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Type: Journal article
Title: Acute intraocular inflammation after intravitreous injections of bevacizumab for treatment of neovascular age-related macular degeneration
Author: Wickremasinghe, S.
Michalova, K.
Gilhotra, J.
Guymer, R.
Harper, C.
Wong, T.
Qureshi, S.
Citation: Ophthalmology, 2008; 115(11):1911-1915
Publisher: Elsevier Science Inc
Issue Date: 2008
ISSN: 0161-6420
Statement of
Sanjeewa S. Wickremasinghe, Kira Michalova, Jagjit Gilhotra, Robyn H. Guymer, C. Alex Harper, Tien Y. Wong and Salmaan Qureshi
Abstract: Purpose: Bevacizumab is an inhibitor of vascular endothelial growth factor widely used as an “off-label” treatment of neovascular age-related macular degeneration (AMD), despite the lack of clinical trial data on efficacy or safety of this drug. We describe acute intraocular inflammation after intravitreous injection of bevacizumab for the treatment of neovascular AMD. Design: A retrospective case series. Participants: Patients with neovascular AMD treated with intravitreous injection of bevacizumab from clinical practices in 2 states (Victoria and South Australia) in Australia. Methods: We retrospectively reviewed cases of acute intraocular inflammation after intravitreous injection of bevacizumab for the treatment of neovascular AMD. Main Outcome Measures: The detection and description of inflammation in a large cohort of patients. Results: There were 14 cases (11 women and 3 men), from a total of 1278 injections given. The mean age of patients was 83.7 years (range, 74–98). The majority had a prior injection of bevacizumab, with a mean number of injections of 2.7 (range, 1–6). Most patients presented within 24 hours of intravitreous injection, with rapid reduction in vision, but minimal discomfort. There were associated signs of ocular inflammation in the anterior and posterior segments of the eye. Visual acuity at presentation was substantially reduced compared with the preinjection acuity, although the vision rapidly improved with treatment over a period of 7–25 days toward preinjection visual acuity. Conclusions: Intravitreous injection of bevacizumab for the treatment of neovascular AMD may be associated with acute intraocular inflammation. Differentiation from infectious endophthalmitis is important for appropriate management of this condition.
Keywords: Vitreous Body
Macular Degeneration
Choroidal Neovascularization
Acute Disease
Angiogenesis Inhibitors
Vascular Endothelial Growth Factor A
Antibodies, Monoclonal
Retrospective Studies
Visual Acuity
Aged, 80 and over
Antibodies, Monoclonal, Humanized
DOI: 10.1016/j.ophtha.2008.05.007
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Appears in Collections:Aurora harvest
Opthalmology & Visual Sciences publications

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