KMID : 0360220100510081071
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Journal of the Korean Ophthalmological Society 2010 Volume.51 No. 8 p.1071 ~ p.1076
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Intravitreal Triamcinolone Versus Bevacizumab for Treatment of Macular Edema Secondary to Branch Retinal Vein Occlusion
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Kim Ho-Soong
Moon Sang-Jeong Kang Jae-Hoon Yoon Hee-Sung
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Abstract
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Purpose: To compare clinical outcomes after intravitreal injection of triamcinolone acetonide or bevacizumab for the treatment of macular edema secondary to branch retinal vein occlusion.
Methods: Sixty-six patients received an intravitreal injection of either triamcinolone acetonide or bevacizumab. Patients were retrospectively reviewed. Thirty-three out of 66 patients were treated with an intravitreal injection of triamcinolone acetonide, while the other 33 patients received a bevacizumab injection. All patients underwent a visual acuity test, optical coherence tomography imaging and ophthalmoscopic examination throughout the follow-up.
Results: In the triamcinolone group, central macular thickness (CMT) decreased from 496.69 ¡¾ 153.01 ¥ìm at baseline to 313.06 ¡¾ 150.14 ¥ìm at the six-month follow-up visit, while in the bevacizumab group, CMT decreased from 441.30 ¡¾ 185.79 ¥ìm to 295.67 ¡¾ 188.80 ¥ìm (p£¼0.05). In the triamcinolone group, best-corrected visual acuity (BCVA) improved from logMAR 0.92 ¡¾ 0.70 at baseline to logMAR 0.53 ¡¾ 0.43 at the six-month follow-up visit, and in the bevacizumab group, BCVA improved from logMAR 0.74 ¡¾ 0.47 to logMAR 0.34 ¡¾ 0.33 (p£¼0.05).
Conclusions: The therapeutic effects of intravitreal triamcinolone acetonide showed no significant differences compared with those of intravitreal bevacizumab with regard to anatomical and functional outcomes. J Korean Ophthalmol Soc 2010;51(8):1071-1076
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KEYWORD
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Bevacizumab, Branch retinal vein occlusion, Macular edema, Triamcinolone
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