Table 2. Summary of studies on the use of intravitreal ranibizumab for ROP.
Authors | Study design | Sample size | Criteria for treatment with anti-VEGF | Initial regression | Recurrence rate | Subsequent Treatment | Complications |
---|---|---|---|---|---|---|---|
Castellanos et al.22 | Retrospective | 6 eyes of 3 infants | Type 1 ROP | 100% | 0% | – | – |
Chen et al.23 | Retrospective | 31 eyes of 16 infants(ranibizumab) 41 eyes of 21 infants (bevacizumab) | Type 1 ROP | 100% (ranibizumab) 98% (bevacizumab) | 0% | Laser | – |
Wong et al.29 | Retrospective | 6 eyes of 4 infants (ranibizumab) 4 eyes of 2 infants (bevacizumab) | Zone 1 or posterior Zone2 disease | 100% (both ranibizumab + bevacizumab) | 83% ranibizumab 0% bevacizumab | Laser | – |
Erol et al.24 | Retrospective | 15 eyes of 8 infants (ranibizumab) 21 eyes of 12 infants (bevacizumab) | Type 1 ROP | 100% (both ranibizumab + bevacizumab) | 40% ranibizumab 10% bevacizumab | Laser | – |
Mota et al.27 | Retrospective | 4 eyes of 2 infants | APROP | Case 1: bilateral ranibizumab injection → initial bilateral regression then recurrence at 4 weeks → 2nd injection + laser → regress Case 2: initial laser therapy → disease progression → ranibizumab + supplementary laser → regress | – | ||
Lin et al.26 | Retrospective | 2 eyes of 1 infant | Zone 1 Stage 3 Plus | Bilateral bevacizumab injection → initial regression → recurrence at 2 months → laser + ranibizumab → regress | – | ||
Jang et al.28 | Retrospective | 2 eyes of 1 infant | Zone 1 Stage 3 Plus | Initial combined bilateral ranibizumab with laser → regress → bilateral recurrence with total retinal detachment at 4 months | – | ||
Present series | Retrospective | 10 eyes of 6 infants | Selected cases of Type 1 ROP, eg APROP, poor pupil dilatation | 63%* (70%^) | 60%* (43%^) | Laser, surgery in 1 case | Non–progressive peripheral lens opacity |
*Only including eyes with intravitreal ranibizumab as initial therapy.
^Also including eyes with laser as initial therapy followed by intravitreal ranibizumab.