J Korean Ophthalmol Soc > Volume 57(3); 2016 > Article
Journal of the Korean Ophthalmological Society 2016;57(3):438-444.
DOI: https://doi.org/10.3341/jkos.2016.57.3.438    Published online March 15, 2016.
Comparison of Bevacizumab and Combined Low-dose Bevacizumab and Triamcinolone in Central Retinal Vein Occlusion.
Byung Jae Kim, Hyun Woong Kim, Yong Seop Han, Jong Moon Park, In Young Chung
1Department of Ophthalmology, Gyeongsang National University School of Medicine, Jinju, Korea. in0chung@hanmail.net
2Department of Ophthalmology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
3Institute of Health Science, Gyeongsang National University, Jinju, Korea.
중심망막정맥폐쇄에서 베바시주맙군과 저용량 베바시주맙-트리암시놀론 혼합군의 단기 효과 비교
김병재1⋅김현웅2⋅한용섭1,3⋅박종문1,3⋅정인영1,3
경상대학교 의학전문대학원 안과학교실1, 인제대학교 의과대학 부산백병원 안과학교실2, 경상대학교 건강과학연구원3
Abstract
PURPOSE
To report the effects and intraocular pressure (IOP) results of intravitreal injection of bevacizumab alone compared with intravitreal low-dose bevacizumab combined with low-dose triamcinolone injection in patients with central retinal vein occlusion. METHODS: In total, 40 eyes of 40 patients diagnosed with central retinal vein occlusion were evaluated. Of these, 20 eyes of 20 patients were injected with intravitreal bevacizumab (1.25 mg/0.05 mL), and 20 eyes of 20 patients were injected with low-dose bevacizumab (0.625 mg/0.025 mL) combined with low-dose triamcinolone (1 mg/0.025 mL). The best corrected visual acuity (BCVA), central macular thickness (CMT), and IOP of treated eyes were measured before injection and at 1 month, 2 months, and 3 months after injection. RESULTS: In both the intravitreal bevacizumab and the low-dose bevacizumab combined with low-dose triamcinolone groups, CMT decreased significantly at 1 month, 2 months, and 3 months after injection (p < 0.05). In addition, in both groups, neither IOP nor BCVA decreased significantly at 1 month, 2 months, or 3 months after injection (p > 0.05). The BCVA, IOP, and CMT at 1 month, 2 months, and 3 months after injection showed no significant differences between the intravitreal bevacizumab group and the low-dose bevacizumab combined with low-dose triamcinolone group (p > 0.05). CONCLUSIONS: The CMT of both groups decreased significantly, and BCVA of both groups increased significantly in patients with central retinal vein occlusion. Injection of low-dose intravitreal bevacizumab combined with low-dose intravitreal triamcinolone may be useful for the treatment of central retinal vein occlusion.
Key Words: Central retinal vein occlusion;Intravitreal bevacizumab injection;Intravitreal triamcinolone injection


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