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BACKGROUND AND OBJECTIVE: To determine the effectiveness and direct medical costs of treat-and-extend (TAE) intravitreal bevacizumab (IVB) for the treatment of branch retinal vein occlusion (BRVO)-associated macular edema (ME). PATIENTS AND METHODS: Retrospective chart review of 52 consecutive patients diagnosed with BRVO-associated ME treated with IVB using a TAE protocol. RESULTS: Mean change in logMAR vision was -0.30 (P < .001), and mean change in central macular thickness was -244.0 μm (P < .001). The mean number of injections was 8.2 (95% CI; 7.8 to 8.6). The yearly average direct cost of the TAE regimen was calculated to be $2,580.26 per patient. CONCLUSION: Treatment of BRVO-associated ME with IVB using a TAE regimen resulted in similar visual outcomes and number of intravitreal injections as did as-needed treatment with 0.5 mg ranibizumab conducted in phase 3 trials but with fewer visits and lower annual medical costs.

Original publication

DOI

10.3928/23258160-20140404-01

Type

Journal article

Journal

Ophthalmic Surg Lasers Imaging Retina

Publication Date

05/2014

Volume

45

Pages

212 - 216

Keywords

Aged, Angiogenesis Inhibitors, Antibodies, Monoclonal, Humanized, Bevacizumab, Female, Health Care Costs, Humans, Intravitreal Injections, Macular Edema, Male, Middle Aged, Retinal Vein Occlusion, Tomography, Optical Coherence, Treatment Outcome, Vascular Endothelial Growth Factor A, Visual Acuity