Incidence of Intraocular Pressure Elevation following Intravitreal Ranibizumab (Lucentis) for Age-related Macular Degeneration

JOURNAL TITLE: Journal of Current Glaucoma Practice

Author
1. Colin I Clement
2. Anne Lee
3. Gustavo MSM Reis
4. Brian Chua
5. John Grigg
6. Ralph Higgins
7. Ridia Lim
8. Ivan Goldberg
9. Alessandra Martins
ISSN
0974-0333
DOI
10.5005/jp-journals-10008-1213
Volume
11
Issue
1
Publishing Year
2017
Pages
5
Author Affiliations
    1. Glaucoma Unit, Sydney Eye Hospital, Sydney, New South Wales, Australia
    1. Glaucoma Unit, Sydney Eye Hospital, Sydney; Discipline of Ophthalmology, Central Clinical School, University of Sydney Sydney, New South Wales, Australia
    1. Glaucoma Unit, Sydney Eye Hospital, Sydney; Discipline of Ophthalmology, Central Clinical School, University of Sydney Sydney, New South Wales, Australia
    1. Discipline of Ophthalmology University of Sydney, Sydney, Australia
    1. Glaucoma Unit, Sydney Eye Hospital, Sydney; Discipline of Ophthalmology, Central Clinical School, University of Sydney Sydney, New South Wales, Australia
    1. Glaucoma Unit, Sydney Eye Hospital, Sydney; Discipline of Ophthalmology, Central Clinical School, University of Sydney Sydney, New South Wales, Australia
    1. Department of Ophthalmology, Moorfields Eye Hospital London, United Kingdom
    1. University of Sydney; Sydney Eye Hospital; Eye Associates, Sydney, Australia
    2. Sydney Eye Hospital, Sydney, Australia, Eye Associates, Sydney, Australia
    3. Sydney Eye Hospital, Sydney, Australia
    1. Eye Associates, Sydney, New South Wales, Australia; Glaucoma Unit, Sydney Eye Hospital, Sydney, New South Wales, Australia; Department of Ophthalmology, University of Sydney, New South Wales, Australia
  • Article keywords
    Age-related macular degeneration, Intraocular pressure, Ranibizumab

    Abstract

    Aim: The aim of this article is to evaluate the rate of patients developing sustained elevated intraocular pressure (IOP) after ranibizumab (Lucentis) intravitreal (IVT) injections. Design: This is a retrospective study. Participants: Charts of 192 consecutive patients receiving Lucentis for age-related macular degeneration (AMD) were retrospectively reviewed. Materials and methods: We enrolled patients with at least two IOP measurements between injections. Elevated IOP was defined as >21 mm Hg with an increase of at least 20% from baseline. Noninjected contralateral eyes of the same patient cohort were used as control. Main outcome measures: Primary outcome was defined as elevated IOP. Secondary outcomes were presence and type of glaucoma, number of injections, and time to IOP elevation. Results: Elevated IOP occurred at a significantly higher rate in eyes receiving IVT ranibizumab (7.47%; n = 9) compared with control (0.93%; n = 1). Patients with preexisting glaucoma or ocular hypertension (OHT) were more likely to develop elevated IOP after IVT ranibizumab injection. Conclusion: Intravitreal ranibizumab injections are associated with sustained IOP elevation in some eyes. How to cite this article: Reis GMSM, Grigg J, Chua B, Lee A, Lim R, Higgins R, Martins A, Goldberg I, Clement CI. The Incidence of Intraocular Pressure Elevation following Intravitreal Ranibizumab (Lucentis) for Age-related Macular Degeneration. J Curr Glaucoma Pract 2017;11(1):3-7.

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