Intravitreal Ranibizumab for the Treatment of Irvine-Gass Syndrome

Ocul Immunol Inflamm. 2015 Jun;23(3):225-31. doi: 10.3109/09273948.2014.898775. Epub 2014 Mar 28.

Abstract

Purpose: The purpose of our study was to evaluate the potential efficacy and safety of intravitreal ranibizumab in patients with pseudophakic cystoid macular edema (CME).

Methods: This retrospective study comprised 7 eyes with CME treated with intravitreal ranibizumab. Patients were examined at 1 week and 1 month after injection and monthly thereafter. Main outcome measures included changes in best-corrected visual acuity (BCVA) and central retinal thickness (CRT). Safety was assessed by ophthalmic examination and report of systemic adverse effects.

Results: There was a statistically significant difference on BCVA (p < 0.001) and CRT (p < 0.001) before and after the ranibizumab injection. One injection appeared to be sufficient for the resolution of CME, while recurrence was observed in 1 patient, in a long-term follow-up. No observable ocular or systemic side effects were found.

Conclusions: Intravitreal ranibizumab seems to be effective and safe for the treatment of pseudophakic CME, demonstrating a statistically significant difference in BCVA as well as CRT.

Keywords: Cataract; Irvine-Gass syndrome; cystoid macular edema; phacoemulsification; ranibizumab.

Publication types

  • Observational Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Angiogenesis Inhibitors / administration & dosage
  • Female
  • Fluorescein Angiography
  • Fundus Oculi
  • Humans
  • Intravitreal Injections
  • Macular Edema / drug therapy*
  • Macular Edema / etiology
  • Macular Edema / pathology
  • Male
  • Middle Aged
  • Phacoemulsification / adverse effects
  • Ranibizumab / administration & dosage*
  • Retrospective Studies
  • Syndrome
  • Time Factors
  • Tomography, Optical Coherence
  • Treatment Outcome
  • Visual Acuity

Substances

  • Angiogenesis Inhibitors
  • Ranibizumab