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Correlation of ocular rigidity with intraocular pressure spike after intravitreal injection of bevacizumab in exudative retinal disease

British Journal of Ophthalmology May 03, 2020

Sayah DN, Szigiato AA, Mazzaferri J, et al. - Researchers conducted this prospective cross-sectional study to assess the non-invasive measurement of ocular rigidity (OR), an important biomechanical property of the eye, as a predictor of intraocular pressure (IOP) elevation after anti-vascular endothelial growth factor (anti-VEGF) intravitreal injection (IVI). Participants in the study were patients requiring IVI of anti-VEGF for a preexisting retinal condition. OR was evaluated in 18 eyes of 18 candidates using video-rate optical coherence tomography to measure pulsatile choroidal volume change, and pulsatile IOP change using dynamic contour tonometry. Data reported that the average increase in IOP following IVI was 19 ± 9 mm Hg, with a range of 7–33 mm Hg. The data presented in this work showed a strong positive association between OR and acute IOP elevation following IVI. Such results suggest that non-invasive OR measurement may be an important method for recognizing patients at risk of IOP spikes after IVI.

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