AI Article Synopsis

  • The study aimed to evaluate adverse events and patient preferences after receiving bilateral injections of VEGF antibodies in patients with age-related macular degeneration.
  • A comparison was made between two groups: one receiving bilateral injections on the same day and another receiving unilateral injections, analyzing the occurrence of serious events and patient comfort over an 18-month period.
  • Results indicated no increased risk of serious complications between the two groups, with over 90% of patients expressing a strong preference for bilateral injections.

Article Abstract

Purpose: The purpose of this study was to review adverse events and patient preference after bilateral intravitreal injection of antibodies to vascular endothelial growth factor.

Methods: A retrospective case-control study. Patients with exudative age-related macular degeneration who received intravitreal antivascular endothelial growth factor agent injections in both eyes (bilateral group) on the same day over a 23-month period were compared with patients who received injections in only 1 eye. The occurrence of endophthalmitis, cerebrovascular accident, myocardial infarction, death, patient discomfort, and patient preference was compared between the two groups.

Results: One hundred and two patients received an average of 4.43 bilateral injections (range 1-13). A case-control group of 102 patients received an average of 10.2 unilateral injections, (range 2-28). Bevacizumab was injected 45.5%, ranibizumab 45.5%, and a combination of bevacizumab and ranibizumab 9% of the time for bilateral injections. Bevacizumab was used 50.3% and ranubizumab 49.7% of the time in unilateral injections. The follow-up of both groups averaged 18.4 months (range 4.7-36.5 months). There were no cases of endophthalmitis or cerebrovascular accident in either group. There was a single case of myocardial infarction in each group. There were two deaths in the bilateral group and three deaths in the unilateral group. More than 90% strongly preferred bilateral injections to unilateral injections.

Conclusion: Bilateral injections of antivascular endothelial growth factor agents on the same day did not increase the rate of adverse events and was preferred by the majority of patients.

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http://dx.doi.org/10.1097/IAE.0b013e3181ed8c80DOI Listing

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