Intravitreal vascular endothelial growth factor (VEGF) inhibitor injection in unrecognised early pregnancy

被引:10
作者
Kianersi, Farzan [1 ]
Ghanbari, Heshmatollah [1 ]
Beni, Zahra Naderi [2 ]
Beni, Afsaneh Naderi [3 ]
机构
[1] Isfahan Univ Med Sci, Dept Ophthalmol, Esfahan, Iran
[2] Isfahan Univ Med Sci, Dept Radiotherapy & Oncol, Esfahan, Iran
[3] Shahrekord Univ Med Sci, Dept Ophthalmol, Shahrekord, Iran
关键词
Intravitreal vascular endothelial growth factor; Pregnancy; Complication; CHOROIDAL NEOVASCULARIZATION; BEVACIZUMAB INJECTION; AVASTIN;
D O I
10.1007/s10637-016-0361-8
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The use of intravitreal vascular endothelial growth factor (VEGF) inhibitor medications has widened considerably to include indications affecting females of reproductive age. Our patient was inadvertently exposed to bevacizumab within the first trimester when placental growth and fetal organogenesis take place and patient suffered pregnancy loss. There is insufficient information to suggest that such use is safe, nor is there definitive evidence to suggest that it causes harm. We advise that ophthalmologists discuss pregnancy with women of childbearing age undergoing intraocular anti-VEGF injections and in pregnant woman counselling is needed to explain the potential risks and benefits.
引用
收藏
页码:650 / 653
页数:4
相关论文
共 16 条
  • [1] Pharmacokinetics of intravitreal bevackumab (avastin)
    Bakri, Sophie J.
    Snyder, Melissa R.
    Reid, Joel M.
    Pulido, Jose S.
    Singh, Ravinder J.
    [J]. OPHTHALMOLOGY, 2007, 114 (05) : 855 - 859
  • [2] Briggs G.G., 2011, Drugs in Pregnancy and Lactation: A Reference Guide to Fetal and Neonatal Risk
  • [3] Safety Implications of Vascular Endothelial Growth Factor Blockade for Subjects Receiving Intravitreal Anti-Vascular Endothelial Growth Factor Therapies
    Csaky, Karl
    Do, Diana V.
    [J]. AMERICAN JOURNAL OF OPHTHALMOLOGY, 2009, 148 (05) : 647 - 656
  • [4] Adverse events and complications associated with intravitreal injection of anti-VEGF agents: a review of literature
    Falavarjani, K. Ghasemi
    Nguyen, Q. D.
    [J]. EYE, 2013, 27 (07) : 787 - 794
  • [5] The International Intravitreal Bevacizumab Safety Survey: using the Internet to assess drug safety worldwide
    Fung, A. E.
    Rosenfeld, P. J.
    Reichel, E.
    [J]. BRITISH JOURNAL OF OPHTHALMOLOGY, 2006, 90 (11) : 1344 - 1349
  • [6] Intravitreal Bevacizumab for a Subfoveal Myopic Choroidal Neovascularization in the First Trimester of Pregnancy
    Introini, Ugo
    Casalino, Giuseppe
    Cardani, Anna
    Scotti, Fabrizio
    Finardi, Alberto
    Candiani, Massimo
    Bandello, Francesco
    [J]. JOURNAL OF OCULAR PHARMACOLOGY AND THERAPEUTICS, 2012, 28 (05) : 553 - 555
  • [7] Early loss of pregnancy after intravitreal bevacizumab injection
    Petrou, Petros
    Georgalas, Ilias
    Giavaras, Georgios
    Anastasiou, Eleni
    Ntana, Zoi
    Petrou, Constantinos
    [J]. ACTA OPHTHALMOLOGICA, 2010, 88 (04) : e136 - e136
  • [8] Exposure to verteporfin and bevacizumab therapy for choroidal neovascularization secondary to punctate inner choroidopathy during pregnancy
    Rosen, E.
    Rubowitz, A.
    Ferencz, J. R.
    [J]. EYE, 2009, 23 (06) : 1479 - 1479
  • [9] Intravitreal Administration of Ranibizumab for Idiopathic Choroidal Neovascularization in a Pregnant Woman
    Sarhianaki, A.
    Katsimpris, A.
    Petropoulos, I. K.
    Livieratou, A.
    Theoulakis, P. E.
    Katsimpris, J. M.
    [J]. KLINISCHE MONATSBLATTER FUR AUGENHEILKUNDE, 2012, 229 (04) : 451 - 453
  • [10] Vascular endothelial growth factor in fellow eyes of eyes injected with intravitreal bevacizumab
    Sawada, Osamu
    Kawamura, Hajime
    Kakinoki, Masashi
    Ohji, Masahito
    [J]. GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 2008, 246 (10) : 1379 - 1381