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. Author manuscript; available in PMC: 2011 Jun 1.
Published in final edited form as: Ophthalmology. 2010 Apr 28;117(6):1064–1077.e35. doi: 10.1016/j.ophtha.2010.02.031

Table 18.

Summary of all Systemic Adverse Events through 2 Years of Follow-up*

Sham N = 319 Ranibizumab N = 710 Triamcinolone N=369 Sham/ Ranibizumab N = 321 Sham/ Triamcinolone N = 109
Adverse Event
Blood and lymphatic system disorders
Anaemia 6 4 7 4 2
Anaemia of chronic disease 0 1 1 0 0
Lymphadenopathy 1 0 0 0 0
Lymphoedema 0 2 0 0 0
Lymphoma 0 0 1 0 0
Thrombocytopenia 0 2 0 0 0
Cardiac disorders
Acute coronary syndrome 0 0 1 0 0
Angina pectoris 2 1 2 1 0
Arrhythmia 1 2 1 1 0
Arteriosclerosis coronary artery 3 1 3 1 0
Atrial fibrillation 2 4 0 0 0
Bradycardia 1 3 1 0 0
Cardiac failure 0 1 2 1 0
Cardiac failure congestive 6 14 7 8 2
Cardiomegaly 0 2 0 2 0
Cardiomyopathy 0 1 1 0 0
Chest discomfort 1 0 0 0 0
Coronary artery disease 1 3 1 2 0
Coronary artery occlusion 0 0 1 0 0
Left ventricular hypertrophy 0 0 0 1 0
Mitral valve incompetence 0 1 0 0 0
Mitral valve prolapse 0 0 1 0 0
Myocardial infarction 6 3 5 4 1
Palpitations 0 0 0 1 0
Supraventricular tachycardia 0 1 0 0 0
Tachycardia 0 0 0 2 0
Ear and labyrinth disorders
Deafness 1 2 0 1 0
Ear pain 0 1 0 1 0
Endocrine disorders
Diabetes mellitus inadequate control 0 4 0 2 2
Diabetic gastroparesis 0 0 1 0 0
Diabetic ketoacidosis 0 0 2 3 0
Diabetic ulcer 0 1 0 1 0
Goitre 0 0 1 0 0
Hyperthyroidism 1 0 0 1 0
Hypothyroidism 2 4 2 1 0
Thyroid cancer 0 0 1 0 0
Thyroid neoplasm 1 0 0 0 0
Eye disorders
Conjunctival haemorrhage 1 0 0 0 0
Punctate keratitis 0 1 0 0 0
Visual impairment 1 0 0 0 0
Gastrointestinal disorders
Abdominal pain 3 1 2 2 0
Abdominal pain upper 1 3 1 4 0
Constipation 1 3 2 0 0
Diarrhoea 4 4 6 6 0
Dyspepsia 1 0 1 0 1
Gastric ulcer 0 1 0 1 0
Gastritis 1 1 0 1 1
Gastrointestinal haemorrhage 1 1 0 0 0
Gastrooesophageal reflux disease 3 4 5 0 0
Haematochezia 1 0 0 0 0
Impaired gastric emptying 0 3 0 0 0
Irritable bowel syndrome 0 0 0 1 0
Nausea 4 10 5 3 1
Oesophageal ulcer 0 1 0 0 0
Oesophagitis 0 1 0 1 0
Peptic ulcer 1 1 0 0 0
Rectal haemorrhage 0 0 0 1 0
Salivary gland disorder 0 1 1 0 0
Tooth infection 0 0 1 3 0
Vomiting 2 3 4 1 2
General disorders and administration site conditions
Chest pain 8 10 5 6 0
Chills 2 1 0 0 0
Cyst 1 3 2 1 0
Death 5 5 2 3 0
Fatigue 0 0 1 0 0
Gait disturbance 0 1 0 0 0
Hernia 1 0 1 2 1
Lethargy 0 2 0 0 0
Oedema peripheral 3 8 4 3 3
