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Nippon Ganka Gakkai Zasshi ; 117(7): 558-60, 2013 Jul.
Article in Japanese | MEDLINE | ID: mdl-23926816

ABSTRACT

BACKGROUND: Anti-vascular endothelial growth factor (anti-VEGF) therapies including intravitrous bevacizumab injection (IVB) emerged as an effective treatment for various fundus diseases. Reports of adverse reactions derived from bevacizumab itself are rare. We report a case in which corneal subepithelial infiltrates developed following IVB. CASE: A sixty-six-year-old man presented with visual acuity loss due to cystic macular edema secondary to branch retinal vein occlusion. He developed vascular congestion and subepithelial infiltrates in the peripheral cornea on day 2 following the first IVB. The findings resolved with topical steroid in twelve days. CONCLUSION: A case of subepithelial infiltrate in the peripheral cornea following IVB is reported. Since infiltrates were located along, and associated with the congestion of, the limbal vascular arcade, an innate immune response to bevacizumab may be indicated.


Subject(s)
Antibodies, Monoclonal, Humanized/adverse effects , Corneal Diseases/chemically induced , Retinal Vein Occlusion/drug therapy , Vascular Endothelial Growth Factor A/immunology , Visual Acuity/drug effects , Aged , Antibodies, Monoclonal, Humanized/administration & dosage , Antibodies, Monoclonal, Humanized/therapeutic use , Bevacizumab , Humans , Injections , Male , Retinal Vein Occlusion/diagnosis
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