alexa Ocular Hemodynamic Response to Intravitreal Pegaptanib
ISSN: 2155-9570

Journal of Clinical & Experimental Ophthalmology
Open Access

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Research Article

Ocular Hemodynamic Response to Intravitreal Pegaptanib in Eyes with Exudative Age-Related Macular Degeneration

Burak Turgut1*, Murat Kaya1, Sonay Coskun2, Orhan Aydemir1 and Nurettin Deniz1
1Fırat University School of Medicine, Department of Ophthalmology, Elazig, Turkey
2Fırat University School of Medicine, Department of Radiology, Elazig, Turkey
Corresponding Author : Burak Turgut, MD.
Assistant Professor of Ophthalmology
Firat University School of Medicine
Department of Ophthalmology, Elazig, Turkey
Tel: +904242333555
Fax: +904242388096
E-mail: [email protected]
Received July 23, 2010; Accepted September 04, 2010; Published September 04, 2010
Citation: Turgut B, Kaya M, Coskun S, Aydemir O, Deniz N (2010) Ocular Hemodynamic Response to Intravitreal Pegaptanib in Eyes with Exudative Age-Related Macular Degeneration. J Clinic Experiment Ophthalmol 1:109. doi:10.4172/2155-9570.1000109
Copyright: © 2010 Turgut B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Purpose: To assess ocular hemodynamic response to intravitreal pegaptanib in patients with age related macular degeneration (AMD).
Methods: Both eyes of twenty patients with choroidal neovascular membrane of at least four MPS (Macular Photocoagulation Study) disc area in one eye due to AMD were undergoing ocular hemodynamic evaluation. Blood flow velocities of both eyes were measured by Color Doppler Ultrasonography (CDU) before and at first, fourth weeks after intravitreal pegaptanib injection and calculated the arterial resistivity indices. The Wilcoxon-signed rank test was used for statistical analysis.
Results: In the treated eyes, the mean PSV (Peak Systolic Velocity) of OA (Ophthalmic Artery) increased significantly to a value of 45.37 ± 17.92 at the first (p=0.007), then returned to an insignifi cant value of 42.19 ± 14.35 at the fourth week (p>0.05). The mean PSV of CRA (Central Retinal Artery) increased signifi cantly to a value of 21.59 ± 6.21 at the first week (p=0.12) and, then remained in a significant value of 21.06 ± 4.95 at the fourth week (p=0.006). The mean EDV (End-Diastolic Velocity) of CRA increased significantly to a value of 6.07 ± 2.30 at the first week (p=0.001) and, then remained in a significant value of 6.20 ± 2.24 at the fourth week (p= 0.001). The mean PSV of PCA (Posterior Ciliary Artery) increased significantly to a value of 30.66 ± 10.73 at the first week in comparison to the value of at the fourth week (p=0.038). However, there was no significantly difference with value of 26.57 ± 5.91 at the fourth week (p>0.05), when compared with pretreatment measurement (27.60 ± 7.84). CDU measurements in untreated eyes did not show any significant change following and before the injection.
Conclusion: Resistivity indices of CRA, PCA and OA were not altered following intravitreal pegaptanib as an anti- VEGF agent in patients with AMD.


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