ABSTRACT
Vascular endothelial growth factor inhibitor is an emerging therapeutic modality for various ocular diseases with neovascularization (NV). However, for corneal NV, controversy remains regarding whether bevacizumab or ranibizumab is superior. A 32-year-old female diagnosed with herpetic keratoconjunctivitis with refractory corneal NV despite two previous subconjunctival and intrastromal bevacizumab injections, received two subconjunctival and intrastromal ranibizumab injections. Six months postoperatively, there was significant regression of the neovascular area and vessel caliber. Here, the authors report a case of improvement in corneal NV with subconjunctival and intrastromal ranibizumab injections, which was previously refractory to bevacizumab injection. The findings may suggest a new prospect in treating corneal NV.
Subject(s)
Adult , Female , Humans , Angiogenesis Inhibitors/administration & dosage , Antibodies, Monoclonal, Humanized/administration & dosage , Conjunctiva/blood supply , Corneal Neovascularization/drug therapy , Corneal Stroma/blood supply , Injections, Intraocular/methods , Keratitis, Herpetic/drug therapy , Visual Acuity/drug effectsABSTRACT
Se estudió el efecto angiogénico y la composición de proteínas y lípidos del omentum humano a partir de la inoculación intraestomal en la córnea de conejo de los extractos obteniodos tras homogeneizar el material biológico. Se encontraron valores muy bajos de proteínas y muy elevados de triglicéridos fundamentalmente en el extracto 2 de origen lípidico. En relación con la vascularización, ésta se logró con mayor intensidad en la córnea de los animales que se inocularon con el extracto 2