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Safety and complications of intravitreal injections performed in an Asian population in Singapore

Overview of attention for article published in International Ophthalmology, May 2016
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Title
Safety and complications of intravitreal injections performed in an Asian population in Singapore
Published in
International Ophthalmology, May 2016
DOI 10.1007/s10792-016-0241-4
Pubmed ID
Authors

Yanping Xu, Colin S. Tan

Abstract

There has been a rapid rise in the use of intravitreal injections, such as anti-vascular endothelial growth factor (anti-VEGF) agents, performed over the past few years for the treatment of ocular neovascular diseases. This study aims to review the systemic and ocular adverse events among patients treated at a tertiary eye center over a period of 8 years. A retrospective review of all intravitreal injections of anti-VEGF performed over an 8-year period at a tertiary eye care center in Singapore was done. We report the frequency of systemic and ocular adverse events and compared it among the various anti-VEGF agents. A total of 14 001 intravitreal injections were performed on 2225 patients from January 1, 2007 to December 31, 2014, and this included 9992 bevacizumab (71.4 %), 3306 ranibizumab (23.6 %) and 703 aflibercept (5.0 %) injections. Systemic complications related to treatment were 26 (1.17 %) deaths (from any cause), of which 11 (0.49 %) were from fatal thromboembolic events, 7 (0.31 %) non-fatal thromboembolic events and two (0.09 %) serious non-ocular hemorrhage. Ocular complications included one (0.007 %) endophthalmitis, three (0.021 %) traumatic cataracts, and one (0.007 %) retinal detachment. Rates of death and thromboembolic events were similar among ranibizumab (lucentis), bevacizumab (avastin) and aflibercept (Eylea). The systemic and ocular complications associated with intravitreal injections among Asian patients at a tertiary eye center are relatively low and reflect the safety of the treatments.

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Geographical breakdown

Country Count As %
Unknown 46 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 7 15%
Student > Ph. D. Student 7 15%
Student > Master 7 15%
Researcher 6 13%
Other 2 4%
Other 4 9%
Unknown 13 28%
Readers by discipline Count As %
Medicine and Dentistry 14 30%
Nursing and Health Professions 4 9%
Biochemistry, Genetics and Molecular Biology 2 4%
Linguistics 1 2%
Business, Management and Accounting 1 2%
Other 5 11%
Unknown 19 41%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 May 2016.
All research outputs
#20,330,976
of 22,875,477 outputs
Outputs from International Ophthalmology
#661
of 1,033 outputs
Outputs of similar age
#290,657
of 338,291 outputs
Outputs of similar age from International Ophthalmology
#16
of 19 outputs
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