Triamcinolone Acetonide as an Adjunct to Bevacizumab for Prevention of Corneal Neovascularization in a Rat Model

Purpose: To evaluate the short-term effects of a single subconjunctival injection of triamcinolone acetonide as an adjunct to subconjunctival bevacizumab for prevention of corneal neovascularization in rats. Methods: Chemical cauterization was performed in the central cornea of the right eye in 48...

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Main Authors: Hadi Z Mehrjardi, Reza Ghaffari, Mirgholamreza Mahbod, Hassan Hashemi
Format: Article
Language:English
Published: Knowledge E 2014-01-01
Series:Journal of Ophthalmic & Vision Research
Subjects:
Online Access:http://www.jovr.org/article.asp?issn=2008-322X;year=2014;volume=9;issue=2;spage=162;epage=168;aulast=Mehrjardi
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author Hadi Z Mehrjardi
Reza Ghaffari
Mirgholamreza Mahbod
Hassan Hashemi
author_facet Hadi Z Mehrjardi
Reza Ghaffari
Mirgholamreza Mahbod
Hassan Hashemi
author_sort Hadi Z Mehrjardi
collection DOAJ
description Purpose: To evaluate the short-term effects of a single subconjunctival injection of triamcinolone acetonide as an adjunct to subconjunctival bevacizumab for prevention of corneal neovascularization in rats. Methods: Chemical cauterization was performed in the central cornea of the right eye in 48 male Sprague-Dawley rats (4 eyes were excluded due to perforation and/ or infection). Immediately after the injury, the rats were randomly assigned to four treatment groups: controls (n=10), received subconjunctival injection of 0.02 mL balanced salt solution; group 1 (n=12), received 0.02 mL bevacizumab (25 mg/mL); group 2 (n=11), were treated with 0.02 mL triamcinolone acetonide (40 mg/mL); and group 3 (n=11), received both bevacizumab and triamcinolone acetonide. On days 7 and 14 after cauterization, digital photographs of the corneas were taken and the area of neovascularization was calculated and compared among the study groups. Results: The area of corneal neovascularization in all three treatment groups was less than the controls (P<0.05 for all comparisons). On day 7, the corneal avascular area was largest in group 3 (63%). On day 14, the area of corneal neovascularization in groups 2 and 3 was smaller than that in group 1 (P=0.031 and 0.011, respectively), but the difference between groups 2 and 3 was not statistically significant (P=0.552). Microscopic evaluation of the cornea was compatible with gross findings; inflammation and the number of new vessels was the least in group 3. Conclusion: Triamcinolone acetonide was more effective than bevacizumab in inhibiting corneal neovascularization. Its adjunctive administration to bevacizumab resulted in even better prevention of corneal neovascularization. However, the produced combined effect was less than the sum of their separate effects and did not match additive or synergistic interactions.
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spelling doaj.art-c15f063f1f084ad0b9994c95cec5f9eb2022-12-22T03:27:00ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2014-01-0192162168Triamcinolone Acetonide as an Adjunct to Bevacizumab for Prevention of Corneal Neovascularization in a Rat ModelHadi Z MehrjardiReza GhaffariMirgholamreza MahbodHassan HashemiPurpose: To evaluate the short-term effects of a single subconjunctival injection of triamcinolone acetonide as an adjunct to subconjunctival bevacizumab for prevention of corneal neovascularization in rats. Methods: Chemical cauterization was performed in the central cornea of the right eye in 48 male Sprague-Dawley rats (4 eyes were excluded due to perforation and/ or infection). Immediately after the injury, the rats were randomly assigned to four treatment groups: controls (n=10), received subconjunctival injection of 0.02 mL balanced salt solution; group 1 (n=12), received 0.02 mL bevacizumab (25 mg/mL); group 2 (n=11), were treated with 0.02 mL triamcinolone acetonide (40 mg/mL); and group 3 (n=11), received both bevacizumab and triamcinolone acetonide. On days 7 and 14 after cauterization, digital photographs of the corneas were taken and the area of neovascularization was calculated and compared among the study groups. Results: The area of corneal neovascularization in all three treatment groups was less than the controls (P<0.05 for all comparisons). On day 7, the corneal avascular area was largest in group 3 (63%). On day 14, the area of corneal neovascularization in groups 2 and 3 was smaller than that in group 1 (P=0.031 and 0.011, respectively), but the difference between groups 2 and 3 was not statistically significant (P=0.552). Microscopic evaluation of the cornea was compatible with gross findings; inflammation and the number of new vessels was the least in group 3. Conclusion: Triamcinolone acetonide was more effective than bevacizumab in inhibiting corneal neovascularization. Its adjunctive administration to bevacizumab resulted in even better prevention of corneal neovascularization. However, the produced combined effect was less than the sum of their separate effects and did not match additive or synergistic interactions.http://www.jovr.org/article.asp?issn=2008-322X;year=2014;volume=9;issue=2;spage=162;epage=168;aulast=MehrjardiCorneal Neovascularization; Triamcinolone Acetonide; Subconjunctival Bevacizumab Adjunctive Therapy; Neovascularization Inhibition
spellingShingle Hadi Z Mehrjardi
Reza Ghaffari
Mirgholamreza Mahbod
Hassan Hashemi
Triamcinolone Acetonide as an Adjunct to Bevacizumab for Prevention of Corneal Neovascularization in a Rat Model
Journal of Ophthalmic & Vision Research
Corneal Neovascularization; Triamcinolone Acetonide; Subconjunctival Bevacizumab Adjunctive Therapy; Neovascularization Inhibition
title Triamcinolone Acetonide as an Adjunct to Bevacizumab for Prevention of Corneal Neovascularization in a Rat Model
title_full Triamcinolone Acetonide as an Adjunct to Bevacizumab for Prevention of Corneal Neovascularization in a Rat Model
title_fullStr Triamcinolone Acetonide as an Adjunct to Bevacizumab for Prevention of Corneal Neovascularization in a Rat Model
title_full_unstemmed Triamcinolone Acetonide as an Adjunct to Bevacizumab for Prevention of Corneal Neovascularization in a Rat Model
title_short Triamcinolone Acetonide as an Adjunct to Bevacizumab for Prevention of Corneal Neovascularization in a Rat Model
title_sort triamcinolone acetonide as an adjunct to bevacizumab for prevention of corneal neovascularization in a rat model
topic Corneal Neovascularization; Triamcinolone Acetonide; Subconjunctival Bevacizumab Adjunctive Therapy; Neovascularization Inhibition
url http://www.jovr.org/article.asp?issn=2008-322X;year=2014;volume=9;issue=2;spage=162;epage=168;aulast=Mehrjardi
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AT mirgholamrezamahbod triamcinoloneacetonideasanadjuncttobevacizumabforpreventionofcornealneovascularizationinaratmodel
AT hassanhashemi triamcinoloneacetonideasanadjuncttobevacizumabforpreventionofcornealneovascularizationinaratmodel