Comparison of adverse events between intravitreal anti-VEGF and laser photocoagulation for treatment-requiring retinopathy of prematurity: a systematic review.


Journal

International ophthalmology
ISSN: 1573-2630
Titre abrégé: Int Ophthalmol
Pays: Netherlands
ID NLM: 7904294

Informations de publication

Date de publication:
Mar 2023
Historique:
received: 07 02 2022
accepted: 20 08 2022
medline: 29 3 2023
pubmed: 11 10 2022
entrez: 10 10 2022
Statut: ppublish

Résumé

To synthesize existing evidence on adverse events, complications, and unfavorable outcomes of current treatment modalities for treatment-requiring retinopathy of prematurity (TR-ROP). PubMed, Cochrane Central Register of Controlled Trials, Scopus, EMBASE, Trip Database, and the gray literature available were searched. Randomized Clinical Trials and observational studies comparing the adverse events of intravitreal anti-VEGF injections (bevacizumab, ranibizumab, aflibercept, pegaptanib, conbercept) and laser photocoagulation (LPC) as treatment modalities for infants with TR-ROP were included. The main outcomes compared between the two treatment modalities were: 1. Refractive Errors and Biometry Parameters, 2. Adverse events, complications, and unfavorable outcomes, 3. Disease Recurrence/Disease Regression/Need for retreatment, 4. Neurodevelopmental Outcomes. Higher quality studies concluded that LPC leads to greater rates of myopia than intravitreal anti-VEGF treatment while the rate of adverse events and of unfavorable neurodevelopmental outcomes is similar. However, there was controversy among the included studies concerning the rate of ROP recurrence between intravitreal anti-VEGF injections and LPC. There is need for future primary studies assessing the adverse events of intravitreal anti-VEGF injections compared with LPC as treatment modalities for infants with TR-ROP.

Identifiants

pubmed: 36214992
doi: 10.1007/s10792-022-02480-6
pii: 10.1007/s10792-022-02480-6
pmc: PMC10042936
doi:

Substances chimiques

Angiogenesis Inhibitors 0
Bevacizumab 2S9ZZM9Q9V
Ranibizumab ZL1R02VT79
Vascular Endothelial Growth Factor A 0

Types de publication

Comparative Study Journal Article Review Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1027-1062

Informations de copyright

© 2022. The Author(s).

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Auteurs

Georgios N Tsiropoulos (GN)

2nd Department of Ophthalmology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Aikaterini K Seliniotaki (AK)

2nd Department of Ophthalmology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Anna-Bettina Haidich (AB)

Department of Hygiene, Social-Preventive Medicine and Medical Statistics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Nikolaos Ziakas (N)

2nd Department of Ophthalmology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Asimina Mataftsi (A)

2nd Department of Ophthalmology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece. amatafts@auth.gr.

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Classifications MeSH