The Efficacy of Intravitreal Bevacizumab in Vitreous Hemorrhage of Diabetic Subjects

Objectives: To evaluate the efficacy of intravitreal bevacizumab (IVB) in the resolution of vitreous hemorrhage (VH) secondary to proliferative diabetic retinopathy (PDR). Materials and Methods: Seventy eyes of 70 patients (43 male, mean age 55.6±12.2 years) diagnosed with VH secondary to PDR were...

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Main Authors: Cengiz Alagöz, Yusuf Yıldırım, Murat Kocamaz, Ökkeş Baz, Uğur Çiçek, Burcu Çelik, Halil İbrahim Demirkale, Ahmet Taylan Yazıcı, Muhittin Taşkapılı
Format: Article
Language:English
Published: Galenos Yayinevi 2016-10-01
Series:Türk Oftalmoloji Dergisi
Subjects:
Online Access:http://www.oftalmoloji.org/article_11058/The-Efficacy-Of-Intravitreal-Bevacizumab-In-Vitreous-Hemorrhage-Of-Diabetic-Subjects
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author Cengiz Alagöz
Yusuf Yıldırım
Murat Kocamaz
Ökkeş Baz
Uğur Çiçek
Burcu Çelik
Halil İbrahim Demirkale
Ahmet Taylan Yazıcı
Muhittin Taşkapılı
author_facet Cengiz Alagöz
Yusuf Yıldırım
Murat Kocamaz
Ökkeş Baz
Uğur Çiçek
Burcu Çelik
Halil İbrahim Demirkale
Ahmet Taylan Yazıcı
Muhittin Taşkapılı
author_sort Cengiz Alagöz
collection DOAJ
description Objectives: To evaluate the efficacy of intravitreal bevacizumab (IVB) in the resolution of vitreous hemorrhage (VH) secondary to proliferative diabetic retinopathy (PDR). Materials and Methods: Seventy eyes of 70 patients (43 male, mean age 55.6±12.2 years) diagnosed with VH secondary to PDR were evaluated retrospectively. Demographic characteristics of the patients, baseline and final clinical results, and the interventions the patients were subject to were recorded. The patients who received IVB injections (group 1, n=29) were compared to those who did not receive injections (group 2, n=41) in terms of VH clearance time and surgery rates. Results: The mean follow-up time was 14.5±6.1 months in group 1 and 18.4±9.6 months in group 2 (p=0.185). The mean visual acuity was similar between the groups at baseline and at the last visit (for all p>0.05). Panretinal photocoagulation could be applied in 86% of subjects in group 1 and in 58% in group 2 within the first month (p=0.016). VH clearance time was not different between the groups (2.3±2.1 months in group 1 and 3.4±2.6 months in group 2, p=0.146). The number of subjects requiring surgery was 7 (24%) in group 1 and 20 (48.8%) in group 2 (p=0.048). Conclusion: IVB was found effective in cases with VH secondary to PDR in terms of reducing the need for surgery and increasing the rate of subjects to whom panretinal photocoagulation could be applied in the early period, although there was no impact on final visual acuity.
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spelling doaj.art-ea1c00f7714d47c4937fb4682550ea8d2023-02-15T16:17:51ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612016-10-0146522122510.4274/tjo.82542The Efficacy of Intravitreal Bevacizumab in Vitreous Hemorrhage of Diabetic SubjectsCengiz Alagöz0Yusuf Yıldırım1Murat Kocamaz2Ökkeş Baz3Uğur Çiçek4Burcu Çelik5Halil İbrahim Demirkale6Ahmet Taylan Yazıcı7Muhittin Taşkapılı8Beyoğlu Eye Training and Research Hospital, İstanbul, TurkeyBeyoğlu Eye Training and Research Hospital, İstanbul, TurkeyBeyoğlu Eye Training and Research Hospital, İstanbul, TurkeyBeyoğlu Eye Training and Research Hospital, İstanbul, TurkeyBeyoğlu Eye Training and Research Hospital, İstanbul, TurkeyBeyoğlu Eye Training and Research Hospital, İstanbul, TurkeyBeyoğlu Eye Training and Research Hospital, İstanbul, TurkeyBeyoğlu Eye Training and Research Hospital, İstanbul, TurkeyBeyoğlu Eye Training and Research Hospital, İstanbul, TurkeyObjectives: To evaluate the efficacy of intravitreal bevacizumab (IVB) in the resolution of vitreous hemorrhage (VH) secondary to proliferative diabetic retinopathy (PDR). Materials and Methods: Seventy eyes of 70 patients (43 male, mean age 55.6±12.2 years) diagnosed with VH secondary to PDR were evaluated retrospectively. Demographic characteristics of the patients, baseline and final clinical results, and the interventions the patients were subject to were recorded. The patients who received IVB injections (group 1, n=29) were compared to those who did not receive injections (group 2, n=41) in terms of VH clearance time and surgery rates. Results: The mean follow-up time was 14.5±6.1 months in group 1 and 18.4±9.6 months in group 2 (p=0.185). The mean visual acuity was similar between the groups at baseline and at the last visit (for all p>0.05). Panretinal photocoagulation could be applied in 86% of subjects in group 1 and in 58% in group 2 within the first month (p=0.016). VH clearance time was not different between the groups (2.3±2.1 months in group 1 and 3.4±2.6 months in group 2, p=0.146). The number of subjects requiring surgery was 7 (24%) in group 1 and 20 (48.8%) in group 2 (p=0.048). Conclusion: IVB was found effective in cases with VH secondary to PDR in terms of reducing the need for surgery and increasing the rate of subjects to whom panretinal photocoagulation could be applied in the early period, although there was no impact on final visual acuity.http://www.oftalmoloji.org/article_11058/The-Efficacy-Of-Intravitreal-Bevacizumab-In-Vitreous-Hemorrhage-Of-Diabetic-SubjectsProliferative diabetic retinopathyvitreous hemorrhageintravitreal bevacizumab
spellingShingle Cengiz Alagöz
Yusuf Yıldırım
Murat Kocamaz
Ökkeş Baz
Uğur Çiçek
Burcu Çelik
Halil İbrahim Demirkale
Ahmet Taylan Yazıcı
Muhittin Taşkapılı
The Efficacy of Intravitreal Bevacizumab in Vitreous Hemorrhage of Diabetic Subjects
Türk Oftalmoloji Dergisi
Proliferative diabetic retinopathy
vitreous hemorrhage
intravitreal bevacizumab
title The Efficacy of Intravitreal Bevacizumab in Vitreous Hemorrhage of Diabetic Subjects
title_full The Efficacy of Intravitreal Bevacizumab in Vitreous Hemorrhage of Diabetic Subjects
title_fullStr The Efficacy of Intravitreal Bevacizumab in Vitreous Hemorrhage of Diabetic Subjects
title_full_unstemmed The Efficacy of Intravitreal Bevacizumab in Vitreous Hemorrhage of Diabetic Subjects
title_short The Efficacy of Intravitreal Bevacizumab in Vitreous Hemorrhage of Diabetic Subjects
title_sort efficacy of intravitreal bevacizumab in vitreous hemorrhage of diabetic subjects
topic Proliferative diabetic retinopathy
vitreous hemorrhage
intravitreal bevacizumab
url http://www.oftalmoloji.org/article_11058/The-Efficacy-Of-Intravitreal-Bevacizumab-In-Vitreous-Hemorrhage-Of-Diabetic-Subjects
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