Meta-analysis of the effect of intravitreal bevacizumab versus intravitreal triamcinolone acetonide in central retinal vein occlusion

PURPOSE: To further evaluate the effect of intravitreal bevacizumab (IVB) for the treatment of central retinal vein occlusion (CRVO) by meta-analysis.

METHODS: Pertinent publications were identified through PubMed, EMBASE, and the Cochrane Controlled Trials Register up to January 30, 2013. Changes in central macular thickness (CMT) and best-corrected visual acuity (BCVA) were extracted at 4, 12, and 24 weeks after treatment, and a meta-analysis was carried out to compare results between groups receiving IVB and intravitreal triamcinolone acetonide (IVTA).

RESULTS: One randomized controlled trial and 4 comparative studies were identified and included. All of the funnel plots, the Egger's method and Begg method did not show publication bias. Our meta-analysis revealed that BCVA and CMT at 4, 12, and 24 weeks after treatment did not vary significantly between the IVB groups and IVTA groups (BCVA: at 4 weeks, P=0.27; at 12 weeks, P=0.51; at 24 weeks, P=0.64; CMT at 4 weeks, P=0.88; at 12 weeks, P=0.57; at 24 weeks, P=0.64). However, the rate of intraocular pressure rise after intravitreal injection varied significantly between the IVB groups and IVTA groups (P<0.001).

CONCLUSIONS: Our results showed a similar improvement in BCVA and CMT among CRVO patients was obtained after intravitreal injections of both IVB, or IVTA, while the rate of IOP rise was significantly higher in the latter.

Medienart:

E-Artikel

Erscheinungsjahr:

2013

Erschienen:

2013

Enthalten in:

Zur Gesamtaufnahme - volume:29

Enthalten in:

Journal of ocular pharmacology and therapeutics : the official journal of the Association for Ocular Pharmacology and Therapeutics - 29(2013), 9 vom: 09. Nov., Seite 826-31

Sprache:

Englisch

Beteiligte Personen:

Jin, Zi Ye [VerfasserIn]
Zhu, Dan [VerfasserIn]
Tao, Yong [VerfasserIn]
Wong, Ian Y [VerfasserIn]
Jonas, Jost B [VerfasserIn]

Links:

Volltext

Themen:

2S9ZZM9Q9V
Angiogenesis Inhibitors
Antibodies, Monoclonal, Humanized
Bevacizumab
Comparative Study
F446C597KA
Glucocorticoids
Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Review
Triamcinolone Acetonide

Anmerkungen:

Date Completed 01.08.2014

Date Revised 17.03.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1089/jop.2013.0061

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM230275710