Vol. 77, December 2009

Effect of Intracameral Bevacizumab Injection on Corneal Endothelial Cells: In Vivo Evaluation

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Effect of Intracameral Bevacizumab Injection on Corneal Endothelial Cells: In Vivo Evaluation, MOHAMAD H. HOSNY, MOHAMAD A. ZAYED, AHMAD M.M. SHALABY and IMAN M. EISSA

 

Abstract
Purpose: To study the effect of intracameral Bevacizumab injection on the corneal endothelium and iris neovessels (INV).
Methods: Ten eyes of 10 patients of average age 52.1±  13.17 years underwent intracameral Bevacizumab injection 1.25mg/0.05ml. Intraocular pressure, best corrected visual acuity, gonioscopy, neovascular membrane extent, anterior segment photography, iris fluorescein angiography and specular microscopy were recorded preoperatively and postoperatively.
Results: The minimum follow-up period was 4 months. INVs started to regress in the first 2 days and regressed completely by the end of the fourth week. Reduction in INV leakage started one week after injection, resolving in 8 eyes (80%) by the end of the fourth week. IOP dropped from 17.8 mmHg ±  4.8 to 16.6 mmHg ±  2.8. The mean endothelial cell loss was 3.95% ±  6.78.
Conclusion: ICB injection proved to be effective in producing regression of INV and proved to be safe on corneal endothelial cells.

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