Is monthly retreatment with intravitreal bevacizumab (Avastin®) necessary in neovascular age-related macular degeneration?

Purpose To report our short-term experience with bevacizumab in neovascular age-related macular degeneration (AMD) and recommend a new treatment strategy. Methods Retrospective chart review of 29 consecutive patients receiving 1.25 mg of intravitreal bevacizumab for AMD and completing 12 weeks of fo...

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Main Author: Ghazi, Nicola G. (author)
Other Authors: Krik, Tyler Q. (author), Knape, Robert M. (author), Tiedeman, James S. (author), Conway, Brian P. (author)
Format: article
Published: 2010
Online Access:http://hdl.handle.net/10725/10823
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2861937/
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author Ghazi, Nicola G.
author2 Krik, Tyler Q.
Knape, Robert M.
Tiedeman, James S.
Conway, Brian P.
author2_role author
author
author
author
author_facet Ghazi, Nicola G.
Krik, Tyler Q.
Knape, Robert M.
Tiedeman, James S.
Conway, Brian P.
author_role author
dc.creator.none.fl_str_mv Ghazi, Nicola G.
Krik, Tyler Q.
Knape, Robert M.
Tiedeman, James S.
Conway, Brian P.
dc.date.none.fl_str_mv 2010
2019-06-14T10:23:12Z
2019-06-14T10:23:12Z
2019-06-14
dc.identifier.none.fl_str_mv 1177-5483
http://hdl.handle.net/10725/10823
Ghazi, N. G., Kirk, T. Q., Knape, R. M., Tiedeman, J. S., & Conway, B. P. (2010). Is monthly retreatment with intravitreal bevacizumab (Avastin®) necessary in neovascular age-related macular degeneration?. Clinical ophthalmology (Auckland, NZ), 4, 307.
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2861937/
dc.language.none.fl_str_mv en
dc.relation.none.fl_str_mv Clinical Ophthalmology
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv Is monthly retreatment with intravitreal bevacizumab (Avastin®) necessary in neovascular age-related macular degeneration?
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description Purpose To report our short-term experience with bevacizumab in neovascular age-related macular degeneration (AMD) and recommend a new treatment strategy. Methods Retrospective chart review of 29 consecutive patients receiving 1.25 mg of intravitreal bevacizumab for AMD and completing 12 weeks of follow up. Outcome measures were best corrected visual acuity (BCVA) and optical coherence tomography (OCT) central macular thickness. Injections were repeated if no further improvement was observed. Results Twenty-nine eyes of 29 patients were included. The average BCVA improved from 20/148 at baseline to 20/106 at twelve weeks (P = 0.041). Of the 29 eyes, 25 (86.2%) had stable or improved BCVA. Average mean central macular thickness measured by OCT improved from 351 μm at baseline to 278 μm at 12 weeks (P = 0.003). Stabilization of vision and improved OCT central macular thickness were maintained for at least eight weeks following only a single injection in the majority of eyes. During the three months of follow up, only five eyes (17.2%) required repeat injections, with only three (10.3%) requiring retreatment at eight weeks and none at four weeks. No significant ocular or systemic side effects were observed. Conclusion This short-term data suggests that bevacizumab appears to be a safe and effective treatment for neovascular AMD. Injections as frequent as every month do not appear to be necessary since initial treatment effect appears to be maintained for at least eight weeks in almost all of our patients.
eu_rights_str_mv openAccess
format article
id LAURepo_6c4f02c60ac8eb32e3b152b2c66731df
identifier_str_mv 1177-5483
Ghazi, N. G., Kirk, T. Q., Knape, R. M., Tiedeman, J. S., & Conway, B. P. (2010). Is monthly retreatment with intravitreal bevacizumab (Avastin®) necessary in neovascular age-related macular degeneration?. Clinical ophthalmology (Auckland, NZ), 4, 307.
language_invalid_str_mv en
network_acronym_str LAURepo
network_name_str Lebanese American University repository
oai_identifier_str oai:laur.lau.edu.lb:10725/10823
publishDate 2010
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
spelling Is monthly retreatment with intravitreal bevacizumab (Avastin®) necessary in neovascular age-related macular degeneration?Ghazi, Nicola G.Krik, Tyler Q.Knape, Robert M.Tiedeman, James S.Conway, Brian P.Purpose To report our short-term experience with bevacizumab in neovascular age-related macular degeneration (AMD) and recommend a new treatment strategy. Methods Retrospective chart review of 29 consecutive patients receiving 1.25 mg of intravitreal bevacizumab for AMD and completing 12 weeks of follow up. Outcome measures were best corrected visual acuity (BCVA) and optical coherence tomography (OCT) central macular thickness. Injections were repeated if no further improvement was observed. Results Twenty-nine eyes of 29 patients were included. The average BCVA improved from 20/148 at baseline to 20/106 at twelve weeks (P = 0.041). Of the 29 eyes, 25 (86.2%) had stable or improved BCVA. Average mean central macular thickness measured by OCT improved from 351 μm at baseline to 278 μm at 12 weeks (P = 0.003). Stabilization of vision and improved OCT central macular thickness were maintained for at least eight weeks following only a single injection in the majority of eyes. During the three months of follow up, only five eyes (17.2%) required repeat injections, with only three (10.3%) requiring retreatment at eight weeks and none at four weeks. No significant ocular or systemic side effects were observed. Conclusion This short-term data suggests that bevacizumab appears to be a safe and effective treatment for neovascular AMD. Injections as frequent as every month do not appear to be necessary since initial treatment effect appears to be maintained for at least eight weeks in almost all of our patients.PublishedN/A2019-06-14T10:23:12Z2019-06-14T10:23:12Z20102019-06-14Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1177-5483http://hdl.handle.net/10725/10823Ghazi, N. G., Kirk, T. Q., Knape, R. M., Tiedeman, J. S., & Conway, B. P. (2010). Is monthly retreatment with intravitreal bevacizumab (Avastin®) necessary in neovascular age-related macular degeneration?. Clinical ophthalmology (Auckland, NZ), 4, 307.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2861937/enClinical Ophthalmologyinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/108232021-03-19T10:45:17Z
spellingShingle Is monthly retreatment with intravitreal bevacizumab (Avastin®) necessary in neovascular age-related macular degeneration?
Ghazi, Nicola G.
status_str publishedVersion
title Is monthly retreatment with intravitreal bevacizumab (Avastin®) necessary in neovascular age-related macular degeneration?
title_full Is monthly retreatment with intravitreal bevacizumab (Avastin®) necessary in neovascular age-related macular degeneration?
title_fullStr Is monthly retreatment with intravitreal bevacizumab (Avastin®) necessary in neovascular age-related macular degeneration?
title_full_unstemmed Is monthly retreatment with intravitreal bevacizumab (Avastin®) necessary in neovascular age-related macular degeneration?
title_short Is monthly retreatment with intravitreal bevacizumab (Avastin®) necessary in neovascular age-related macular degeneration?
title_sort Is monthly retreatment with intravitreal bevacizumab (Avastin®) necessary in neovascular age-related macular degeneration?
url http://hdl.handle.net/10725/10823
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2861937/