Pain 0 1 1 0 0
Pyrexia 3 2 0 4 0
Swelling 4 3 1 2 0
Hepatobiliary disorders
Cholecystitis acute 0 1 3 1 0
Cholelithiasis 1 1 0 0 1
Hepatic failure 0 1 1 0 0
Immune system disorders
Asthma 0 1 1 2 0
Drug hypersensitivity 1 0 0 1 0
Hypersensitivity 0 0 2 0 0
Seasonal allergy 4 7 1 4 3
Urticaria 0 1 0 0 0
Infections and infestations
Bronchitis 2 11 7 7 2
Cystitis 3 3 0 2 4
Diverticulitis 2 0 0 0 0
Ear infection 2 7 5 2 3
Fungal infection 1 2 0 1 1
Fungal skin infection 0 0 1 0 0
Gangrene 1 0 1 1 0
Gastroenteritis 1 0 2 0 1
Gastroenteritis viral 1 8 2 4 0
Gingival infection 0 1 0 1 0
Herpes zoster 2 1 4 2 0
Hordeolum 0 0 0 1 0
Infection 1 1 1 3 0
Influenza 4 11 9 11 4
Kidney infection 0 3 1 0 1
Localised infection 1 8 7 3 1
Onychomycosis 1 1 0 1 0
Oral herpes 0 1 0 0 0
Osteomyelitis 0 3 1 0 0
Pharyngitis streptococcal 0 1 1 0 0
Pneumonia 4 14 2 0 2
Respiratory tract infection 0 2 1 1 1
Sepsis 1 3 0 1 0
Sinusitis 2 5 3 3 1
Skin bacterial infection 0 0 1 0 0
Skin infection 1 2 1 0 0
Staphylococcal infection 0 0 0 1 2
Tooth abscess 0 7 4 1 0
Upper respiratory tract infection 2 22 7 7 1
Urinary tract infection 5 16 5 4 3
Injury, poisoning and procedural complications
Accidental overdose 0 0 1 0 0
Animal bite 0 1 0 0 0
Animal scratch 1 0 0 0 0
Arthropod bite 1 0 1 0 1
Arthropod sting 0 1 0 0 0
Asbestosis 0 0 0 0 1
Caustic injury 0 1 0 0 0
Fall 4 14 4 3 2
Fibula fracture 0 1 0 0 0
Food poisoning 0 1 1 2 0
Foot fracture 2 6 2 0 1
Head injury 0 1 0 1 0
Hip fracture 1 1 0 1 1
Joint injury 2 6 4 0 0
Laceration 2 2 1 0 0
Ligament rupture 0 0 0 0 1
Ligament sprain 0 1 0 0 1
Limb injury 1 0 0 1 0
Nerve injury 1 l 1 1 0
Post procedural complication 0 l 1 0 0
Road traffic accident 1 3 0 0 0
Spinal fracture 0 0 0 1 0
Thermal burn 1 0 0 0 0
Wound 0 0 0 0 1
Wrist fracture 0 0 2 0 0
Investigations
Angiogram 1 0 0 0 0
Aortogram 0 1 0 0 0
Arteriogram 0 1 0 0 0
Biopsy thyroid gland 0 1 1 0 0
Blood glucose decreased 0 0 2 0 0
Blood potassium decreased 1 0 0 0 0
Blood potassium increased 2 3 4 1 0
Blood testosterone decreased 0 1 0 0 0
Cardiac murmur 1 0 0 0 0
Colonoscopy 1 0 0 0 0
Heart rate increased 0 1 1 0 0
Heart rate irregular 0 5 1 0 0
Oesophagogastroduodenoscopy 1 0 0 0 0
Weight decreased 1 3 0 0 1
White blood cell count increased 0 1 1 0 0
Metabolism and nutrition disorders
Abnormal weight gain 1 1 0 0 0
Dehydration 2 1 2 0 0
Diabetes mellitus 0 2 2 2 0
Diabetes mellitus inadequate control 0 2 3 0 1
Fluid overload 0 0 1 0 1
Fluid retention 0 0 0 1 0
Hypercholesterolaemia 5 7 4 5 1
