Article ; Online: Clinical Trials in Branch Retinal Vein Occlusion.
Middle East African journal of ophthalmology
2016 Volume 23, Issue 1, Page(s) 38–43
Abstract: Branch retinal vein occlusion (BRVO) is the second most common retinal vascular disorder ... a new era which promises rapid recovery of vision and quality of vision. Randomized clinical trials have ... from randomized controlled trials evaluating treatment options for the treatment of macular edema secondary to BRVO with a special ...
Abstract | Branch retinal vein occlusion (BRVO) is the second most common retinal vascular disorder. The management of macular edema has changed considerably over time. The laser is considered the gold standard treatment for over two decades. However, visual recovery with laser is usually slow and incomplete. The advent of intravitreal agents, specifically anti-vascular endothelial growth factors (VEGF) have heralded a new era which promises rapid recovery of vision and quality of vision. Randomized clinical trials have reported optimal results with anti-VEGF agents (ranibizumab, bevacizumab, and aflibercept) compared to laser therapy or steroids. However, nearly 50% of the patients require repeat intravitreal anti-VEGF therapy up to 4 years after initiating therapy to sustain the visual gains. The adverse events (systemic and ocular) of these agents are minimal. Monotherapy with anti-VEGF agents have been found to provide better results than any combination with laser. This review article summarizes evidence from randomized controlled trials evaluating treatment options for the treatment of macular edema secondary to BRVO with a special focus on anti-VEGF therapy. |
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MeSH term(s) | Angiogenesis Inhibitors/therapeutic use ; Bevacizumab/therapeutic use ; Clinical Trials as Topic ; Humans ; Intravitreal Injections ; Macular Edema/drug therapy ; Macular Edema/physiopathology ; Ranibizumab/therapeutic use ; Receptors, Vascular Endothelial Growth Factor/therapeutic use ; Recombinant Fusion Proteins/therapeutic use ; Retinal Vein Occlusion/drug therapy ; Retinal Vein Occlusion/physiopathology ; Vascular Endothelial Growth Factor A/antagonists & inhibitors ; Visual Acuity/drug effects ; Visual Acuity/physiology |
Chemical Substances | Angiogenesis Inhibitors ; Recombinant Fusion Proteins ; VEGFA protein, human ; Vascular Endothelial Growth Factor A ; aflibercept (15C2VL427D) ; Bevacizumab (2S9ZZM9Q9V) ; Receptors, Vascular Endothelial Growth Factor (EC 2.7.10.1) ; Ranibizumab (ZL1R02VT79) |
Language | English |
Publishing date | 2016-01 |
Publishing country | India |
Document type | Journal Article ; Review |
ZDB-ID | 2545467-5 |
ISSN | 0975-1599 ; 0974-9233 |
ISSN (online) | 0975-1599 |
ISSN | 0974-9233 |
DOI | 10.4103/0974-9233.172294 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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