SAFETY AND EFFICACY OF PREOP INTRAVITREAL TRIAMCINOLONE PLUS BEVACIZUMAB COMBINATION AND BEVACIZUMAB ALONE IN VITREOUS SURGERY FOR NON-RESOLVING VITREOUS HAEMORRHAGE IN PROLIFERATIVE DIABETIC RETINOPATHY (PDR)
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 3
Abstract
BACKGROUND Diabetic retinopathy is much prevailing and contributing a major cause for visual morbidity, even a leading cause of total blindness among the people in their productive lifespan. Proliferative diabetic retinopathy is a major contributor to severe vision loss, very difficult to treat and requires complex surgical procedure. Here, we are suggesting our adjunctive procedure to standard diabetic vitrectomy to make the surgery little easier, shorter, safer and efficacious. The aim of the study is to know the safety and efficacy of preoperative Intravitreal (IV) triamcinolone acetonide (2 mg) plus bevacizumab (1.25 mg) and intravitreal bevacizumab (1.25 mg) 3 days prior to the scheduled day of vitreous surgery in non-resolving vitreous haemorrhage in PDR. MATERIALS AND METHODS Prospective comparative study involving 28 PDR patients with non-resolving vitreous haemorrhage planned for surgery. Group 1 (n=15), IV triamcinolone acetonide (2 mg) + bevacizumab (1.25 mg) and group 2 (n=13) IV bevacizumab (1.25 mg). Preoperative Complexity Score (CS), surgical time, intraoperative manoeuvers, visual and anatomical outcome at 6 months observation. RESULTS CS was similar in both the groups (5.5) intraoperative bleeding grade 1 vs. 2, endodiathermy 2 vs. 5 and posterior vitreous detachment induction 2 vs. 5. Postoperative best corrected visual acuity improved more in group 1 than 2. CONCLUSION Safety and efficacy of preoperative IV triamcinolone + bevacizumab is better than IV bevacizumab alone in diabetic haemorrhage related vitreous surgery.
Authors and Affiliations
Pramod Kumar Sharma, Nisha Jha, Jagadish Prasad Rout, Ravindra Kumar Chowdhury, Sharmistha Behera, Kalyani Patra
Keywords
Related Articles
- EP ID EP448861
- DOI 10.18410/jebmh/2018/45
- Views 74
- Downloads 0
A STUDY ON DIFFERENT TYPES OF THE PROSTATE CARCINOMAS
BACKGROUND Prostate cancer is becoming a significant international health problem. There is a significant variation in incidence of clinical prostate cancer worldwide. We wanted to study the incidence of carcinoma of the...
RANDOMISED COMPARISON OF THREE PAP SMEAR COLLECTION METHODS
Worldwide, According to statistics every year 8,000,000 new cases of cancer are diagnosed and about 5,000,000 people die from the disease. The early diagnosis will play a great role in reducing the mortality and morbidit...
THE ROLE OF PROPHYLACTIC OCTREOTIDE IN PREVENTING ERCP INDUCED PANCREATITIS
BACKGROUND Endoscopic Retrograde Cholangio-Pancreatography (ERCP) is a technique that uses a combination of luminal endoscopy and fluoroscopic imaging for diagnosis and treatment of pancreato-biliary system disorders. ER...
PREDICTORS OF EARLY MORTALITY IN ANTERIOR CIRCULATION STROKE
To assess and evaluate the significance of common clinical parameters as independent indices of mortality in stroke. To evaluate and correlate Rodrigues and Joshi's prognostic score with Bandolier's prognostic index as p...
OSTEOCHONDROMA ARISING FROM SPINOUS PROCESS OF L2, L3, L4 VERTEBRAE WITHOUT SPINAL CORD COMPRESSION: A RARE PRESENTATION
We here with present a case of osteochondroma arising from the spinous process of L2, L3, L4 vertebrae (Rt. Side) in a 28 years old male, labourer by profession presented to our hospital OPD on 08/11/2012 with chief comp...