2011
Combination of photocoagulation and intravitreal injection of pegaptanib or bevacizumab in treatment of stage 3 retinopathy of prematurity in zone I or posterior zone II
ŠENKOVÁ, Kateřina; Rudolf AUTRATA; Edita UNČOVSKÁ; Marie HOLOUŠOVÁ; Inka KREJČÍŘOVÁ et al.Základní údaje
Originální název
Combination of photocoagulation and intravitreal injection of pegaptanib or bevacizumab in treatment of stage 3 retinopathy of prematurity in zone I or posterior zone II
Autoři
Vydání
37th meeting of European Paediatric Ophthalmological Society : Visual Impairment in Childhood, 2011
Další údaje
Jazyk
angličtina
Typ výsledku
Prezentace na konferencích
Obor
30200 3.2 Clinical medicine
Stát vydavatele
Řecko
Utajení
není předmětem státního či obchodního tajemství
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/11:00054211
Organizační jednotka
Lékařská fakulta
Klíčová slova anglicky
photocoagulation; pegaptanib; bevacizumab; retinopathy of prematurity
Změněno: 5. 1. 2012 08:55, prof. MUDr. Rudolf Autrata, CSc., MBA
Anotace
V originále
Purpose: To report results of retrospective, consecutive, noncomparative case series of moderate and severe stage 3 retinopathy of prematurity (ROP) in zone I or posterior zone II treated by bilateral intravitreal injections of pegaptanib or bevacizumab and diode laser photocoagulation. 32 infants weighing from 545 g to 1,150 g at birth (mean, 742.8 g) with gestational ages from 22 weeks to 28 weeks (mean, 24.1 weeks) received intravitreal injections of pegaptanib (0,15mg) or bevacizumab (0.625 mg ) at 9.0 weeks to 14.0 weeks of age (mean, 10.5 weeks) and after 1 week had diode laser therapy. Length of follow-up was from 15.0 weeks to 95.0 weeks (mean, 56.5 weeks). Only patients with bilateral moderate or severe stage 3 ROP in Zone I or posterior Zone II with or without plus-disease were considered candidates for this study. All cases were photographed by the RetCam Imaging System immediately before and 1week, 1,2, and 3months after the bilateral treatment. Each infant underwent photography at the time of the most recent examination to demonstrate the extent of continued vascular growth anteriorly from the original location of moderate or severe stage. All 64 eyes were treated successfully (no retinal detachment, macular ectopia, high myopia, anisometropia, or other ocular abnormalities) to induce regression of acute ROP with only 1 injection and 1 laser treatment. These results are promising, without any early local or systemic complications. Intravitreal injection of pegaptanib or bevacizumab combinated with photocoagulation was safe and effective in treating stage 3 ROP in zone I and posterior zone II in this series of 32 infants. A prospective, randomized, controlled, clinical trials with more patients would be initiated to investigate and confirm results of this promising treatment combination.