| Title: |
Short-Term Changes in Intraocular Pressure Following Intravitreal Injection of Pegcetacoplan |
| Authors: |
Momenaei, Bita; Wakabayashi, Taku; Adams, Olufemi E.; Wang, Kristine; Regillo, Carl D.; Spirn, Marc; Ho, Allen C.; Hsu, Jason; Kaiser, Richard; Yonekawa, Yoshihiro; Orlin, