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Published on: May 31, 2024
Bevacizumab (Avastin) eye drops inhibit corneal neovascularization
Felix Bock1, Yanyan König, Friedrich Kruse
1Department of Ophthalmology, Friedrich-Alexander University Erlangen-Nürnberg, Schwabachanlage 6, Erlangen, Germany.
Background:
To analyze the ability of bevacizumab (Avastin) eye drops to inhibit corneal neovascularization.
Design:
interventional case series involving five patients (age: 42 +/- 14 years).
Methods:
Patients with aggressive corneal neovascularisation not responding to conventional therapy were treated with bevacizumab (Avastin) eye drops (5x/day; 5 mg/ml) for 0.5 to 6 months (mean: 3.6 +/- 2; four patients with limbal stem cell deficiency [three due to chemical burns and one inherited] and one after perforating keratoplasty).
Results:
Bevacizumab eye drops were well tolerated without obvious corneal side-effects. All five patients showed a reduction in the neovascularized area (decrease 48 +/- 28%; 13-75%).
Conclusions:
Bevacizumab eye drops seem to inhibit corneal neovascularization without obvious corneal epithelial side-effects.
Insights
Bevacizumab (Avastin) eye drops effectively reduced corneal neovascularization in patients unresponsive to standard treatments. This therapy demonstrated a significant decrease in new blood vessel growth without causing adverse corneal effects.
Area of Science:
- Ophthalmology
- Vascular Biology
- Regenerative Medicine
Background:
- Corneal neovascularization (CNV) is a significant cause of vision impairment.
- Aggressive CNV often proves resistant to conventional therapeutic approaches.
- Bevacizumab, a vascular endothelial growth factor inhibitor, is explored for ocular applications.
Purpose of the Study:
- To evaluate the efficacy of bevacizumab (Avastin) eye drops in inhibiting corneal neovascularization.
- To assess the safety profile of topical bevacizumab in patients with severe CNV.
Main Methods:
- An interventional case series was conducted involving five patients with refractory CNV.
- Patients received bevacizumab (Avastin) eye drops (5 mg/ml, 5 times daily) for an average of 3.6 months.
- Participants included patients with limbal stem cell deficiency and post-keratoplasty neovascularization.
Main Results:
- Bevacizumab eye drops were generally well-tolerated, with no significant corneal side-effects observed.
- All five patients experienced a reduction in the neovascularized area, with a mean decrease of 48% (range: 13-75%).
- The treatment showed promising results in managing aggressive corneal neovascularization.
Conclusions:
- Topical bevacizumab (Avastin) eye drops appear to be an effective treatment for inhibiting corneal neovascularization.
- The therapy is associated with a favorable safety profile, lacking notable corneal epithelial side-effects.
- Bevacizumab offers a potential therapeutic option for patients with severe, treatment-resistant CNV.
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