Skip to main content
Top
Published in: BMC Ophthalmology 1/2020

Open Access 01-12-2020 | Research article

Efficacy of intravitreal Lucentis injection on major and macular branch retinal vein occlusion

Authors: Jing Wang, Ying Li, Shu-Fen Fang, Hong Wang

Published in: BMC Ophthalmology | Issue 1/2020

Login to get access

Abstract

Background

The objective of our study was to assess the efficacy of intravitreal Lucentis injection on major and macular branch retinal vein occlusion (BRVO).

Methods

In this retrospective analysis, 43 patients (major BRVO n = 24; macular BRVO, n = 19) were treated with intravitreal injection of Lucentis with a 1 + PRN regimen, which is diagnosed by fluorescein fundus angiography (FFA). “1 + PRN”, namely, one intravitreal injection of Lucentis at the baseline, and then continue or stop according to the condition of the patient. The following observation indexes were measured at baseline and follow-up (1–6 months): best corrected visual acuity (BCVA), foveal thickness (CFT), total retinal volume with macular diameter of 6 mm. During the follow-up, repeated injections were given according to patients’ demand, and the number of injections was recorded.

Result

The observation indexes of patients with BRVO were significantly improved after 6 months of Lucentis treatment in both major and macular groups, including BCVA, CFT and the retinal volume of the 6 mm-diameter macula. Interestingly, there were significant differences in the therapeutic effect between the two groups, and the macular group had better therapeutic effect than the major group with the less number of repeated injections.

