Serum vascular endothelial growth factor after bevacizumab or ranibizumab treatment for retinopathy of prematurity

  • Wei Chi Wu*
  • , Chia Pang Shih
  • , Reyin Lien
  • , Nan Kai Wang
  • , Yen Po Chen
  • , An Ning Chao
  • , Kuan Jen Chen
  • , Tun Lu Chen
  • , Yih Shiou Hwang
  • , Chi Chun Lai
  • *Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

124 Scopus citations

Abstract

Purpose: To investigate vascular endothelial growth factor (VEGF) levels in the systemic circulation after intravitreal injections of bevacizumab (IVB) or ranibizumab (IVR) in patients with Type 1 retinopathy of prematurity (ROP). Methods: Patients who had Type 1 ROP and received IVB or IVR were enrolled. Serum samples were collected before and up to 12 weeks after IVB or IVR treatment. The main outcome measurements were serum levels of VEGF up to 12 weeks after anti-VEGF treatment. Results: In total, 10 patients with Type 1 ROP were enrolled in this study. All the eyes had complete resolution of abnormal neovascularization of ROP after IVB or IVR. In the direct comparison of IVB with IVR, serum VEGF was found to be suppressed more in patients with Type 1 ROP who received IVB treatment, compared with those who received IVR treatment (P = 0.01, P = 0.03, and P = 0.03, respectively, 2, 4, and 8 weeks after intravitreal injection). Conclusion: Serum VEGF levels in patients with Type 1 ROP were suppressed for 2 months after treatment with IVB, and VEGF levels were less affected after IVR treatment. Further studies are warranted to investigate the long-term effects of VEGF changes in ROP patients.

Original languageEnglish
Pages (from-to)694-701
Number of pages8
JournalRetina
Volume37
Issue number4
DOIs
StatePublished - 2017

Bibliographical note

Publisher Copyright:
© by Opthalmic Communications Society, Inc.

Keywords

  • Intravitreal injections of bevacizumab
  • Intravitreous injections of ranibizumab
  • Retinopathy of prematurity
  • Serum
  • Vascular endothelial growth factor

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