Anti-VEGF Agents for Ocular Angiogenesis and Vascular Permeability

We review articles describing intravitreal injection of anti-VEGF drug trials, while discussing the mechanisms of the action of anti-VEGF antibodies, and also evaluating their outcomes. Intraocular injections of anti-VEGF drug are considered to be an effective treatment for macular edema after retin...

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Main Authors: Kenichi Kimoto, Toshiaki Kubota
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2012/852183
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author Kenichi Kimoto
Toshiaki Kubota
author_facet Kenichi Kimoto
Toshiaki Kubota
author_sort Kenichi Kimoto
collection DOAJ
description We review articles describing intravitreal injection of anti-VEGF drug trials, while discussing the mechanisms of the action of anti-VEGF antibodies, and also evaluating their outcomes. Intraocular injections of anti-VEGF drug are considered to be an effective treatment for macular edema after retinal vein occlusion, however, recurrent/persistent edema is common. The recent reports may lead to a shift in treatment paradigm for DME, from laser photocoagulation, to newer approaches using anti-VEGF drugs. There have been several well-publicized prospective, randomized studies that demonstrated the efficacy of intravitreal injection of anti-VEGF drugs for patients with AMD. Adjuvant bevacizumab for neovascular glaucoma may prevent further PAS formation, and it is likely to open up a therapeutic window for a panretinal photocoagulation and trabeculectomy. Intravitreal injection of bevacizumab (IVB) results in a substantial decrease in bleeding from the retinal vessels or new vessels during a standard vitrectomy. IVB has also been reported to be effective for inducing the regression of new vessels in proliferative diabetic retinopathy. The use of bevacizumab in stage 4 or 5 retinopahty of permaturity (ROP) is to reduce the plus sign to help reduce hemorrhage during the subsequent vitrectomy. Some authors reported cases of resolution of stage 4 A ROP after bevacizumab injection.
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spelling doaj-art-11d8212017ce46ef9bb68f8d538dec5b2025-02-03T01:23:22ZengWileyJournal of Ophthalmology2090-004X2090-00582012-01-01201210.1155/2012/852183852183Anti-VEGF Agents for Ocular Angiogenesis and Vascular PermeabilityKenichi Kimoto0Toshiaki Kubota1Department of Ophthalmology, Oita University, Faculty of Medicine, Hasama-machi, Yufu-shi, Oita 879-5593, JapanDepartment of Ophthalmology, Oita University, Faculty of Medicine, Hasama-machi, Yufu-shi, Oita 879-5593, JapanWe review articles describing intravitreal injection of anti-VEGF drug trials, while discussing the mechanisms of the action of anti-VEGF antibodies, and also evaluating their outcomes. Intraocular injections of anti-VEGF drug are considered to be an effective treatment for macular edema after retinal vein occlusion, however, recurrent/persistent edema is common. The recent reports may lead to a shift in treatment paradigm for DME, from laser photocoagulation, to newer approaches using anti-VEGF drugs. There have been several well-publicized prospective, randomized studies that demonstrated the efficacy of intravitreal injection of anti-VEGF drugs for patients with AMD. Adjuvant bevacizumab for neovascular glaucoma may prevent further PAS formation, and it is likely to open up a therapeutic window for a panretinal photocoagulation and trabeculectomy. Intravitreal injection of bevacizumab (IVB) results in a substantial decrease in bleeding from the retinal vessels or new vessels during a standard vitrectomy. IVB has also been reported to be effective for inducing the regression of new vessels in proliferative diabetic retinopathy. The use of bevacizumab in stage 4 or 5 retinopahty of permaturity (ROP) is to reduce the plus sign to help reduce hemorrhage during the subsequent vitrectomy. Some authors reported cases of resolution of stage 4 A ROP after bevacizumab injection.http://dx.doi.org/10.1155/2012/852183
spellingShingle Kenichi Kimoto
Toshiaki Kubota
Anti-VEGF Agents for Ocular Angiogenesis and Vascular Permeability
Journal of Ophthalmology
title Anti-VEGF Agents for Ocular Angiogenesis and Vascular Permeability
title_full Anti-VEGF Agents for Ocular Angiogenesis and Vascular Permeability
title_fullStr Anti-VEGF Agents for Ocular Angiogenesis and Vascular Permeability
title_full_unstemmed Anti-VEGF Agents for Ocular Angiogenesis and Vascular Permeability
title_short Anti-VEGF Agents for Ocular Angiogenesis and Vascular Permeability
title_sort anti vegf agents for ocular angiogenesis and vascular permeability
url http://dx.doi.org/10.1155/2012/852183
work_keys_str_mv AT kenichikimoto antivegfagentsforocularangiogenesisandvascularpermeability
AT toshiakikubota antivegfagentsforocularangiogenesisandvascularpermeability