Conclusions

To sum up, intravitreal injection of Lucentis was effective for both major and macular BRVO, and the efficacy in macular subtype group was better than that in major subtype group with the more obviously improvement and the less number of injections.
Appendix
Available only for authorised users
Literature
1.
go back to reference Georgalas L, Tservakis I, Kiskira EE, Petrou P, Papaconstantinou D, Kanakis M. Efficacy and safety of dexamethasone intravitreal implant in patients with retinal vein occlusion resistant to anti-VEGF therapy: a 12-month prospective study. Cutan Ocul Toxicol. 2019:1–8. Georgalas L, Tservakis I, Kiskira EE, Petrou P, Papaconstantinou D, Kanakis M. Efficacy and safety of dexamethasone intravitreal implant in patients with retinal vein occlusion resistant to anti-VEGF therapy: a 12-month prospective study. Cutan Ocul Toxicol. 2019:1–8.
2.
go back to reference Li J, Paulus YM, Shuai Y, Fang W, Liu Q, Yuan S. New developments in the classification, pathogenesis, risk factors, natural history, and treatment of branch retinal vein occlusion. J Ophthalmol. 2017;2017:4936924.PubMedPubMedCentral Li J, Paulus YM, Shuai Y, Fang W, Liu Q, Yuan S. New developments in the classification, pathogenesis, risk factors, natural history, and treatment of branch retinal vein occlusion. J Ophthalmol. 2017;2017:4936924.PubMedPubMedCentral
3.
go back to reference Rogers S, Mcintosh RL, Cheung N, Lim L, Wang JJ, Mitchell P, Kowalski JW, Nguyen H, Wong TY. The prevalence of retinal vein occlusion: pooled data from population studies from the United States, Europe, Asia, and Australia. Ophthalmology. 2010;117:313–9 e311.CrossRef Rogers S, Mcintosh RL, Cheung N, Lim L, Wang JJ, Mitchell P, Kowalski JW, Nguyen H, Wong TY. The prevalence of retinal vein occlusion: pooled data from population studies from the United States, Europe, Asia, and Australia. Ophthalmology. 2010;117:313–9 e311.CrossRef
4.
go back to reference Hayreh SS. Retinal vein occlusion. Indian J Ophthalmol. 1994;42:109–32.PubMed Hayreh SS. Retinal vein occlusion. Indian J Ophthalmol. 1994;42:109–32.PubMed
5.
go back to reference Hayreh SS, Zimmerman MB. Fundus changes in central retinal vein occlusion. Retina. 2015;35:29–42.CrossRef Hayreh SS, Zimmerman MB. Fundus changes in central retinal vein occlusion. Retina. 2015;35:29–42.CrossRef
6.
go back to reference Noma H, Funatsu H, Yamasaki M, Tsukamoto H, Mimura T, Sone T, Hirayama T, Tamura H, Yamashita H, Minamoto A, et al. Aqueous humour levels of cytokines are correlated to vitreous levels and severity of macular oedema in branch retinal vein occlusion. Eye (Lond). 2008;22:42–8.CrossRef Noma H, Funatsu H, Yamasaki M, Tsukamoto H, Mimura T, Sone T, Hirayama T, Tamura H, Yamashita H, Minamoto A, et al. Aqueous humour levels of cytokines are correlated to vitreous levels and severity of macular oedema in branch retinal vein occlusion. Eye (Lond). 2008;22:42–8.CrossRef
7.
go back to reference Noma H, Mimura T, Yasuda K, Shimura M. Role of soluble vascular endothelial growth factor receptors-1 and -2, their ligands, and other factors in branch retinal vein occlusion with macular edema. Invest Ophthalmol Vis Sci. 2014;55:3878–85.CrossRef Noma H, Mimura T, Yasuda K, Shimura M. Role of soluble vascular endothelial growth factor receptors-1 and -2, their ligands, and other factors in branch retinal vein occlusion with macular edema. Invest Ophthalmol Vis Sci. 2014;55:3878–85.CrossRef
8.
go back to reference Galindo-Bocero J, Macías-Franco S, Sánchez-García S, Fonollá-Gil M, García-Alonso A. Radiation retinopathy secondary to treatment of maxillary sinus carcinoma: a dramatic case. Arch Soc Esp Oftalmol. 2017;92:486–9.CrossRef Galindo-Bocero J, Macías-Franco S, Sánchez-García S, Fonollá-Gil M, García-Alonso A. Radiation retinopathy secondary to treatment of maxillary sinus carcinoma: a dramatic case. Arch Soc Esp Oftalmol. 2017;92:486–9.CrossRef
9.
go back to reference Rogers SL, Mcintosh RL, Lim L, Mitchell P, Cheung N, Kowalski JW, Nguyen HP, Wang JJ, Wong TY. Natural history of branch retinal vein occlusion: an evidence-based systematic review. Ophthalmology. 2010;117:1094–101 e1095.CrossRef Rogers SL, Mcintosh RL, Lim L, Mitchell P, Cheung N, Kowalski JW, Nguyen HP, Wang JJ, Wong TY. Natural history of branch retinal vein occlusion: an evidence-based systematic review. Ophthalmology. 2010;117:1094–101 e1095.CrossRef
