KMID : 0360220090500081232
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Journal of the Korean Ophthalmological Society 2009 Volume.50 No. 8 p.1232 ~ p.1236
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The Efficacy of Intravitreal Bevacizumab in the Treatment of Macular Edema
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Moon Sun-Kyung
Lee Jeong-Hee Lee Soo-Young
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Abstract
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Purpose: To investigate the efficacy in best corrected visual acuity (BCVA) and central macularthickness after intravitreal bevacizumab injection in patients with macular edema. Methods: Patients with macular edema due to branch retinal vein occlusion, central retinal vein occlusion, and diabetic retinopathy received intravitreal injection of bevacizumab (2.5 mg/0.1cc). Complete ophthalmic examinations including best corrected visual acuity and optical coherence tomography (OCT) were performed at baseline and follow-up visits for 6 months. Results: In macular edema secondary to branch retinal vein occlusion, the mean BCVA improved from logMAR 0.62¡¾0.30 at baseline to logMAR 0.43¡¾0.37 at 1 month, 0.34¡¾0.40 at 3 months and 0.38¡¾0.37 at 6 months (p<0.05). The mean central macular thickness decreased from 451.2¡¾118.9 ¥ìm at baseline to 280.3¡¾124.6 ¥ìm at 1 month, 345.8¡¾157.1 ¥ìm at 3 months and 312.9¡¾174.4 ¥ìm at 6 months (p<0.05). In macular edema secondary to central retinal vein occlusion and diabetic retinopathy, visual improvement and macular thickness reduction were not statistically significant. Conclusions: Intravitreal bevacizumab injection appears to be more effective for macular edema due to branch retinal vein occlusion than macular edema secondary to central retinal vein occlusion and diabetic retinopathy.
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KEYWORD
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Bavacizumab, Diabetic retinopathy, Macular edema, Retinal vein occlusion
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