title: The effects of intravitreal bevacizumab in infectious and noninfectious uveitic macular edema.
abstract: Background/Aims. To assess the effect of intravitreal bevacizumab injection (IVBI) for the treatment of macular edema due to infectious and noninfectious uveitides. Design. Retrospective interventional case series. Methods. A chart review was performed on all the patients who were diagnosed with uveitic macular edema (UME) and received 1.25 mg of IVBI at two referral centers in Riyadh, Saudi Arabia. All included patients had their visual acuity and macular thickness analyzed at baseline and at 1 and 3 months following IVBI and any sign of reactivation was noted. Results. The mean age of patients was 41 ± 16 years with a mean followup of 4 ± 1 months. Ten patients had idiopathic intermediate uveitis, 9 patients had Behcet's disease, 10 had idiopathic panuveitis, and twelve patients had presumed ocular tuberculosis uveitis. Following IVBI, the mean LogMAR visual acuity improved from 0.8 ± 0.8 at baseline to 0.4 ± 0.5 at 1 month and 0.3 ± 0.5 at 3 months (P < 0.002, at 3 months). The mean macular thickness was 430 ± 132 μm at baseline. Following IVBI macular thickness improved to 286 ± 93 μm at 1 month and to 265 ± 88 μm at 3 months of followup (P < 0.001, at 3 months). Conclusion. Bevacizumab was effective in the management of UME associated with both infectious and noninfectious uveitides. Intravitreal bevacizumab induced remission of UME with infectious uveitis and had no immunosuppressive effect against infectious agents.
authors.affiliation: King Khaled Eye Specialist Hospital, Al-Oruba Street, P.O. Box 7191, Riyadh 11462, Saudi Arabia.
authors.forename: Hassan
authors.initials: H
authors.lastname: Al-Dhibi
authors.affiliation: The Eye Center and the Eye Foundation for Research in Ophthalmology, Riyadh, Saudi Arabia.
authors.forename: Issam H
authors.initials: IH
authors.lastname: Hamade
authors.affiliation: King Khaled Eye Specialist Hospital, Al-Oruba Street, P.O. Box 7191, Riyadh 11462, Saudi Arabia.
authors.forename: Ali
authors.initials: A
authors.lastname: Al-Halafi
authors.affiliation: King Khaled Eye Specialist Hospital, Al-Oruba Street, P.O. Box 7191, Riyadh 11462, Saudi Arabia.
authors.forename: Maan
authors.initials: M
authors.lastname: Barry
authors.affiliation: The Eye Center and the Eye Foundation for Research in Ophthalmology, Riyadh, Saudi Arabia.
authors.forename: Charbel Bou
authors.initials: CB
authors.lastname: Chacra
authors.affiliation: King Khaled Eye Specialist Hospital, Al-Oruba Street, P.O. Box 7191, Riyadh 11462, Saudi Arabia.
authors.forename: Vishali
authors.initials: V
authors.lastname: Gupta
authors.affiliation: The Eye Center and the Eye Foundation for Research in Ophthalmology, Riyadh, Saudi Arabia ; Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia ; The Wilmer Ophthalmological Institute, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Khalid F
authors.initials: KF
authors.lastname: Tabbara