10.
go back to reference Cebeci Z, Kir N. Role of implants in the treatment of diabetic macular edema: focus on the dexamethasone intravitreal implant. Diabetes Metab Syndr Obes. 2015;8:555–66.CrossRef Cebeci Z, Kir N. Role of implants in the treatment of diabetic macular edema: focus on the dexamethasone intravitreal implant. Diabetes Metab Syndr Obes. 2015;8:555–66.CrossRef
11.
go back to reference Minami Y, Nagaoka T, Ishibazawa A, Yoshida A. Short-Term Effect Of Intravitreal Ranibizumab Therapy On Macular Edema After Branch Retinal Vein Occlusion. Retina. 2016;36:1726–32.CrossRef Minami Y, Nagaoka T, Ishibazawa A, Yoshida A. Short-Term Effect Of Intravitreal Ranibizumab Therapy On Macular Edema After Branch Retinal Vein Occlusion. Retina. 2016;36:1726–32.CrossRef
12.
go back to reference Vaidyanathan U,Moshirfar M, Ranibizumab, in StatPearls. 2020, StatPearls Publishing Copyright © 2020, StatPearls Publishing LLC.: Treasure Island (FL). Vaidyanathan U,Moshirfar M, Ranibizumab, in StatPearls. 2020, StatPearls Publishing Copyright © 2020, StatPearls Publishing LLC.: Treasure Island (FL).
13.
go back to reference Chatziralli I, Theodossiadis G, Chatzirallis A, Parikakis E, Mitropoulos P, Theodossiadis P. RANIBIZUMAB FOR RETINAL VEIN OCCLUSION: Predictive factors and long-term outcomes in real-life data. Retina. 2018;38:559–68.CrossRef Chatziralli I, Theodossiadis G, Chatzirallis A, Parikakis E, Mitropoulos P, Theodossiadis P. RANIBIZUMAB FOR RETINAL VEIN OCCLUSION: Predictive factors and long-term outcomes in real-life data. Retina. 2018;38:559–68.CrossRef
14.
go back to reference Bandello F, Augustin A, Tufail A, Leaback R. A 12-month, multicenter, parallel group comparison of dexamethasone intravitreal implant versus ranibizumab in branch retinal vein occlusion. Eur J Ophthalmol. 2018;28:697–705.CrossRef Bandello F, Augustin A, Tufail A, Leaback R. A 12-month, multicenter, parallel group comparison of dexamethasone intravitreal implant versus ranibizumab in branch retinal vein occlusion. Eur J Ophthalmol. 2018;28:697–705.CrossRef
15.
go back to reference Nishimura T, Machida S, Tada A, Oshida E, Muto T. Macular function following intravitreal ranibizumab for macular edema associated with branch retinal vein occlusion. Doc Ophthalmol. 2019;139:67–74.CrossRef Nishimura T, Machida S, Tada A, Oshida E, Muto T. Macular function following intravitreal ranibizumab for macular edema associated with branch retinal vein occlusion. Doc Ophthalmol. 2019;139:67–74.CrossRef
16.
go back to reference Tao Y, Huang C, Liu M, Sun L, Li L, Wei Y, Yu X, Wang H. Short-term effect of intravitreal conbercept injection on major and macular branch retinal vein occlusion. J Int Med Res. 2019;47:1202–9.CrossRef Tao Y, Huang C, Liu M, Sun L, Li L, Wei Y, Yu X, Wang H. Short-term effect of intravitreal conbercept injection on major and macular branch retinal vein occlusion. J Int Med Res. 2019;47:1202–9.CrossRef
17.
go back to reference Aiello LP, Northrup JM, Keyt BA, Takagi H, Iwamoto MA. Hypoxic regulation of vascular endothelial growth factor in retinal cells. Arch Ophthalmol. 1995;113:1538–44.CrossRef Aiello LP, Northrup JM, Keyt BA, Takagi H, Iwamoto MA. Hypoxic regulation of vascular endothelial growth factor in retinal cells. Arch Ophthalmol. 1995;113:1538–44.CrossRef
18.
go back to reference Aiello LP, Avery RL, Arrigg PG, Keyt BA, Jampel HD, Shah ST, Pasquale LR, Thieme H, Iwamoto MA, Park JE, et al. Vascular endothelial growth factor in ocular fluid of patients with diabetic retinopathy and other retinal disorders. N Engl J Med. 1994;331:1480–7.CrossRef Aiello LP, Avery RL, Arrigg PG, Keyt BA, Jampel HD, Shah ST, Pasquale LR, Thieme H, Iwamoto MA, Park JE, et al. Vascular endothelial growth factor in ocular fluid of patients with diabetic retinopathy and other retinal disorders. N Engl J Med. 1994;331:1480–7.CrossRef
19.
