Document Detail


Effects of intravitreal bevacizumab (Avastin) therapy on retrobulbar blood flow parameters in patients with neovascular age-related macular degeneration.
MedLine Citation:
PMID:  19953626     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: To investigate the effects of intravitreal bevacizumab on retrobulbar circulation in patients with neovascular age-related macular degeneration (AMD). METHOD: Thirty patients with neovascular age-related macular degeneration were assessed prospectively by both color Doppler imaging and fundus fluorescein angiography. Spectral Doppler analysis allowed the measurement of the maximum velocity (Vmax) and minimum velocity (Vmin) of the central retinal vein (CRV), and peak systolic (PSV), end-diastolic (EDV) velocities of blood flows, and pulsatility index (PI) and resistance index (RI) values in the central retinal artery (CRA), nasal and temporal posterior ciliary arteries (NPCA, TPCA), and ophthalmic artery (OA). The t test for paired samples was used to compare retrobulbar blood flow values before and after intravitreal bevacizumab injection. RESULT: PSV and EDV of the NPCA and PSV of the TPCA were significantly decreased after intravitreal bevacizumab injection (p < 0.05). There was no statistically significant difference in the other parameters. CONCLUSION: Our results suggest that intravitreal bevacizumab therapy has a measurable effect on retrobulbar blood flow.
Authors:
Ahmet Mete; Oguzhan Saygili; Alper Mete; Metin Bayram; Necdet Bekir
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of clinical ultrasound : JCU     Volume:  38     ISSN:  1097-0096     ISO Abbreviation:  J Clin Ultrasound     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-13     Completed Date:  2010-04-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401663     Medline TA:  J Clin Ultrasound     Country:  United States    
Other Details:
Languages:  eng     Pagination:  66-70     Citation Subset:  IM    
Copyright Information:
(c) 2009 Wiley Periodicals, Inc.
Affiliation:
Gaziantep University Medical School, Department of Radiology, Sahinbey, Gaziantep, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Angiogenesis Inhibitors / administration & dosage*
Antibodies, Monoclonal / administration & dosage*
Blood Flow Velocity / drug effects*,  physiology
Female
Follow-Up Studies
Humans
Injections
Macular Degeneration / complications,  diagnosis,  drug therapy*
Male
Middle Aged
Ophthalmic Artery / physiopathology,  ultrasonography*
Prospective Studies
Regional Blood Flow / drug effects*,  physiology
Retinal Artery / physiopathology,  ultrasonography
Retinal Neovascularization / diagnosis,  drug therapy*,  etiology
Retinal Vein / physiopathology,  ultrasonography
Treatment Outcome
Ultrasonography, Doppler, Color / methods
Vascular Endothelial Growth Factor A / antagonists & inhibitors
Vitreous Body
Chemical
Reg. No./Substance:
0/Angiogenesis Inhibitors; 0/Antibodies, Monoclonal; 0/Vascular Endothelial Growth Factor A; 0/bevacizumab

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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