Wu L, Evans T, Arevalo JF, Sanchez JG, Garcia-Amaris RA, Zeballos DG, Espinoza JV, Farah M, Maia M, Aggio FB, Quiroz-Mercado H, Fromow-Guerra J, Morales-Canton V, Guerrero-Naranjo JL, Rodriguez FJ, Infante R, Flores S, Medina D, Berrocal MH, Cruz-Villegas V, Graue-Wiechers F, Lozano-Rechy D, Robledo V, Rodriguez-Loaiza JL, Roca JA, Reategui G, Saravia MJ, Martinez-Cartier M, Avila M, Costa RA, Cardillo J, Verdaguer T J, Carpentier C, Verdaguer JI, Filsecker DL, Sepúlveda G.
- Retina and Vitreous Service, Clinica Oftalmológica Centro Caracas, Caracas, Venezuela. email@example.com
To determine the feasibility, safety, and clinical effect of intravitreal (IVT) bevacizumab (Avastin; Genentech, Inc., San Francisco, CA) in patients with refractory cystoid macular edema (CME) after cataract surgery.
Interventional, retrospective, multicenter study.
Thirty-six eyes of 31 patients with refractory CME after cataract surgery and with a mean age of 68.2 years (range, 67-87 years).
Patients were treated with at least 1 IVT injection of 1.25 or 2.5 mg bevacizumab. Patients were followed up for 12 months.
MAIN OUTCOME MEASURES:
Best-corrected visual acuity (BCVA) and central macular thickness (CMT) by optical coherence tomography (OCT).
Twenty-six eyes (72.2%) demonstrated improvement of BCVA (> or =2 Early Treatment Diabetic Retinopathy Study [ETDRS] lines), and no eye experienced worsening of visual acuity (> or =2 ETDRS lines). Mean baseline BCVA was 20/200 (0.96 logarithm of the minimum angle of resolution [logMAR] units), and the mean 12-month BCVA was 20/80 (0.62 logMAR units; P<0.0001). Optical coherence tomography demonstrated that mean CMT at baseline was 499.9 microm (range, 298-784 microm) and decreased to a mean of 286.1 microm (range, 168-499 microm) at 12 months (P<0.0001). Four (11%) eyes received 2 injections, 10 (27.8%) eyes received 3 injections, 10 (27.8%) eyes received 4 injections, 1 (2.8%) eye received 5 injections, and 1 (2.8%) eye received 6 injections. The mean number of injections was 2.7 (range, 1-6), and the mean interval between injections was 15.1 weeks (range, 4-45 weeks). No ocular or systemic adverse events were observed.
Short-term results suggest that IVT bevacizumab is well tolerated in patients with refractory pseudophakic CME. Treated eyes had a significant improvement in BCVA and decrease in macular thickness by OCT at 12 months.