Foveal and Retinal Nerve Fiber Layer Thickness in Children With a History of Retinopathy of Prematurity Treated With Bevacizumab: A Cross-sectional Study

Objectives: This study aimed to investigate the effects of bevacizumab (an anti-VEGF antibody) on the structure of retina such as the thickness of the nerve fiber layer and macula with optical coherence tomography (OCT) in retinopathy of prematurity (ROP) patients. Materials and Methods: This cross-...

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Main Authors: Amir Eftekhari Milani, Bahareh Javani, Mohamadhosein Ahoor, Mehdi Abdi Shahshahani, Fereshteh Farhadi
Format: Article
Language:English
Published: Aras Part Medical International Press 2023-10-01
Series:Crescent Journal of Medical and Biological Sciences
Subjects:
Online Access:http://www.cjmb.org/pdf.php?id=615
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author Amir Eftekhari Milani
Bahareh Javani
Mohamadhosein Ahoor
Mehdi Abdi Shahshahani
Fereshteh Farhadi
author_facet Amir Eftekhari Milani
Bahareh Javani
Mohamadhosein Ahoor
Mehdi Abdi Shahshahani
Fereshteh Farhadi
author_sort Amir Eftekhari Milani
collection DOAJ
description Objectives: This study aimed to investigate the effects of bevacizumab (an anti-VEGF antibody) on the structure of retina such as the thickness of the nerve fiber layer and macula with optical coherence tomography (OCT) in retinopathy of prematurity (ROP) patients. Materials and Methods: This cross-sectional study was conducted in 2021-2022 in Tabriz, Iran to investigate preterm children aged 4-6 years. To this end, a total of 300 eyes of 150 children were assigned to three groups and then were examined by performing Fundus examination of retina, eye refraction test, and OCT imaging. The first group included 100 eyes with a history of ROP and treated with bevacizumab, the second group consisted of 100 eyes with a history of ROP but improved spontaneously, and the third group comprised 100 eyes of preterm children without a history of ROP. Results: Foveal thickness was 235.46 ± 11 µm in the group receiving bevacizumab, 267.70 ± 12 µm in the group with spontaneous improvement of ROP, and 269.48 ± 10 µm in the group with no ROP. Therefore, the mean thickness of the fovea in the group receiving bevacizumab was significantly lower than that in the other two groups. In the group receiving bevacizumab, moreover, the thickness of the nerve layer of the retina was less than that in the other two groups (P<0.005). Conclusions: In sum, a greater understanding of the development of premature fovea was achieved, which may have facilitated identifying the possible clinical and long-term effects of these abnormal changes on adulthood visual acuity. It was recommended that further studies should be carried out to compare laser-treated eyes in order for expanding the scientific understanding of the development of premature fovea and other aspects of ROP, which may have decreased the preventable blindness rate.
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spelling doaj.art-329d0efd88bd4fcfb55aa959ddd9e8042023-09-17T11:12:40ZengAras Part Medical International PressCrescent Journal of Medical and Biological Sciences2148-96962023-10-0110416917510.34172/cjmb.2023.27CJMB-10087Foveal and Retinal Nerve Fiber Layer Thickness in Children With a History of Retinopathy of Prematurity Treated With Bevacizumab: A Cross-sectional StudyAmir Eftekhari Milani0Bahareh Javani1Mohamadhosein Ahoor2Mehdi Abdi Shahshahani3Fereshteh Farhadi4Nikookari Eye Center, Tabriz University of Medical Sciences, Tabriz, Iran.Nikookari Eye Center, Tabriz University of Medical Sciences, Tabriz, Iran.Nikookari Eye Center, Tabriz University of Medical Sciences, Tabriz, Iran.Nikookari Eye Center, Tabriz University of Medical Sciences, Tabriz, Iran.Nikookari Eye Center, Tabriz University of Medical Sciences, Tabriz, Iran.Objectives: This study aimed to investigate the effects of bevacizumab (an anti-VEGF antibody) on the structure of retina such as the thickness of the nerve fiber layer and macula with optical coherence tomography (OCT) in retinopathy of prematurity (ROP) patients. Materials and Methods: This cross-sectional study was conducted in 2021-2022 in Tabriz, Iran to investigate preterm children aged 4-6 years. To this end, a total of 300 eyes of 150 children were assigned to three groups and then were examined by performing Fundus examination of retina, eye refraction test, and OCT imaging. The first group included 100 eyes with a history of ROP and treated with bevacizumab, the second group consisted of 100 eyes with a history of ROP but improved spontaneously, and the third group comprised 100 eyes of preterm children without a history of ROP. Results: Foveal thickness was 235.46 ± 11 µm in the group receiving bevacizumab, 267.70 ± 12 µm in the group with spontaneous improvement of ROP, and 269.48 ± 10 µm in the group with no ROP. Therefore, the mean thickness of the fovea in the group receiving bevacizumab was significantly lower than that in the other two groups. In the group receiving bevacizumab, moreover, the thickness of the nerve layer of the retina was less than that in the other two groups (P<0.005). Conclusions: In sum, a greater understanding of the development of premature fovea was achieved, which may have facilitated identifying the possible clinical and long-term effects of these abnormal changes on adulthood visual acuity. It was recommended that further studies should be carried out to compare laser-treated eyes in order for expanding the scientific understanding of the development of premature fovea and other aspects of ROP, which may have decreased the preventable blindness rate.http://www.cjmb.org/pdf.php?id=615retinopathy of prematuritybevacizumabfoveal thicknessrnfl thickness
spellingShingle Amir Eftekhari Milani
Bahareh Javani
Mohamadhosein Ahoor
Mehdi Abdi Shahshahani
Fereshteh Farhadi
Foveal and Retinal Nerve Fiber Layer Thickness in Children With a History of Retinopathy of Prematurity Treated With Bevacizumab: A Cross-sectional Study
Crescent Journal of Medical and Biological Sciences
retinopathy of prematurity
bevacizumab
foveal thickness
rnfl thickness
title Foveal and Retinal Nerve Fiber Layer Thickness in Children With a History of Retinopathy of Prematurity Treated With Bevacizumab: A Cross-sectional Study
title_full Foveal and Retinal Nerve Fiber Layer Thickness in Children With a History of Retinopathy of Prematurity Treated With Bevacizumab: A Cross-sectional Study
title_fullStr Foveal and Retinal Nerve Fiber Layer Thickness in Children With a History of Retinopathy of Prematurity Treated With Bevacizumab: A Cross-sectional Study
title_full_unstemmed Foveal and Retinal Nerve Fiber Layer Thickness in Children With a History of Retinopathy of Prematurity Treated With Bevacizumab: A Cross-sectional Study
title_short Foveal and Retinal Nerve Fiber Layer Thickness in Children With a History of Retinopathy of Prematurity Treated With Bevacizumab: A Cross-sectional Study
title_sort foveal and retinal nerve fiber layer thickness in children with a history of retinopathy of prematurity treated with bevacizumab a cross sectional study
topic retinopathy of prematurity
bevacizumab
foveal thickness
rnfl thickness
url http://www.cjmb.org/pdf.php?id=615
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