freire Santiago
description The purpose of this study was to describe the surgical outcomes and safety of intracameral bevacizumab during trabeculectomy in eyes with neovascular glaucoma. Pilot study included four eyes (four patients) with refractory neovascular glaucoma submitted to fornix-based trabeculectomy with adjunctive use of bevacizumab in the anterior chamber during the procedure. Patients were previously treated with panretinal photocoagulation as standard therapy. Variables evaluated were intraocular pressure, bleb appearance, iris neovascularization, intraoperative/postoperative complications, and visual outcomes. No intraoperative complication was observed. The mean follow-up period was 12.75 (range, 12–15 months). All eyes showed significant intraocular pressure control postoperatively. Iris neovascularization reduced significantly within 1 month after surgery. Mild anterior chamber inflammation was observed during follow-up in all eyes. No significant postoperative complication was observed, and no patient presented visual acuity deterioration. Intracameral bevacizumab may be used as an adjunctive therapy during trabeculectomy in eyes with neovascular glaucoma.
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subjects Health Informatics
Medicinal Chemistry
Medicine
Medicine & Public Health
Neurobiology
Neurochemistry
Neurology
Ophthalmology
Technical Perspectives
Technical s
title Intracameral bevacizumab and mitomycin C Trabeculectomy for eyes with neovascular glaucoma: a case series
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