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this study will compare the efficacy and safety of use either Ranibizumab and Aflibercept in treatment of macular edema resulting from non ischemic central retinal vein occlusion in patients younger than 5o years old
This is a prospective randomized interventional study, Forty eyes of forty patients younger than 50 years with macular edema due to non-ischemic CRVO were enrolled in the study.
Patients will be randomized into 2 groups. First group will receive intravitreal injection of Ranibizumab 0.5 mg\0.1ml. the second group will receive intravitreal injection of 2.0 mg\0.1 ml Aflibercept. All patients will be followed up for 12 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ranibizumab group | Active Comparator | Ranibizumab injection monthly for 3 successive months |
|
| Aflibercept group | Active Comparator | Aflibercept injection monthly for 3 successive months |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| intravitreal injection of Ranibizumab | Procedure | intravitreal injection of Anti-VEGF Ranibizumab (Lucentis®; manufactured in the United States by Genentech/Roche) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Best corrected visual acuity BCVA | change BCVA after injection | at 12 months post-injection |
| Measure | Description | Time Frame |
|---|---|---|
| reduction of macular edema | change in central subfield macular thickness CST on OCT | at 12 months post-injection |
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Inclusion Criteria:
Exclusion Criteria: Other conditions that might affect the macula as
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ahmed Ali Ahmed Amer | Recruiting | Qina | Qena Governorate | 83523 | Egypt |
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| ID | Term |
|---|---|
| D008269 | Macular Edema |
| ID | Term |
|---|---|
| D008268 | Macular Degeneration |
| D012162 | Retinal Degeneration |
| D012164 | Retinal Diseases |
| D005128 | Eye Diseases |
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| ID | Term |
|---|---|
| D000069579 | Ranibizumab |
| C533178 | aflibercept |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
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Patients were randomized into two groups, twenty patients (20 eyes) each. The first group received 0.5 mg\0.1 ml ranibizumab intravitreal injections and the second group received 2.0 mg\0.1 ml aflibercept intravitreal injections. all patients were followed up for at least 12 months.
Patients were given the planned treatment throughout the study and no switching was done between anti-VEGF drugs
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| intravitreal injection of Aflipercept | Procedure | intravitreal injection of Anti-VEGF Aflibercept (Eylea®; manufactured in the United States) |
|
| Ranibizumab | Drug | Ranibizumab |
|
| Aflibercept | Drug | Aflipercept |
|
| D007162 |
| Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |