The Effectiveness of Pre- and Postoperative Infliximab in Controlling Behçet’s Disease Posterior Uveitis in Patients Undergoing Vitrectomy: A Preliminary Study
Joint Authors
Khalil, Hossam El Din Mohamed
El Gendy, Heba A.
Youssef, Hala Ahmed Raafat
Haroun, Hazem Effat
Bakir, Hossam Mahmoud
Gheita, Tamer Atef
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-04-06
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Purpose.
To evaluate the short-term effectiveness of infliximab in controlling ocular manifestations in Behçet’s Disease (BD) patients candidate for pars plana vitrectomy, if given in a regimen before and after the planned procedure.
Patients and Methods.
30 eyes of 27 adult male BD patients with a mean age of 35.56 yrs presented with refractory posterior uveitis not responding to immunosuppressive drugs and candidate for vitrectomy were included.
Infliximab was given in a dose of 5 mg/kg intravenous infusion once every two weeks for 3 treatment sessions before the intended vitrectomy followed by 3 treatment sessions at two-week intervals, after vitrectomy.
Results.
Improvement of ocular manifestations was noted in all eyes, with complete resolution in 26 eyes (87%).
Visual acuity improved from 0.23 ± 0.11 to 0.38 ± 0.17 (p≤0.2), ESR decreased from 65.92 mm/hr ± 17.32 SD to 24.93 mm/hr ± 5.28 SD at the last treatment cycle (p≤0.1).
The mean daily dose of systemic corticosteroids was tapered from 44.54 mg/d ± 2.89 to 8.48 mg/d ± 6.38 (p≤0.2), and no relapses were noted during the follow-up period.
Conclusion.
Infliximab may be safe and effective in controlling posterior uveitis and inducing remissions if given in a regimen before and after vitrecomy in BD patients.
American Psychological Association (APA)
Khalil, Hossam El Din Mohamed& El Gendy, Heba A.& Youssef, Hala Ahmed Raafat& Haroun, Hazem Effat& Gheita, Tamer Atef& Bakir, Hossam Mahmoud. 2017. The Effectiveness of Pre- and Postoperative Infliximab in Controlling Behçet’s Disease Posterior Uveitis in Patients Undergoing Vitrectomy: A Preliminary Study. Journal of Ophthalmology،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1185437
Modern Language Association (MLA)
Khalil, Hossam El Din Mohamed…[et al.]. The Effectiveness of Pre- and Postoperative Infliximab in Controlling Behçet’s Disease Posterior Uveitis in Patients Undergoing Vitrectomy: A Preliminary Study. Journal of Ophthalmology No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1185437
American Medical Association (AMA)
Khalil, Hossam El Din Mohamed& El Gendy, Heba A.& Youssef, Hala Ahmed Raafat& Haroun, Hazem Effat& Gheita, Tamer Atef& Bakir, Hossam Mahmoud. The Effectiveness of Pre- and Postoperative Infliximab in Controlling Behçet’s Disease Posterior Uveitis in Patients Undergoing Vitrectomy: A Preliminary Study. Journal of Ophthalmology. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1185437
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1185437