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Vascular endothelial growth factor in fellow eyes of eyes injected with intravitreal bevacizumab

  • Retinal Disorders
  • Published:
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Abstract

Background

To study the effect on untreated fellow eyes of eyes treated with an intravitreal injection of bevacizumab.

Methods

Bevacizumab (1.25 mg/0.05 ml) was injected into the vitreous cavity of one eye (the first eye) as a preoperative adjunctive therapy for proliferative diabetic retinopathy; vitrectomy was performed 1 week later. Immediately after vitrectomy, bevacizumab (1.25 mg/0.05 ml) was injected into the fellow eye (the second eye) followed by vitrectomy 1 week later. Aqueous humor samples were obtained from both eyes in five cases just before intravitreal injection of bevacizumab and just before vitrectomy 1 week later. Vascular endothelial growth factor (VEGF) concentrations in the aqueous humor were measured by enzyme-linked immunosorbent assay (ELISA).

Results

VEGF concentrations in the aqueous humor of the first eyes ranged from 146 to 398 pg/ml (mean, 302±100 pg/ml) before intravitreal injection of bevacizumab; 1 week later, the VEGF concentrations in the injected eyes were less than 31 pg/ml, the lower limit of the ELISA, in all cases (p<0.001). The concentrations in the uninjected fellow eyes ranged from 181 to 551 pg/ml (mean, 382±119 pg/ml).

Conclusions

There seemed to be no or a minimal effect of the intravitreal injections of bevacizumab on the uninjected fellow eyes.

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Correspondence to Osamu Sawada.

Additional information

The authors have no proprietary interest in any aspect of this study.

The study was partially supported by a grant from the Ministry of Education, Culture, Sports, Science and Technology of Japan (#18591915) and a grant from the Ministry of Health, Labour and Welfare.

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Sawada, O., Kawamura, H., Kakinoki, M. et al. Vascular endothelial growth factor in fellow eyes of eyes injected with intravitreal bevacizumab. Graefes Arch Clin Exp Ophthalmol 246, 1379–1381 (2008). https://doi.org/10.1007/s00417-008-0874-8

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  • DOI: https://doi.org/10.1007/s00417-008-0874-8

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