OUTCOMES OF INTRAVITREAL BEVACIZUMAB THERAPY IN THE MANAGEMENT OF RETINOPATHY OF PREMATURITY: A FIVE-YEAR EVALUATION AT A VIET NAM NATIONAL CHILDREN’S HOSPITAL
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Abstract
Objective: Assess the outcomes of intravitreal Bevacizumab therapy for retinopathy of prematurity over five years at the National Children’s Hospital. Materials and methods: the study was conducted on patients diagnosed with retinopathy of prematurity type 1 who underwent intravitreal Bevacizumab injection at the Department of Ophthalmology – National Children’s Hospital before February 2018. This retrospective cross-sectional descriptive study encompasses 224 eyes of 115 patients. Results: Following treatment, 177 eyes had complete regression, comprising 79% of the total, while 47 eyes exhibited incomplete regression, accounting for 21%, with 1,3% experiencing retinal detachment. 185 eyes had best-corrected visual acuity (BCVA) of more than 5/10 (82,6%), while 39 eyes had BCVA less than 5/10 (17,4%), and three eyes had BCVA only counting fingers at 3 meters. Amblyopia was observed in 43 eyes (29,3%), while strabismus affected 25,2% (29/115 patients). Conclusion: The outcomes of Bevacizumab treatment for retinopathy of prematurity over five years are encouraging, with 79% of affected eyes achieving complete regression post-treatment, and 82,6% attaining normal BCVA.
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References
2. Hakeem A, Mohamed G, Othman M. Retinopathy of prematurity: a study of prevalence and risk factors. Middle East Afr J Ophthalmol. 2012;19(3):289-294.
3. Mintz-Hittner H, Kennedy K, Chuang A, BEAT-ROP Cooperative Group. Efficacy of intravitreal bevacizumab for stage 3+ retinopathy of prematurity. N Engl J Med. 2011;364(7):603-615.
4. Wu WC, Yeh PT, Chen SN, Yang CM, Lai CC, Kuo HK. Effects and complications of bevacizumab use in patients with retinopathy of prematurity: a multicenter study in Taiwan. Ophthalmology. 2011;118(1):176-183.
5. Nguyễn Xuân Tịnh (2012), Điều trị bệnh võng mạc trẻ đẻ non hình thái nặng bằng tiêm thuốc Bevacizumab (Avastin) nội nhãn - kết quả sau hơn một năm theo dõi. Tạp chí Nhãn khoa Việt Nam. 2012(28).
6. Phan Đình Toàn (2012), Đặc điểm lâm sàng bệnh võng mạc trẻ đẻ non hình thái nặng và kết quả ban đầu điều trị bằng Avastin nội nhãn. Luận văn thạc sỹ nhãn khoa, Trường Đại học Y Hà Nội.
7. Murakami T, Sugiura Y, Okamoto F, et al. Comparison of 5-year safety and efficacy of laser photocoagulation and intravitreal bevacizumab injection in retinopathy of prematurity. Graefes Arch Clin Exp Ophthalmol. 2021;259(9):2849-2855.
8. Chen YH, Chen SN, Lien RI, et al. Refractive errors after the use of bevacizumab for the treatment of retinopathy of prematurity: 2-year outcomes. Eye. 2014;28(9):1080-1087.
9. Isaac M, Mireskandari K, Fallaha N, et al. Long-term outcomes of type 1 retinopathy of prematurity following monotherapy with bevacizumab: a Canadian experience. Can J Ophthalmol. 2023;58(6):553-558.
10. Geloneck MM, Chuang AZ, Clark WL, et al. Refractive outcomes following bevacizumab monotherapy compared with conventional laser treatment: a randomized clinical trial. JAMA Ophthalmol. 2014;132(11):1327-1333.