go back to reference Noma H, Funatsu H, Mimura T, Eguchi S, Shimada K. Role of soluble vascular endothelial growth factor receptor-2 in macular oedema with central retinal vein occlusion. Br J Ophthalmol. 2011;95:788–92.CrossRef Noma H, Funatsu H, Mimura T, Eguchi S, Shimada K. Role of soluble vascular endothelial growth factor receptor-2 in macular oedema with central retinal vein occlusion. Br J Ophthalmol. 2011;95:788–92.CrossRef
20.
go back to reference Hahn P, Fekrat S. Best practices for treatment of retinal vein occlusion. Curr Opin Ophthalmol. 2012;23:175–81.CrossRef Hahn P, Fekrat S. Best practices for treatment of retinal vein occlusion. Curr Opin Ophthalmol. 2012;23:175–81.CrossRef
21.
go back to reference Kumar P, Sharma YR, Chandra P, Azad R, Meshram GG. Comparison of the Safety and Efficacy of Intravitreal Ranibizumab with or without Laser Photocoagulation Versus Dexamethasone Intravitreal Implant with or without Laser Photocoagulation for Macular Edema Secondary to Branch Retinal Vein Occlusion. Folia Med (Plovdiv). 2019;61:240–8.CrossRef Kumar P, Sharma YR, Chandra P, Azad R, Meshram GG. Comparison of the Safety and Efficacy of Intravitreal Ranibizumab with or without Laser Photocoagulation Versus Dexamethasone Intravitreal Implant with or without Laser Photocoagulation for Macular Edema Secondary to Branch Retinal Vein Occlusion. Folia Med (Plovdiv). 2019;61:240–8.CrossRef
22.
go back to reference Tadayoni R, Waldstein SM, Boscia F, Gerding H, Gekkieva M, Barnes E, Das Gupta A, Wenzel A, Pearce I. Sustained benefits of Ranibizumab with or without laser in branch retinal vein occlusion: 24-month results of the BRIGHTER study. Ophthalmology. 2017;124:1778–87.CrossRef Tadayoni R, Waldstein SM, Boscia F, Gerding H, Gekkieva M, Barnes E, Das Gupta A, Wenzel A, Pearce I. Sustained benefits of Ranibizumab with or without laser in branch retinal vein occlusion: 24-month results of the BRIGHTER study. Ophthalmology. 2017;124:1778–87.CrossRef
23.
go back to reference Wei Q, Chen R, Lou Q, Yu J. Intravitreal corticosteroid implant vs intravitreal ranibizumab for the treatment of macular edema: a meta-analysis of randomized controlled trials. Drug Des Devel Ther. 2019;13:301–7.CrossRef Wei Q, Chen R, Lou Q, Yu J. Intravitreal corticosteroid implant vs intravitreal ranibizumab for the treatment of macular edema: a meta-analysis of randomized controlled trials. Drug Des Devel Ther. 2019;13:301–7.CrossRef
24.
go back to reference Gutman FA, Zegarra H. The natural course of temporal retinal branch vein occlusion. Trans Am Acad Ophthalmol Otolaryngol. 1974;78:Op178–92.PubMed Gutman FA, Zegarra H. The natural course of temporal retinal branch vein occlusion. Trans Am Acad Ophthalmol Otolaryngol. 1974;78:Op178–92.PubMed
25.
go back to reference Hayreh SS, Zimmerman MB. Fundus changes in branch retinal vein occlusion. Retina. 2015;35:1016–27.CrossRef Hayreh SS, Zimmerman MB. Fundus changes in branch retinal vein occlusion. Retina. 2015;35:1016–27.CrossRef
26.
go back to reference Samara WA, Shahlaee A, Sridhar J, Khan MA, Ho AC, Hsu J. Quantitative optical coherence tomography angiography features and visual function in eyes with branch retinal vein occlusion. Am J Ophthalmol. 2016;166:76–83.CrossRef Samara WA, Shahlaee A, Sridhar J, Khan MA, Ho AC, Hsu J. Quantitative optical coherence tomography angiography features and visual function in eyes with branch retinal vein occlusion. Am J Ophthalmol. 2016;166:76–83.CrossRef
27.
go back to reference Noma H, Mimura T, Yasuda K, Nakagawa H, Motohashi R, Kotake O, Shimura M. Intravitreal Ranibizumab and aqueous humor factors/cytokines in major and macular branch retinal vein occlusion. Ophthalmologica. 2016;235:203–7.CrossRef Noma H, Mimura T, Yasuda K, Nakagawa H, Motohashi R, Kotake O, Shimura M. Intravitreal Ranibizumab and aqueous humor factors/cytokines in major and macular branch retinal vein occlusion. Ophthalmologica. 2016;235:203–7.CrossRef
Metadata
Title
Efficacy of intravitreal Lucentis injection on major and macular branch retinal vein occlusion
Authors
Jing Wang
Ying Li
Shu-Fen Fang
Hong Wang
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2020
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-020-01544-4

Other articles of this Issue 1/2020

BMC Ophthalmology 1/2020 Go to the issue