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COMMENTS AND OPINIONS

Necessity of Paracentesis Before or After Intravitreal Injection of Bevacizumab
Wei-Cheng Huang, MD;
Jane-Ming Lin, MD;
Chun-Chi Chiang, MD;
Yi-Yu Tsai, MD, PhD
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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In the study by Bashshur and colleagues,1 0.1 mL of bevacizumab was injected intravitreally; paracentesis was performed only if intraocular pressure (IOP) was greater than 25 mm Hg or the optic nerve head was not adequately perfused 20 minutes after injection. They did not mention how many patients needed paracentesis. I would like to add some comments on the subject.
There are 3 articles2-4 that discuss IOP changes following intravitreal bevacizumab and the necessity of paracentesis; however, the lack of consistency among their conclusions is controversial. Hollands et al3 suggest that clinicians should check IOP after injection or perform a preinjection paracentesis. In a study by Bakri et al,2 no patients required paracentesis, but a few patients required IOP-lowering drops. Falkenstein et al4 reported that paracentesis is unnecessary. These studies, however, used only 0.05 mL of bevacizumab; . . . [Full Text of this Article] AUTHOR INFORMATION
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