J Korean Ophthalmol Soc > Volume 52(9); 2011 > Article
Journal of the Korean Ophthalmological Society 2011;52(9):1048-1054.
DOI: https://doi.org/10.3341/jkos.2011.52.9.1048    Published online September 15, 2011.
The Short-Term Efficacy of Intravitreal Ranibizumab for Macular Edema in Central Retinal Vein Occlusion.
Hye Young Shin, Dong Hyun Jee
Department of Ophthalmology and Visual Science, The Catholic University of Korea College of Medicine, Suwon, Korea. dhjee73@nate.com
망막중심정맥폐쇄에 동반된 황반부종에서 라니비주맙 주입술의 단기 임상 효과
신혜영⋅지동현
Department of Ophthalmology and Visual Science, The Catholic University of Korea College of Medicine, Suwon, Korea
Abstract
PURPOSE
To evaluate the short-term efficacy of intravitreal ranibizumab injection in eyes with macular edema secondary to central retinal vein occlusion (CRVO). METHODS: The records of 17 patients (17 eyes, 11 ischemic, six ischemic) who received an intravitreal ranibizumab injection for macular edema secondary to CRVO were retrospectively analyzed. The ophthalmic examination included best corrected visual acuity (BCVA) and central macular thickness (CMT) at baseline and follow-up visits. RESULTS: After intravitreal ranibizumab injection, the mean BCVA improved from log MAR 1.25 +/- 0.47 at baseline to log MAR 0.78 +/- 0.49 at 4 weeks and to log MAR 0.81 +/- 0.52 at 12 weeks (p < 0.05). Additionally, the mean CMT decreased from 679.4 +/- 230.5 microm at baseline to 224.4 +/- 129.9 microm at 4 weeks and to 271.6 +/- 174.1microm at 12 weeks (p < 0.001). In subgroup analysis, the decreases in CMT at 4 weeks and 12 weeks were similar in ischemic CRVO and non-ischemic CRVO, but no significant changes in visual acuity were found at 12 weeks in the ischemic CRVO group (p = 0.138). Ten eyes (58.8%) did not require re-injections for macular edema for up to 12 weeks. CONCLUSIONS: Intravitreal ranibizumab injection appeared to be an effective option for the treatment of macular edema secondary to central retinal vein occlusion.
Key Words: Central retinal vein occlusion;Macular edema;Ranibizumab


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