Topical bevacizumab treatment in aniridia

Ruth Lapid-Gortzak, Nathalie T.Y. Santana, Carla P. Nieuwendaal, Maarten P. Mourits, Ivanka J.E. van der Meulen

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Purpose: To report the results of long-term topical treatment with bevacizumab (Avastin) 5 mg/mL eyedrops in a case of aniridia-related neovacularization of the cornea. Methods: Interventional case report. A female patient with aniridia had a decrease in the best corrected visual acuity from 0.32 to 0.02 in the OS over the course of 4 years, secondary to central corneal neovascularization and epithelial breakdown. Vision in the OD was 0.2. In 2008, at age 28, a shared decision was made to start off-label treatment with bevacizumab eyedrops 0.5% in both eyes. After 9 years, the visual acuity in the OD remained stable, with stability of the macropannus and maintenance of central corneal clarity. In the OS, the central corneal neovascularization regressed, the epithelium regained its clarity, and after cataract surgery visual acuity was regained to 0.32. Results: After 9 years of treatment with topical bevacizumab, vision acuity is comparable to the situation of 12 years previously: Visual acuity remained stable in the ODS. Conclusion: In a young patient with progressive corneal neovascularization secondary to aniridia, stability of central corneal neovascularization was obtained and corneal clarity was preserved by adding a daily drop of bevacizumab 5 mg/mL. No adverse events occurred. Vessel growth was inhibited, and as such, the progression of the natural history of the patient’s disease was halted. More clinical study with longer follow-up is needed to investigate the applicability of treatment with topical VEGF inhibitors in aniridia.

Original languageEnglish
Pages (from-to)1741-1746
Number of pages6
JournalInternational Ophthalmology
Volume38
Issue number4
DOIs
StatePublished - 1 Aug 2018
Externally publishedYes

Keywords

  • Aniridia
  • Anti-VEGF
  • Bevacizumab
  • Conjunctivalization
  • Cornea
  • Limbal stem cell deficiency

ASJC Scopus subject areas

  • Ophthalmology

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