Safety of 5914 intravitreal ziv-aflibercept injections

Sumit Randhir Singh, Michael W. Stewart, Goura Chattannavar, Mohammed Ashraf, Ahmed Souka, Mazen ElDardeery, Neeraj Wadhwa, Chintan Sarvaiya, Ahmad M. Mansour, Ameen Marashi, Suresh Ramchandani, Imoro Zeba Braimah, Mohammad Hossein Jabbarpoor Bonyadi, Alireza Ramezani, Masoud Soheilian, Joaõ Rafael De Oliveira Dias, Gabriel Costa De Andrade, André Maia, Eduardo Büchele Rodrigues, Michel Eid FarahAlay Banker, Jay Chhablani

Research output: Contribution to journalArticlepeer-review

28 Citations (Scopus)

Abstract

Purpose To analyse the pooled safety data of intravitreal ziv-aflibercept (IVZ) therapy for various retinal conditions. Methods This was a retrospective, observational study which included patients from 14 participating centres who received IVZ. The medical records of patients who received IVZ from March 2015 through October 2017 were evaluated. Patient demographics and ocular details were compiled. Ocular and systemic adverse events that occurred within 1 month of IVZ injections were recorded and defined as either procedure-related or drug-related. Results A total of 1704 eyes of 1562 patients received 5914 IVZ injections (mean±SD: 3.73±3.94) during a period of 2.5 years. The age of patients was 60.6±12.8 years (mean±SD) and included diverse chorioretinal pathologies. Both ocular (one case of endophthalmitis, three cases of intraocular inflammation, and one case each of conjunctival thinning/necrosis and scleral nodule) and systemic adverse events (two cases of myocardial infarction, one case of stroke and two deaths) were infrequent. Conclusion This constitutes the largest pooled safety report on IVZ use and includes patients from 14 centres distributed across the globe. It shows that IVZ has an acceptable ocular and systemic safety profile with incidences of adverse events similar to those of other vascular endothelial growth factor inhibitory drugs. The analysis supports the continued use of IVZ in various retinal disorders.

Original languageEnglish
Pages (from-to)805-810
Number of pages6
JournalBritish Journal of Ophthalmology
Volume103
Issue number6
DOIs
Publication statusPublished - 1 Jun 2019

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