Outcome of trabeculectomy with prior intravitreal bevacizumab injection for neovascular glaucoma

Tetsuhiro Kawata; Naoko Yamamoto; Kyoko Matsushita; Tomoko Naito; Hiroshi Ohtsuki; Makiko Takahashi

Outcome of trabeculectomy with prior intravitreal bevacizumab injection for neovascular glaucoma

Tetsuhiro Kawata, Naoko Yamamoto, Kyoko Matsushita, Tomoko Naito, Hiroshi Ohtsuki, Makiko Takahashi

University Hospital

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Abstract

Purpose : To compare the outcome of trabeculectomy for neovascular glaucoma with or without prior in- travitreal injection of bevacizumab. Cases and Method : We reviewed 26 eyes of 24 cases who received trabeculectomy during the past 39 months. Neovascular glaucoma was due to diabetic retinopathy 17 eyes, retinal vein occlusion 6 eyes, and others 3 eyes. Nine eyes received intravitreal bevacizumab one to 14 days before surgery. Results : Final intraocular pressure (IOP) averaged 11.0± 1.4 mmHg in 9 eyes receiving bevacizumb and 9.0± 1.4 mmHg in the other 17 eyes. When final IOP over 15 mmHg or additional treatment glaucoma was defined as death, rate of survival was 77.7% in 9 eyes receiving bevacizumab and 60.0% in the other 17 eyes 12 months after surgery. There was no significant difference between the two groups. Conclusion : Intravitreal injection of bevacizumab may decrease late complications of trabeculectomy and may induce early IOP control.

Original language	English
Pages (from-to)	1457-1460
Number of pages	4
Journal	Japanese Journal of Clinical Ophthalmology
Volume	63
Issue number	9
Publication status	Published - Sep 1 2009

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Ophthalmology

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Kawata, T., Yamamoto, N., Matsushita, K., Naito, T., Ohtsuki, H., & Takahashi, M. (2009). Outcome of trabeculectomy with prior intravitreal bevacizumab injection for neovascular glaucoma. Japanese Journal of Clinical Ophthalmology, 63(9), 1457-1460.

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title = "Outcome of trabeculectomy with prior intravitreal bevacizumab injection for neovascular glaucoma",

abstract = "Purpose : To compare the outcome of trabeculectomy for neovascular glaucoma with or without prior in- travitreal injection of bevacizumab. Cases and Method : We reviewed 26 eyes of 24 cases who received trabeculectomy during the past 39 months. Neovascular glaucoma was due to diabetic retinopathy 17 eyes, retinal vein occlusion 6 eyes, and others 3 eyes. Nine eyes received intravitreal bevacizumab one to 14 days before surgery. Results : Final intraocular pressure (IOP) averaged 11.0± 1.4 mmHg in 9 eyes receiving bevacizumb and 9.0± 1.4 mmHg in the other 17 eyes. When final IOP over 15 mmHg or additional treatment glaucoma was defined as death, rate of survival was 77.7% in 9 eyes receiving bevacizumab and 60.0% in the other 17 eyes 12 months after surgery. There was no significant difference between the two groups. Conclusion : Intravitreal injection of bevacizumab may decrease late complications of trabeculectomy and may induce early IOP control.",

author = "Tetsuhiro Kawata and Naoko Yamamoto and Kyoko Matsushita and Tomoko Naito and Hiroshi Ohtsuki and Makiko Takahashi",

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T1 - Outcome of trabeculectomy with prior intravitreal bevacizumab injection for neovascular glaucoma

AU - Kawata, Tetsuhiro

AU - Yamamoto, Naoko

AU - Matsushita, Kyoko

AU - Naito, Tomoko

AU - Ohtsuki, Hiroshi

AU - Takahashi, Makiko

PY - 2009/9/1

Y1 - 2009/9/1

N2 - Purpose : To compare the outcome of trabeculectomy for neovascular glaucoma with or without prior in- travitreal injection of bevacizumab. Cases and Method : We reviewed 26 eyes of 24 cases who received trabeculectomy during the past 39 months. Neovascular glaucoma was due to diabetic retinopathy 17 eyes, retinal vein occlusion 6 eyes, and others 3 eyes. Nine eyes received intravitreal bevacizumab one to 14 days before surgery. Results : Final intraocular pressure (IOP) averaged 11.0± 1.4 mmHg in 9 eyes receiving bevacizumb and 9.0± 1.4 mmHg in the other 17 eyes. When final IOP over 15 mmHg or additional treatment glaucoma was defined as death, rate of survival was 77.7% in 9 eyes receiving bevacizumab and 60.0% in the other 17 eyes 12 months after surgery. There was no significant difference between the two groups. Conclusion : Intravitreal injection of bevacizumab may decrease late complications of trabeculectomy and may induce early IOP control.

AB - Purpose : To compare the outcome of trabeculectomy for neovascular glaucoma with or without prior in- travitreal injection of bevacizumab. Cases and Method : We reviewed 26 eyes of 24 cases who received trabeculectomy during the past 39 months. Neovascular glaucoma was due to diabetic retinopathy 17 eyes, retinal vein occlusion 6 eyes, and others 3 eyes. Nine eyes received intravitreal bevacizumab one to 14 days before surgery. Results : Final intraocular pressure (IOP) averaged 11.0± 1.4 mmHg in 9 eyes receiving bevacizumb and 9.0± 1.4 mmHg in the other 17 eyes. When final IOP over 15 mmHg or additional treatment glaucoma was defined as death, rate of survival was 77.7% in 9 eyes receiving bevacizumab and 60.0% in the other 17 eyes 12 months after surgery. There was no significant difference between the two groups. Conclusion : Intravitreal injection of bevacizumab may decrease late complications of trabeculectomy and may induce early IOP control.

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Outcome of trabeculectomy with prior intravitreal bevacizumab injection for neovascular glaucoma

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