Major factors affecting intraocular pressure spike after intravitreal ranibizumab injection: Vitreous reflux and its amount

dc.contributor.authorUyar, Enes
dc.contributor.authorUlaş, Fatih
dc.contributor.authorŞahin, Saygın
dc.contributor.authorÇelebi, Serdal
dc.date.accessioned2022-05-20T05:18:19Z
dc.date.available2022-05-20T05:18:19Z
dc.date.issued2019
dc.departmentTıp Fakültesi
dc.description.abstractThe aim of this study was to assess the effect of vitreous reflux and its amount on short-term intraocular pressure after intravitreal injection of ranibizumab. Methods: The study included 316 eyes of 276 patients. Intraocular pressures were measured before intravitreal injection (preIOP), immediately after intravitreal injection (postIOP0), and 30 min after intravitreal injection (postIOP30). The amount of vitreous reflux was evaluated by measuring conjunctival bleb diameter, and patients were grouped as; group 1: no vitreous reflux, group 2: less vitreous reflux, and group 3: more vitreous reflux. The data were analyzed using variance analysis, chi-square test, and regression analysis. Results: PostIOP0 values were highest in group 1, followed by group 2 and group 3 (all p values < 0.001). PostIOP30 values were similar in group 1 and group 2 (p = 0.261), but were lower in group 3 than other two groups (p < 0.001, p = 0.001, respectively). Vitreous reflux was identified as the only factor affecting postinjection intraocular pressure changes (p < 0.001), and a negative correlation was found between the total number of intravitreal injection and vitreous reflux (p = 0.032). Conclusion: The major factor affecting short-term postinjection intraocular pressure elevation was vitreous reflux, and intraocular pressure levels increased as the amount of vitreous reflux decreased. Vitreous reflux and its amount decreased as the total number of intravitreal injection increased.
dc.identifier.doi10.1177/1120672119836613
dc.identifier.endpage367en_US
dc.identifier.issn1120-6721
dc.identifier.issue4en_US
dc.identifier.scopusqualityQ2
dc.identifier.startpage361en_US
dc.identifier.urihttps:/dx.doi.org/10.1177/1120672119836613
dc.identifier.urihttps://hdl.handle.net/20.500.12451/9405
dc.identifier.volume29en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherSAGE Publications Ltd
dc.relation.ispartofEuropean Journal of Ophthalmology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectIntraocular Pressure
dc.subjectIntravitreal Ranibizumab Injection
dc.subjectVitreous Reflux
dc.titleMajor factors affecting intraocular pressure spike after intravitreal ranibizumab injection: Vitreous reflux and its amount
dc.typeArticle

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