Effect on anterior chamber bevacizumab injection combined with seton implantation in treatment of rubeosis iridis in neovascular glaucoma. 2012

Ayse Gul Kocak Altintas, and Hasan Basri Arifoglu, and Esen Tutar, and Gultekin Koklu, and Pehmen Yasin Ozcan
S.B. Ulucanlar Eye Research and Education Hospital, Ophthalmology Department, Ankara, Turkey.

OBJECTIVE To evaluate the effect of anti-VEGF (bevacizumab) injection to the posterior chamber (BIPC) behind the iris combined with seton implantation in treatment of neovascular glaucoma (NVG). METHODS Twenty-eight eyes with NVG who underwent BIPC, prospectively evaluated. Anterior segment photographs were taken for grading of neovascularization on anterior segment in pretreatment period and at each follow-up. Grading and regression of rubeosis iridis was classified according to Teich and Walsh grading system and glaucoma filtration surgery with drainage device was performed following BIPC. RESULTS The mean pre-BIPC IOP was 39.71 ± 7.09 mmHg, post-BIPC IOP in the 1st, 2nd day, 1st week, 1st, 3rd, 6th month were 19.7 ± 8.9 mmHg, 13.5 ± 6.7 mmHg, 9.9 ± 3.4 mmHg, 13.07 ± 5.3 mmHg, 16.6 ± 5.03 mmHg, 18.5 ± 3.8 mmHg, respectively. Twenty seven eyes underwent seton implantation surgery. No one had anterior segment bleeding during surgery. The pre-BIPC grades were Grade 4: 67.58%, Grade 3: 28.57%, Grade 2: 3.57%, no one had Grade 1or Grade 0, while post BIPC grade were at the 1st week Grade 1: 64.28%, Grade 0: 35.71%, no one had Grade 2 or more, at 1st month Grade 2: 3.57%, Grade 1: 39.28%, Grade 0: 57.14%, at 3rd month Grade 2: 17.85% Grade 1: 28.57%, Grade 0: 53.57%, no one had Grade 3 or more both in first and the third month, at 6th month Grade 3: 7.14%, Grade 2: 28.57%, Grade 1: 42.85%, Grade 0: 21.42%. and no one had Grade 4. CONCLUSIONS Significant reduction of NV was observed during the first week. Minimal increasement was seen in third month, significant regression effect persisted for 6 months. BIPC inhibited the peroperative risk of anterior segment bleeding, increased the surgical comfort and prevented the failure of filtration procedure by inhibiting reproliferation.

UI MeSH Term Description Entries
D007267 Injections Introduction of substances into the body using a needle and syringe. Injectables,Injectable,Injection
D007500 Iritis Inflammation of the iris characterized by circumcorneal injection, aqueous flare, keratotic precipitates, and constricted and sluggish pupil along with discoloration of the iris. Iritides
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000068258 Bevacizumab An anti-VEGF humanized murine monoclonal antibody. It inhibits VEGF RECEPTORS and helps to prevent PATHOLOGIC ANGIOGENESIS. Avastin,Bevacizumab-awwb,Mvasi,Bevacizumab awwb
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000867 Anterior Chamber The space in the eye, filled with aqueous humor, bounded anteriorly by the cornea and a small portion of the sclera and posteriorly by a small portion of the ciliary body, the iris, and that part of the crystalline lens which presents through the pupil. (Cline et al., Dictionary of Visual Science, 4th ed, p109) Anterior Chambers,Chamber, Anterior,Chambers, Anterior

Related Publications

Ayse Gul Kocak Altintas, and Hasan Basri Arifoglu, and Esen Tutar, and Gultekin Koklu, and Pehmen Yasin Ozcan
April 1977, American journal of ophthalmology,
Ayse Gul Kocak Altintas, and Hasan Basri Arifoglu, and Esen Tutar, and Gultekin Koklu, and Pehmen Yasin Ozcan
November 1979, Journal francais d'ophtalmologie,
Ayse Gul Kocak Altintas, and Hasan Basri Arifoglu, and Esen Tutar, and Gultekin Koklu, and Pehmen Yasin Ozcan
January 1987, Klinische Monatsblatter fur Augenheilkunde,
Ayse Gul Kocak Altintas, and Hasan Basri Arifoglu, and Esen Tutar, and Gultekin Koklu, and Pehmen Yasin Ozcan
November 1972, American journal of ophthalmology,
Ayse Gul Kocak Altintas, and Hasan Basri Arifoglu, and Esen Tutar, and Gultekin Koklu, and Pehmen Yasin Ozcan
July 1998, Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft,
Ayse Gul Kocak Altintas, and Hasan Basri Arifoglu, and Esen Tutar, and Gultekin Koklu, and Pehmen Yasin Ozcan
April 1977, The British journal of ophthalmology,
Ayse Gul Kocak Altintas, and Hasan Basri Arifoglu, and Esen Tutar, and Gultekin Koklu, and Pehmen Yasin Ozcan
April 2019, Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie,
Ayse Gul Kocak Altintas, and Hasan Basri Arifoglu, and Esen Tutar, and Gultekin Koklu, and Pehmen Yasin Ozcan
September 1978, American journal of ophthalmology,
Ayse Gul Kocak Altintas, and Hasan Basri Arifoglu, and Esen Tutar, and Gultekin Koklu, and Pehmen Yasin Ozcan
January 2013, Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde,
Ayse Gul Kocak Altintas, and Hasan Basri Arifoglu, and Esen Tutar, and Gultekin Koklu, and Pehmen Yasin Ozcan
January 1992, Acta Universitatis Palackianae Olomucensis Facultatis Medicae,
Copied contents to your clipboard!