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Retina Arter Tıkanıklıkları ve Tedavisi...
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PureSee Kesintisiz Yüksek Kalitede Görüş
Retina-Vitreous 2015 , Vol 23 , Num 1
Turkish Abstract Abstract Article PDF Similar Articles Mail to Author
Complications Associated with Intravitreal Bevacizumab Injection for Diabetic Macular Edema
Erkan ÇELİK1, Erdinç BOZKURT2, Elif Betül TÜRKOĞLU1, Burçin ÇAKIR1, Emine DOĞAN1, Gürsoy ALAGÖZ3
1M.D. Sakarya Training and Research Hospital, Eye Clinic, Sakarya/TURKEY
2M.D. Asistant, Sakarya Training and Research Hospital, Eye Clinic, Sakarya/TURKEY
3M.D. Professor, Sakarya Training and Research Hospital, Eye Clinic, Sakarya/TURKEY
Purpose: To evaluate the ocular and systemic complications of intravitreal bevacizumab (IVB) injection for diabetic macular edema (DME).

Materials and Methods: Between June 2012-May 2014, 610 IVB injections for DME of 163 patients were evaluated retrospectively. Patients were excluded if they had a history of a cerebrovascular or cardiovascular event in the 6 months before enrollment. Bevacizumab 1.25 mg/0.05 ml (Altuzan®) was used for injection. All patients were examined at 1st day, 1st week, 1st month and every 4 weeks after IVB application.

Results: Mean age, of 72 female and 91 male patients, was 63.7±11.3 years. Mean follow-up time was 9.4 (4-24) months. Endophthalmitis in 1 eye (0.61%), hyphema in 1 eye (0.61%), trauma to the clear lens (0.61%), spontaneously resolved vitreous hemorrhage in 1 eye (0.61%), temporary intraocular pressure increase controlled by topical medication in 5 eyes (3.06%), punctate corneal epitelyopathy in 11 eyes (6.74%), mild inflammation in anterior chamber in 8 eyes (4.90%) and subconjunctival hemorrhage in 21 eyes (12.88%) in 21 eyes were noted as ocular complications. Cerebrovascular ischemic attack in 1 patient (0.61%) and increased systemic blood pressure in 1 patient (0.61%) were observed as systemic complications.

Conclusion: IVB injections are technically simple operations and frequently used in daily practice. However, it should be kept in mind intravitreal injections may cause very serious complications. Keywords : Diabetic macular edema, intravitreal bevacizumab, complications

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