研究目的
To investigate the extent of vascularization of the peripheral retina and vascular development patterns in patients with type 1 ROP treated with intravitreal bevacizumab and compare fluorescein angiography findings to those in type 2 ROP patients who recovered spontaneously.
研究成果
Peripheral vascular abnormalities are likely due to ROP itself, observed in both treated and untreated groups but less frequently in IVB-treated eyes. IVB slows vascularization but allows eventual full vascularization in most cases, reducing the need for additional laser therapy. Prolonged FA follow-up is important to avoid unnecessary treatments, with laser reserved only for cases with vascular leakage.
研究不足
Retrospective study design may introduce bias. Small sample size (62 eyes). FA evaluation may not fully capture peripheral retina details. Follow-up times differed between groups, potentially affecting results. No long-term outcomes beyond the study period.
1:Experimental Design and Method Selection:
Retrospective descriptive study comparing type 1 ROP patients treated with intravitreal bevacizumab (IVB) to type 2 ROP patients followed conservatively. Fluorescein angiography (FA) was used to evaluate vascularization and abnormalities.
2:Sample Selection and Data Sources:
Patients from Bakirkoy Dr. Sadi Konuk Training and Research Hospital between May 2014 and September
3:Study group:
20 36 eyes of 18 patients with type 1 ROP treated with IVB. Control group: 26 eyes of 13 patients with type 2 ROP not treated. Exclusion criteria included multiple IVB injections.
4:List of Experimental Equipment and Materials:
RetCam III Imaging System for FA, 30-G 4-mm microneedle for IVB injection, bevacizumab (Avastin), topical moxifloxacin (Vigamox), intravenous fluorescein dye, diode laser for photocoagulation.
5:Experimental Procedures and Operational Workflow:
IVB injection performed in operating room under pediatric anesthesiologist care, using 0.625 mg/0.025 ml dose. FA conducted under sedation analgesia with intravenous fluorescein. Images analyzed by ophthalmologists for vascular abnormalities. Follow-up with weekly indirect ophthalmoscopy and repeated FA as needed.
6:625 mg/025 ml dose. FA conducted under sedation analgesia with intravenous fluorescein. Images analyzed by ophthalmologists for vascular abnormalities. Follow-up with weekly indirect ophthalmoscopy and repeated FA as needed.
Data Analysis Methods:
5. Data Analysis Methods: Statistical analysis using Mann-Whitney U test and Chi-square test for demographic and vascular data. Vascular outgrowth measured using DB/DF ratio method.
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