Use of Anti-VEGF Agents in Glaucoma Surgery

A number of antivascular endothelial growth factor agents are currently used to treat ocular conditions. These agents have similar but distinct biologic qualities and have each been used in the management of neovascular glaucoma and in glaucoma surgery. Several different delivery methods are describ...

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Main Authors: Mark Slabaugh, Sarwat Salim
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2017/1645269
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author Mark Slabaugh
Sarwat Salim
author_facet Mark Slabaugh
Sarwat Salim
author_sort Mark Slabaugh
collection DOAJ
description A number of antivascular endothelial growth factor agents are currently used to treat ocular conditions. These agents have similar but distinct biologic qualities and have each been used in the management of neovascular glaucoma and in glaucoma surgery. Several different delivery methods are described, and because these medications are routinely given as intraocular injections, there are some benefits over traditional antifibrotic medications when used in glaucoma surgery. These agents effectively induce regression of anterior segment neovascularization and facilitate initial surgical management of neovascular glaucoma but the long-term outcome of this condition remains dependent on definitive management of the underlying process. Use in trabeculectomy or tube shunt procedures for other types of glaucoma has shown promise in affecting bleb morphology but has not yet been found to be as effective as traditional antifibrotic agents. There are reports of persistently raised intraocular pressure after repeated use of the anti-VEGF agents, possibly related to frequency of injection. These medications have wide application in the field of surgical glaucoma but a precise role has yet to be defined.
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spelling doaj-art-1f1ac8c181e741849cb0ebd3c5ac2a6b2025-02-03T05:58:10ZengWileyJournal of Ophthalmology2090-004X2090-00582017-01-01201710.1155/2017/16452691645269Use of Anti-VEGF Agents in Glaucoma SurgeryMark Slabaugh0Sarwat Salim1Department of Ophthalmology, William H. Havener Eye Institute, The Ohio State University Medical Center, Columbus, OH, USADepartment of Ophthalmology, Medical College of Wisconsin, 925 N. 87th Street, Milwaukee, WI 53226, USAA number of antivascular endothelial growth factor agents are currently used to treat ocular conditions. These agents have similar but distinct biologic qualities and have each been used in the management of neovascular glaucoma and in glaucoma surgery. Several different delivery methods are described, and because these medications are routinely given as intraocular injections, there are some benefits over traditional antifibrotic medications when used in glaucoma surgery. These agents effectively induce regression of anterior segment neovascularization and facilitate initial surgical management of neovascular glaucoma but the long-term outcome of this condition remains dependent on definitive management of the underlying process. Use in trabeculectomy or tube shunt procedures for other types of glaucoma has shown promise in affecting bleb morphology but has not yet been found to be as effective as traditional antifibrotic agents. There are reports of persistently raised intraocular pressure after repeated use of the anti-VEGF agents, possibly related to frequency of injection. These medications have wide application in the field of surgical glaucoma but a precise role has yet to be defined.http://dx.doi.org/10.1155/2017/1645269
spellingShingle Mark Slabaugh
Sarwat Salim
Use of Anti-VEGF Agents in Glaucoma Surgery
Journal of Ophthalmology
title Use of Anti-VEGF Agents in Glaucoma Surgery
title_full Use of Anti-VEGF Agents in Glaucoma Surgery
title_fullStr Use of Anti-VEGF Agents in Glaucoma Surgery
title_full_unstemmed Use of Anti-VEGF Agents in Glaucoma Surgery
title_short Use of Anti-VEGF Agents in Glaucoma Surgery
title_sort use of anti vegf agents in glaucoma surgery
url http://dx.doi.org/10.1155/2017/1645269
work_keys_str_mv AT markslabaugh useofantivegfagentsinglaucomasurgery
AT sarwatsalim useofantivegfagentsinglaucomasurgery