Online ISSN: 2515-8260

Keywords : Bevacizumab

Efficacy of single bevacizumab injection as adjuvant therapy to laser photocoagulation in macular edema secondary to branch retinal vein occlusion

Dr. Priyanka Malik, Dr. Sneha Pal

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 5, Pages 416-420

Aim: To evaluate the improvement in visual acuity and central macular thickness after combination therapy of laser photocoagulation with single intravitreal bevacizumab injection in macular edema secondary to BRVO.
Material & Methods: This was a clinical trial study of 30 patients diagnosed with macular edema secondary to BRVO. Group A (n=15) was treated with laser photocoagulation therapy in combination with intravitreal bevacizumab injection, while Group B (n=15) was treated with laser photocoagulation therapy alone.
Results: There was no sig­nificant difference between the two groups with regard to sex (P=1.00). A significant difference in visual acuity between the two groups at 3-month follow-up (P=0.010) can be observed.No significant difference in macular thickness between the two groups was observed (P=0.772).
Conclusion: Laser photocoagulation combined with a single intravitreal bevacizumab has a substantial effect on increasing visual acuity in macular edema secondary to BRVO.

Outcome of Bevacizumab Use in Moderate to Severe COVID-19 Induced ARDS Patient: A Prospective Study from North India

Sahil Popli, Deepak Kumar

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 10058-10064

Background:Atypical pneumonia is caused by the SARS CoV-2 virus in persons who
have it. Inflammation is induced by the virus, which aids viral reproduction,
dissemination, tissue injury, and hypoxia. Bevacizumab is a prominent anti-VEGF
monoclonal antibody that has been approved by the USFDA for colorectal carcinoma,
non-small cell lung carcinoma, renal carcinoma, recurrent glioblastoma, cervical
carcinoma, and ovarian carcinoma. We conducted this study to look into the clinical
benefits of bevacizumab in combination with standard care for patients with moderate
to severe COVID-19 disease.
Materials and Methods: The present prospective study was conducted among patients
with moderate to severe COVID-19 pneumonia, admitted at CMC
MULTISPECIALITY HOSPITAL Hospital during SEP 2020 to june 2021. After taking
informed consent from relatives a pretested proforma was used to record the
demographic data, presenting symptoms, the changes of status of oxygen-support as
well as the symptom. Each eligible patient received two doses (400 mg) of bevacizumab
and arterial blood gas analysis, chest computed tomography (CT) scanning, chest Xray,
and laboratory tests were performed at baseline, Day 1 and Day 7 after start of
bevacizumab. To compare differences between different time points after intervention
and baseline point, a paired t-test or Wilcoxon matched-pairs signed-rank test was used
for quantitative data.
Results: In present study, the mean age of patients was 50.2±14.1 years. Majority of
enrolled patients were males (80.0%). The fever (85.0%) followed by cough (76.7%) and
dyspnoea (70.0%) were the common symptoms among enrolled patients. The mean
temperature of the enrolled patients was 99.3±1.4 F. CT chest showed that left lung
lesion ratio was 19.7±15.4% at baseline and it showed improvement and reduced to
12.1±4.3% and similar significant improvement was observed for right lung lesion ratio
(baseline: 35.2±14.9% vs Day 7: 17.2±13.9%). The discharge rate in our study was
65.0%. Due deteriorating of condition or addition of new complications, 18.3% of
patients were referred to higher centres for further management. The death rate was
16.7% in our study.
Conclusion: To reduce mortality in the global COVID-19 pandemic, the necessity for
efficient treatment with few complications should be prioritised. These 60 patients also
demonstrate bevacizumab's high efficacy in SARS CoV-2 patients.

The Value of Intracameral Injection of Bevacizumab for Treatment of Rubeosis Iridis in Neovascular Glaucoma in Nassiryah City

Wajida Saad Bunyan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 257-264

Purpose: This work targets assessing the estimation of intracameral bevacizumab
infusion in treatment of rubeosis iridis in neovascular glaucoma.
Patients and strategies: A planned report was done on 30 eyes of 30 patients with
rubeosis iridis. Intracameral infusion of bevacizumab was infused for all patients. Iris
flourescein angiography and specular microscopy were performed to all patients
preoperatively and postoperatively. Patients were followed up at five days, one month, a
quarter of a year, and a half year spans following the system.
Results: Iris fluorescein angiography demonstrated neovascularization relapse just in the
early development. Notwithstanding, specular microscopy indicated practically stable
endothelial trustworthiness aside from a couple of cases.
Conclusion: The utilization of intracameral bevacizumab for rubeosis iridis still needs
more preliminaries to build up long haul security and viability in retinal ischemia and
neovascular glaucoma.