Hyperglycaemia 5 6 6 3 1
Hyperkalaemia 0 2 1 1 0
Hyperlipidaemia 0 0 0 1 0
Hypertriglyceridaemia 0 0 0 0 1
Hypogiycaemia 3 11 3 5 5
Iron deficiency 0 1 0 1 0
Oedema peripheral 0 0 0 1 0
Osteoporosis 0 1 2 0 0
Vitamin B12 deficiency 0 1 0 0 0
Vitamin D deficiency 1 1 1 0 1
Musculoskeletal and connective tissue disorders
Arthralgia 5 7 2 4 1
Arthritis 0 1 0 1 0
Back pain 5 9 4 4 1
Bursitis 1 0 0 1 0
Exostosis 1 2 0 0 0
Facial bones fracture 0 1 0 0 0
Fracture 1 2 0 2 1
Gout 1 3 0 4 2
Inclusion body myositis 0 1 0 0 0
Intervertebral disc protrusion 0 3 3 1 0
Joint sprain 0 0 1 0 0
Lower limb fracture 0 1 1 0 0
Multiple fractures 1 0 0 1 0
Muscle spasms 0 0 1 0 0
Muscular weakness 1 3 0 0 0
Musculoskeletal pain 6 4 2 1 0
Myalgia 1 2 2 1 3
Neck pain 3 6 1 1 0
Osteoarthritis 1 2 2 2 1
Osteopenia 0 1 0 0 0
Pain in extremity 5 8 10 3 1
Rhabdomyolysis 0 1 0 0 0
Rheumatoid arthritis 0 3 0 0 0
Rib fracture 1 1 1 1 0
Rotator cuff syndrome 1 1 0 0 0
Spinal osteoarthritis 1 0 0 0 0
Temporomandibular joint syndrome 0 0 0 1 0
Tendonitis 0 1 0 0 0
Trigger finger 1 3 2 0 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Abdominal neoplasm 1 0 0 0 0
Bladder cancer 0 2 0 0 0
Bone neoplasm malignant 0 1 0 0 0
Brain neoplasm 0 0 0 1 0
Colon cancer 0 2 0 0 0
Colonic polyp 0 1 0 0 0
Lung cancer metastatic 0 1 1 0 0
Multiple myeloma 0 0 0 1 0
Polyp 1 2 2 1 0
Skin cancer 5 2 2 1 0
Nervous system disorders
Amnesia 0 1 0 1 0
Carotid artery occlusion 1 0 0 0 0
Carpal tunnel syndrome 1 2 1 2 0
Cerebrovascular accident 2 3 2 0 0
Concussion 0 0 0 0 1
Convulsion 0 0 1 1 0
Dementia Alzheimer’s type 0 0 0 0 1
Dizziness 6 8 2 2 0
Dysarthria 0 0 0 0 1
Essential tremor 0 0 0 0 1
Facial palsy 1 0 1 0 0
Headache 6 17 8 6 1
Hemiparesis 2 0 0 0 0
Hypoaesthesia 0 0 1 1 1
Insomnia 2 3 1 0 0
Ischaemic stroke 6 2 1 1 0
Migraine 0 2 1 0 0
Neuropathy 0 2 1 0 0
Neuropathy peripheral 2 2 0 1 0
Post herpetic neuralgia 0 0 1 0 0
Presyncope 0 0 0 1 0
Restless legs syndrome 0 1 0 0 0
Sciatica 0 1 0 1 0
Syncope 1 3 4 2 0
Tinnitus 0 1 0 0 0
Tremor 0 1 1 0 0
Vertigo 3 1 2 3 0
Psychiatric disorders
Aggression 0 0 1 0 0
Anxiety 2 4 3 2 2
Bipolar disorder 0 0 1 0 0
Depression 3 8 0 4 0
Drug dependence 0 0 1 0 0
Insomnia 0 1 1 0 0
Mental disorder 1 0 0 0 0
Renal and urinary disorders
Bladder spasm 0 2 0 1 0
Haematuria 0 1 0 0 0
Nephrolithiasis 1 3 1 0 0
Proteinuria 0 1 0 0 0
Renal disorder 0 1 0 0 0
Renal failure 3 11 4 6 2
Renal failure acute 1 1 0 3 0
Renal failure chronic 0 2 3 0 0
