Effect of intravitreal aflibercept on corneal endothelial cells: a 6-month follow-up study

Tetsuya Muto, Shigeki Machida Department of Ophthalmology, Dokkyo Medical University Saitama Medical Center, Koshigaya, Japan Purpose: To determine the effect of intravitreal aflibercept injection on the corneal endothelium in patients with diabetic or cystoid macular edema caused by retinal vein...

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Autores principales: Muto T, Machida S
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Lenguaje:EN
Publicado: Dove Medical Press 2019
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spelling oai:doaj.org-article:7662c9af21484c38a2c0992e8285dcc12021-12-02T04:25:47ZEffect of intravitreal aflibercept on corneal endothelial cells: a 6-month follow-up study1177-5483https://doaj.org/article/7662c9af21484c38a2c0992e8285dcc12019-02-01T00:00:00Zhttps://www.dovepress.com/effect-of-intravitreal-aflibercept-on-corneal-endothelial-cells-a-6-mo-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Tetsuya Muto, Shigeki Machida Department of Ophthalmology, Dokkyo Medical University Saitama Medical Center, Koshigaya, Japan Purpose: To determine the effect of intravitreal aflibercept injection on the corneal endothelium in patients with diabetic or cystoid macular edema caused by retinal vein occlusion. Material and methods: Forty-six eyes of 44 consecutive patients (27 men, 17 women; age range: 55–88 years) were evaluated. All participants initially received a single intravitreal injection of aflibercept (2 mg in 0.05 mL), followed by pro re nata use and underwent central corneal specular microscopy before the injection and at 1, 3 and 6 months after the first injection during a 6-month follow-up period. The endothelial cell density (ECD), average cell size (AVG), standard deviation of cell size (SD), coefficient of variation of cell size (CoV), maximum of cell size (MAX), minimum of cell size (MIN) and percentage of hexagonal cells (Hex%) were analyzed and the central corneal thickness (CCT) was measured. Results: No significant differences in the ECD, AVG, SD, CoV, MIN, Hex% and CCT were observed between measurements obtained before and 1, 3 and 6 months after the first injection. However, the MAX measured before injection differed significantly from the values measured at 1, 3 and 6 months after the first injection (P=0.033). An average of 1.43±0.58 intravitreal aflibercept injections were administered per patient. Conclusion: These study findings indicate that the intravitreal administration of aflibercept (2 mg) might very slightly alter the corneal endothelium within 6 months of the first injection. Keywords: corneal endothelium, macular edema, retinal vein occlusion, vascular endothelial growth factorMuto TMachida SDove Medical Pressarticlecorneal endotheliummacular edemaretinal vein occlusionvascular endothelial growth factorOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 373-381 (2019)
institution DOAJ
collection DOAJ
language EN
topic corneal endothelium
macular edema
retinal vein occlusion
vascular endothelial growth factor
Ophthalmology
RE1-994
spellingShingle corneal endothelium
macular edema
retinal vein occlusion
vascular endothelial growth factor
Ophthalmology
RE1-994
Muto T
Machida S
Effect of intravitreal aflibercept on corneal endothelial cells: a 6-month follow-up study
description Tetsuya Muto, Shigeki Machida Department of Ophthalmology, Dokkyo Medical University Saitama Medical Center, Koshigaya, Japan Purpose: To determine the effect of intravitreal aflibercept injection on the corneal endothelium in patients with diabetic or cystoid macular edema caused by retinal vein occlusion. Material and methods: Forty-six eyes of 44 consecutive patients (27 men, 17 women; age range: 55–88 years) were evaluated. All participants initially received a single intravitreal injection of aflibercept (2 mg in 0.05 mL), followed by pro re nata use and underwent central corneal specular microscopy before the injection and at 1, 3 and 6 months after the first injection during a 6-month follow-up period. The endothelial cell density (ECD), average cell size (AVG), standard deviation of cell size (SD), coefficient of variation of cell size (CoV), maximum of cell size (MAX), minimum of cell size (MIN) and percentage of hexagonal cells (Hex%) were analyzed and the central corneal thickness (CCT) was measured. Results: No significant differences in the ECD, AVG, SD, CoV, MIN, Hex% and CCT were observed between measurements obtained before and 1, 3 and 6 months after the first injection. However, the MAX measured before injection differed significantly from the values measured at 1, 3 and 6 months after the first injection (P=0.033). An average of 1.43±0.58 intravitreal aflibercept injections were administered per patient. Conclusion: These study findings indicate that the intravitreal administration of aflibercept (2 mg) might very slightly alter the corneal endothelium within 6 months of the first injection. Keywords: corneal endothelium, macular edema, retinal vein occlusion, vascular endothelial growth factor
format article
author Muto T
Machida S
author_facet Muto T
Machida S
author_sort Muto T
title Effect of intravitreal aflibercept on corneal endothelial cells: a 6-month follow-up study
title_short Effect of intravitreal aflibercept on corneal endothelial cells: a 6-month follow-up study
title_full Effect of intravitreal aflibercept on corneal endothelial cells: a 6-month follow-up study
title_fullStr Effect of intravitreal aflibercept on corneal endothelial cells: a 6-month follow-up study
title_full_unstemmed Effect of intravitreal aflibercept on corneal endothelial cells: a 6-month follow-up study
title_sort effect of intravitreal aflibercept on corneal endothelial cells: a 6-month follow-up study
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/7662c9af21484c38a2c0992e8285dcc1
work_keys_str_mv AT mutot effectofintravitrealafliberceptoncornealendothelialcellsa6monthfollowupstudy
AT machidas effectofintravitrealafliberceptoncornealendothelialcellsa6monthfollowupstudy
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