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10.1016/j.ajo.2007.09.025

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suck abstract from ncbi


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pmid18054887
      Am+J+Ophthalmol 2008 ; 145 (2 ): 257-266
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  • Intravenous bevacizumab causes regression of choroidal neovascularization secondary to diseases other than age-related macular degeneration #MMPMID18054887
  • Nguyen QD ; Shah SM ; Hafiz G ; Do DV ; Haller JA ; Pili R ; Zimmer-Galler IE ; Janjua K ; Symons RC ; Campochiaro PA
  • Am J Ophthalmol 2008[Feb]; 145 (2 ): 257-266 PMID18054887 show ga
  • PURPOSE: To investigate the safety, tolerability, and bioactivity of intravenous infusions of bevacizumab in patients with choroidal neovascularization (CNV) attributable to causes other than age-related macular degeneration. DESIGN: Nonrandomized clinical trial. METHODS: Ten patients with CNV received infusions of 5 mg/kg of bevacizumab. The primary efficacy outcome measure was change in visual acuity (VA; Early Treatment Diabetic Retinopathy Study letters read at 4 meters) at 24 weeks and secondary measures were changes from baseline in excess foveal thickness (center subfield thickness), area of fluorescein leakage, and area of CNV. RESULTS: Infusions were well tolerated and there were no ocular or systemic adverse events. At baseline, median VA was 25.5 letters read at 4 meters (20/80) and median foveal thickness was 346 mum. At the primary endpoint (24 weeks), median VA was 48.5 letters (20/32), representing four lines of improvement from baseline (P = .005), median foveal thickness was 248 mum representing a 72% reduction in excess foveal thickness (P = .007). Four of nine patients had complete elimination of fluorescein leakage, three had near complete elimination (reductions of 91%, 88%, and 87%), two had modest reductions, and one had no reduction. All patients except one showed a reduction in area of CNV with a median reduction of 43%. CONCLUSIONS: Despite the small number of patients studied, the marked improvement in VA accompanied by prominent reductions in foveal thickness, fluorescein leakage, and area of CNV suggest a beneficial effect. It may be worthwhile to consider further evaluation of systemic bevacizumab in young patients with CNV.
  • |Adult [MESH]
  • |Angiogenesis Inhibitors/*administration & dosage/adverse effects [MESH]
  • |Antibodies, Monoclonal, Humanized [MESH]
  • |Antibodies, Monoclonal/*administration & dosage/adverse effects [MESH]
  • |Bevacizumab [MESH]
  • |Capillary Permeability [MESH]
  • |Choroidal Neovascularization/*drug therapy/etiology [MESH]
  • |Female [MESH]
  • |Fluorescein Angiography [MESH]
  • |Humans [MESH]
  • |Infusions, Intravenous [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Myopia, Degenerative/*complications [MESH]
  • |Retinal Diseases/*complications [MESH]
  • |Tomography, Optical Coherence [MESH]
  • |Vascular Endothelial Growth Factor A/antagonists & inhibitors [MESH]


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