Renal impairment 0 7 4 1 0
Urethral stenosis 1 0 0 0 0
Urinary incontinence 0 2 1 1 0
Urinary tract disorder 0 1 0 0 0
Reproductive system and breast disorders
Breast cancer 1 2 0 0 0
Erectile dysfunction 1 0 2 1 0
Prostate cancer 1 2 1 2 0
Prostatitis 0 1 0 0 0
Prostatomegaly 0 2 0 2 1
Respiratory, thoracic and mediastinal disorders
Asthma 0 0 0 1 0
Cardio-respiratory arrest 0 0 1 1 0
Chronic obstructive pulmonary disease 1 1 0 0 1
Cough 2 7 4 4 0
Dyspnoea 3 5 2 5 1
Epistaxis 0 3 0 1 0
Hypoxia 0 1 0 0 0
Lung neoplasm 0 1 0 0 0
Nasopharyngitis 7 29 15 6 2
Oropharyngeal pain 0 1 0 1 0
Pleural effusion 0 0 1 0 0
Pulmonary hypertension 0 1 0 0 0
Pulmonary oedema 1 2 0 3 0
Respiratory distress 0 0 1 0 0
Respiratory tract congestion 1 3 1 1 1
Rhinitis allergic 1 1 1 3 1
Rhinorrhoea 0 0 0 1 0
Sinusitis 4 13 4 6 2
Sleep apnoea syndrome 3 3 3 2 1
Sneezing 0 1 0 0 1
Throat cancer 0 1 0 1 0
Wheezing 0 0 0 0 1
Skin and subcutaneous tissue disorders
Alopecia 0 1 0 0 0
Angioedema 0 1 0 0 0
Blister 0 1 0 0 0
Cellulitis 0 4 3 1 0
Contusion 2 3 0 2 0
Dermatitis contact 0 2 0 1 1
Excoriation 2 0 0 0 0
Furuncle 1 1 0 0 0
Hyperhidrosis 0 1 0 0 0
Hyperkeratosis 0 1 0 0 0
Ingrowing nail 3 1 0 0 0
Pruritus 0 1 0 0 0
Psoriasis 0 0 0 0 1
Rash 0 7 1 1 .
Skin lesion 2 0 0 1 1
Skin ulcer 2 14 6 5 0
Subcutaneous abscess 0 1 0 0 0
Swelling face 1 0 0 0 0
Tinea capitis 0 0 0 1 0
Surgical and medical procedures
Arterial bypass operation 0 1 1 0 0
Benign tumour excision 1 0 0 0 0
Cholecystectomy 1 0 0 0 0
Coronary arterial stent insertion 0 2 1 1 0
Gastric bypass 0 0 1 2 0
Hysterectomy 0 0 1 0 0
Knee operation 0 0 1 0 1
Leg amputation 1 0 0 0 0
Shoulder operation 0 1 0 0 0
Skin lesion excision 0 3 0 0 0
Stent placement 1 1 1 2 0
Toe amputation 0 0 1 0 0
Tooth extraction 1 5 2 1 0
Vascular graft 0 1 0 1 0
Wrist surgery 0 1 0 0 1
Vascular disorders
Arterial occiusive disease 0 2 0 0 0
Arteriosclerosis 1 0 0 0 0
Arteriovenous fistula 1 1 3 0 0
Carotid artery stenosis 0 3 0 0 0
Cerebral haemorrhage 0 0 0 0 1
Deep vein thrombosis 1 1 0 0 0
Embolism 1 0 0 0 0
Hypertension 3 16 6 9 2
Hypotension 2 4 1 1 0
Iliac artery occlusion 1 0 0 0 0
Orthostatic hypotension 0 1 1 0 0
Peripheral vascular disorder 3 1 1 0 1
Poor peripheral circulation 0 0 1 0 0
Pulmonary embolism 0 1 1 0 0
Thrombosis 0 0 1 0 0
Transient ischaemic attack 2 1 0 0 0
Varicose vein 0 1 0 0 0
*

Comprehensive list of alt systemic adverse events as reported by the site using the Medical Dictionary for Regulatory Activities coding.