Proliferative ischemic retinopathies lead to a formation of abnormal vessels on the iris surface induced by an increased level of vascular endothelial growth factor (VEGF). In progressive stages fibrovascular membranes occlude the anterior chamber angle which inhibits aqueous outflow resulting in neovascular glaucoma. The increased intraocular pressure is often difficult to control and frequently results in loss of vision. The aim of this study is to analyze the short- and long-term outcome after adjuvant intraocular Ranibizumab application in patients with neovascular glaucoma and rubeosis and to analyze the role of ranibizumab within a holistic treatment regime.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
20
short- and long-term effects of 0.5mg intraocular Ranibizumab (Lucentis) injections as adjuvant for patients with rubeosis and neovascular glaucoma
University of Lübeck - Department of Ophthalmology
Lübeck, Germany
change of degree of iris rubeosis
Main outcome measure is the change of degree of iris rubeosis as documented by iris fluorescein angiography as measured 12 months after the first ranibizumab injection.
Time frame: 12 Months
changes in intraocular pressure
• to document changes in intraocular pressure measurements with the Goldmann applanation tonometer
Time frame: 12 Months
changes in best corrected visual acuity (BCVA)
• to document changes in best corrected visual acuity (BCVA) measured on 4 meters
Time frame: 12 Months
numbers of additional interventions
• to document numbers of additional interventions or anti-glaucomatous medications 12 months after injection
Time frame: 12 Months
quality of life
• to document changes of quality of life
Time frame: 12 Months
Number of adverse events in all participants
• to evaluate the safety of intravitreal injections of ranibizumab (0.5 mg) as adjunctive in patients with rubeosis and neovascular glaucoma using the number of adverse events.
Time frame: 12 Months
changes in gonioscopy
• to document changes in gonioscopy of the anterior chamber angle
Time frame: 12 Months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.