Diabetic Retinopathy Clinical Trial
Official title:
Histologic Changes of Fibrovascular Membrane Associated With Proliferative Diabetic Retinopathy After Intravitreal Bevacizumab (Avastin®)
Recently, intravitreal bevacizumab (Avastin) injection has gained popularity as a potential
treatment of intraocular neovascularization (CNV) associated with age related macular
degeneration and diabetic retinopathy. The efficacy of the drug is thought to be related
with its pharmacologic blockade of VEGF.
The purpose of this study is to determine the effect of the intravitreal bevacizumab on the
fibrovascular membrane associated with proliferative diabetic retinopathy by objective
histologic evaluation.
The patients scheduled for vitrectomy for tractional fibrovascular membrane due to
proliferative diabetic retinopathy will be randomized into two treatment groups. The one
will receive conventional vitrectomy and the other group will receive intravitreal
bevacizumab injection one week before the scheduled vitrectomy. The fibrovascular membrane
will be excised during surgery and fixated for histologic examinations. The expression of
VEGF and PEDF, a potent inhibitor of angiogenesis, will be evaluated in the fibrovascular
membrane by immunohistochemistry. The results will be compared between two treatment groups.
n/a
Allocation: Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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