Comparison between intravitreal Ranibizumab and Tramicinolone acetonide for macular edema secondary to central retinal vein occlusion

AIM:To compare the efficacy and safety of intravitreal ranibizumab to those of triamcinolone acetonide(TA)injection for the treatment of macular edema secondary to central retinal vein occlusion(CRVO).<p>METHODS:This retrospective study included 40 eyes of 40 patients with macular edema associ...

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Main Authors: Miao Zeng, Zhong-Shan Chen, Yan-Ping Song
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2014-08-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://www.ies.net.cn/cn_publish/2014/8/201408023.pdf
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author Miao Zeng
Zhong-Shan Chen
Yan-Ping Song
author_facet Miao Zeng
Zhong-Shan Chen
Yan-Ping Song
author_sort Miao Zeng
collection DOAJ
description AIM:To compare the efficacy and safety of intravitreal ranibizumab to those of triamcinolone acetonide(TA)injection for the treatment of macular edema secondary to central retinal vein occlusion(CRVO).<p>METHODS:This retrospective study included 40 eyes of 40 patients with macular edema associated with CRVO. Twenty patients 20 eyes were treated with intravitreal injection of triamcinolone acetonide(1mg, 0.1mL), the other 20 patients 20 eyes accepted intravitreal ranibizumab(0.5mg, 0.05mL). The change of best corrected visual acuity(BCVA), central macular thickness(CMT), and intraocular pressure(IOP)before treatment and at 1, 2wk, 1, 2,3,6mo post-injection in the two groups were observed. <p>RESULTS:BCVA was improved at 1, 2wk, 1, 2,3,6mo post-injection in the TA group(<i>P</i><0.05)and ranibizumab group(<i>P</i><0.05). No significant difference was found between the two groups(<i>P</i>>0.05). CMT decreased significantly within each group(<i>P</i><0.05), and no significant difference between groups was found(<i>P</i>>0.05). In the TA group, the IOP was significantly higher at 2wk and 4wk than before treatment(<i>P</i><0.05). In the ranibizumab group, no elevated IOP was observed at 1, 2wk, 1, 2,3,6mo(<i>P</i>>0.05). However, the IOP at 1mo was significantly higher in the TA group than that in the ranibizumb group(<i>P</i><0.05). <p>CONCLUSION:Intravitreal ranibizumab is an effective and safe treatment method for macular edema secondary to CRVO. It can effectively improve BCVA and reduce CMT without ocular and systemic complications compared with intravitreal TA.
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spelling doaj.art-23de4bc63a064ac39bac7a58a21ae7522022-12-22T01:16:52ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232014-08-011481454145710.3980/j.issn.1672-5123.2014.08.23Comparison between intravitreal Ranibizumab and Tramicinolone acetonide for macular edema secondary to central retinal vein occlusionMiao Zeng0Zhong-Shan Chen1Yan-Ping Song2Ophthalmic Center, Wuhan General Hospital of Guangzhou Military, Wuhan 430070, Hubei Province, ChinaOphthalmic Center, Wuhan General Hospital of Guangzhou Military, Wuhan 430070, Hubei Province, ChinaOphthalmic Center, Wuhan General Hospital of Guangzhou Military, Wuhan 430070, Hubei Province, ChinaAIM:To compare the efficacy and safety of intravitreal ranibizumab to those of triamcinolone acetonide(TA)injection for the treatment of macular edema secondary to central retinal vein occlusion(CRVO).<p>METHODS:This retrospective study included 40 eyes of 40 patients with macular edema associated with CRVO. Twenty patients 20 eyes were treated with intravitreal injection of triamcinolone acetonide(1mg, 0.1mL), the other 20 patients 20 eyes accepted intravitreal ranibizumab(0.5mg, 0.05mL). The change of best corrected visual acuity(BCVA), central macular thickness(CMT), and intraocular pressure(IOP)before treatment and at 1, 2wk, 1, 2,3,6mo post-injection in the two groups were observed. <p>RESULTS:BCVA was improved at 1, 2wk, 1, 2,3,6mo post-injection in the TA group(<i>P</i><0.05)and ranibizumab group(<i>P</i><0.05). No significant difference was found between the two groups(<i>P</i>>0.05). CMT decreased significantly within each group(<i>P</i><0.05), and no significant difference between groups was found(<i>P</i>>0.05). In the TA group, the IOP was significantly higher at 2wk and 4wk than before treatment(<i>P</i><0.05). In the ranibizumab group, no elevated IOP was observed at 1, 2wk, 1, 2,3,6mo(<i>P</i>>0.05). However, the IOP at 1mo was significantly higher in the TA group than that in the ranibizumb group(<i>P</i><0.05). <p>CONCLUSION:Intravitreal ranibizumab is an effective and safe treatment method for macular edema secondary to CRVO. It can effectively improve BCVA and reduce CMT without ocular and systemic complications compared with intravitreal TA.http://www.ies.net.cn/cn_publish/2014/8/201408023.pdfranibizumabmacular edemacentral retinal vein occlusiontriamcinolone acetonide
spellingShingle Miao Zeng
Zhong-Shan Chen
Yan-Ping Song
Comparison between intravitreal Ranibizumab and Tramicinolone acetonide for macular edema secondary to central retinal vein occlusion
Guoji Yanke Zazhi
ranibizumab
macular edema
central retinal vein occlusion
triamcinolone acetonide
title Comparison between intravitreal Ranibizumab and Tramicinolone acetonide for macular edema secondary to central retinal vein occlusion
title_full Comparison between intravitreal Ranibizumab and Tramicinolone acetonide for macular edema secondary to central retinal vein occlusion
title_fullStr Comparison between intravitreal Ranibizumab and Tramicinolone acetonide for macular edema secondary to central retinal vein occlusion
title_full_unstemmed Comparison between intravitreal Ranibizumab and Tramicinolone acetonide for macular edema secondary to central retinal vein occlusion
title_short Comparison between intravitreal Ranibizumab and Tramicinolone acetonide for macular edema secondary to central retinal vein occlusion
title_sort comparison between intravitreal ranibizumab and tramicinolone acetonide for macular edema secondary to central retinal vein occlusion
topic ranibizumab
macular edema
central retinal vein occlusion
triamcinolone acetonide
url http://www.ies.net.cn/cn_publish/2014/8/201408023.pdf
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