TITLE:
Vitreomacular Traction Post Intravitreal Bevacizumab for Age Related Macular Degeneration
AUTHORS:
Okonkwo N. Ogugua, Hassan O. Adekunle, Gyasi E. Micheal, Oluyadi B. Fatai, Ogunro Adunola, Oderinlo Olufemi, Ulaikere Mildred, Harriman Ayodele
KEYWORDS:
Vitreomacular Traction, Vitreomacular Adhesion, Intravitreal Injection, Optical Coherence Tomography, Avastin, Age Related Macular Degeneration
JOURNAL NAME:
Open Journal of Ophthalmology,
Vol.7 No.2,
May
31,
2017
ABSTRACT: Purpose: To report the significant worsening of Vitreomacular Traction (VMT), following the intravitreal injection of Bevacizumab (Avastin) in an Age Related Macular Degeneration (AMD) eye; thereby raising the awareness of this possibility. Method: Retrospective observational case report. Results: After 3 monthly doses of intravitreal injection of 1.25 mg/0.05 cc bevacizumab for treatment of AMD, a post injection OCT revealed the presence of VMT and an increased central macular thickness (CMT) by additional 268 microns compared to pre injection levels. Conclusion: Worsening of VMT and increase in CMT following injection of intravitreal drugs can occur. This VMT worsening effect of intravitreal injections is under recognized. It demands greater attention since it is seen with a new common route of ocular drug delivery and may be responsible for cases of pharmacological failure.