KMID : 0360220110520060702
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Journal of the Korean Ophthalmological Society 2011 Volume.52 No. 6 p.702 ~ p.708
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Prophylactic Effects of a Fixed Dorsolamide/Timolol Combination on IOP Elevation before Intravitreal Anti-VEGF Injection
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Lim Young-Jin
Kim Jong-Myong Han Yong-Seop Chung In-Young Park Jong-Moon
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Abstract
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Purpose: The purpose of the present study was to investigate the prophylactic effects of a fixed combination of dorsolamide/ timolol on intraocular pressure (IOP) elevation before intravitreal anti-VEGF injection.
Methods: A prospective, randomized clinical trial was conducted on 91 eyes of 91 patients undergoing intravitreal anti- VEGF injection. The eyes were randomly divided into 2 groups, the eyes which had used the fixed prophylactic dorsolamide/ timolol combination (group 1, 58 eyes) and the eyes which had not used the combination (group 2, 15 eyes). The IOP was measured one hour and 5 minutes prior to the procedure, 5 minutes interval up to 30 minutes after the procedure and one hour, 1 day, 7 days, and one month after the procedure. The IOP changes were analyzed.
Results: The mean 5 minutes and 30 minutes postoperative IOPs were 14.12 ¡¾ 4.18 mm Hg and 10.87 ¡¾ 1.58 mm Hg in group 1 and 28.21 ¡¾ 3.16 mm Hg and 17.48 ¡¾ 2.34 mm Hg in group 2, respectively. After IVBI, the mean 5 min postoperative IOP was 12.17 ¡¾ 1.13 mm Hg in group 1 and 27.12 ¡¾ 3.35 mm Hg in group 2. After IVRI, the mean 5 minutes postoperative IOP was 15.98 ¡¾ 4.14 mm Hg in group 1 and 25.19 ¡¾ 1.04 mm Hg in group 2.
Conclusions: Prophylactic use of a fixed dorsolamide/timolol combination before intravitreal anti-VEGF injection is an easy and safe method of preventing IOP elevation immediately after intravitreal injection of bevacizumab or ranibizumab.
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KEYWORD
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Bevacizumab, Dorsolamide, IOP, Ranibizumab, Timolol
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