Evidence map›Paper›PMID 23407351›Full record

ArticleRetina (Philadelphia, Pa.)2013

Anatomic and pharmacokinetic properties of intravitreal bevacizumab and ranibizumab after vitrectomy and lensectomy.

John B Christoforidis, Michelle M Williams, Jillian Wang, Angela Jiang, Cedric Pratt, Mahmoud Abdel-Rasoul, George H Hinkle, Michael V Knopp

Registry-linked trialAbstract read
In one paragraph

Article in Retina (Philadelphia, Pa.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06662994 (High Dose Aflibercept in Diabetic Macular Edema in Patients With Previous Vitrectomy), which is not on this map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06662994 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

High Dose Aflibercept in Diabetic Macular Edema in Patients With Previous Vitrectomy

TypeinterventionalSponsorRetina Consultants of Orange CountyRan2025 to 2027Enrolled15ConditionsDiabetic Macular Edema (DME)ArmsAflibercept 8 mg (VEGF Trap-Eye, BAY86-5321)
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.

  1. Pooled it
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  13. Mid-term safety and effectiveness of intravitreal dexamethasone implant to treat persistent cystoid macular edema in vitrectomized eyes for bacterial endophthalmitis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
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  14. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

John B ChristoforidisDepartment of Ophthalmology and Vision Science, The University of Arizona Medical Center, Tucson, Arizona 85711, USA. jbchristo@hotmail.com
Michelle M Williams
Jillian Wang
Angela Jiang
Cedric Pratt
Mahmoud Abdel-Rasoul
George H Hinkle
Michael V Knopp
The Ohio State University · USBanner - University Medical Center Tucson · US

Funding

The Ohio State University Center for clinical and Translational ScienceUL1TR001070 · NCATS · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2013 to 2017
$22.6M
NCATS NIH HHS UL1 TR001070
6 · The paper itself

Abstract

purposeTo determine the anatomic characteristics and pharmacokinetic properties of intravitreally placed bevacizumab and ranibizumab after pars plana lensectomy or pars plana vitrectomy and to compare these with nonoperated control eyes in a rabbit model.

methodsThree groups of six Dutch-belted rabbits each underwent pars plana vitrectomy, pars plana lensectomy, or served as nonsurgical controls. Twelve days after surgery, 3 rabbits from each group underwent intravitreal injection in one eye with 1.25 mg/0.05 mL I-124-bevacizumab or 0.5 mg/0.05 mL I-124-ranibizumab. Serial imaging with integrated positron emission and computed tomography (PET/CT) were obtained on Days 0, 2, 5, 7, 14, 21, 28, and 35. Measured radioactivity emission in becquerels/milliliter was used to calculate the half-lives for each agent.

resultsThe intravitreally placed radiolabeled agents were contained within the vitreous cavity for the duration of the study. The average clearance half-lives with standard error for bevacizumab and ranibizumab after correction for radioactive decay were, respectively, 4.22 ± 0.07 days and 2.81 ± 0.05 days in unoperated eyes, 2.30 ± 0.09 days (P < 0.0001) and 2.13 ± 0.05 days (P < 0.0001) after vitrectomy, and 2.08 ± 0.07 days (P = 0.0001) and 1.79 ± 0.05 days (P < 0.0001) after lensectomy.

conclusionIntravitreal retention was longer for bevacizumab than ranibizumab within all study groups and was significantly reduced after vitrectomy and lensectomy for both agents. Consideration for more frequent intravitreal anti-vascular endothelial growth factor dosing regimens may be made for patients whose treated eyes have undergone previous vitrectomy or who are aphakic.

Indexed as

Cataract ExtractionVitrectomyAngiogenesis InhibitorsAnimalsAntibodies, Monoclonal, HumanizedBevacizumabIntravitreal InjectionsMetabolic Clearance RateModels, AnimalRabbitsRanibizumabAngiogenesis InhibitorsAntibodies, Monoclonal, HumanizedBevacizumabRanibizumab

Identifiers

PMID23407351
PMCPMC4086838
OpenAlexW1974054873

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.