A study of efficacy of grid photocoagulation combined with intravitreal bevacizumab for recurrent macular edema associated with branch retinal vein occlusion
Journal Title: Medpulse International Journal of Ophthalmology - Year 2017, Vol 3, Issue 1
Abstract
Purpose: To find out the effect of Grid Photocoagulation combined with Intra Vitreal Bevacizumab in Recurrent macular edema associated with Branch Retinal Vein Occlusion (BRVO). Materials and Methods: This descriptive type of observational hospital based study was conducted on the patients attending OPD block and Retina Clinic of Upgraded Department of Ophthalmology, SMS Medical College and Hospital, Jaipur. Patients underwent a single intravitreal bevacizumab injection (Avastin), followed by complete grid photocoagulation in single sitting. At 1 month and 3 month follow up patients underwent complete ophthalmological examination including BCVA, OCT and fundus angiography. Statistical analysis was done by using chi square test at alpha error 0.05 and power 80%. Results: After combined therapy (Intravitreal Bevacizumab with Grid photocoagulation),there was a significant decrease in foveal thickness when a comparison was done between baseline foveal thickness and foveal thickness at 1 and 3 months as denoted by the p-value. Significant improvement was also observed in BCVA at follow up after combined therapy (IVB with grid photocoagulation) at 1 month and 3 months when compared with baseline values with significant p-value. Conclusion: The current study finds that co-performing grid photocoagulation with IVB reduces the number of IVB needed in eyes with “recurrent macular edema associated with BRVO” and is hence an efficacious modality for its treatment.
Authors and Affiliations
Anubhav Upadhyay, Manish Sharma, Kamlesh Khilnani, Meghna Solanki
Keywords
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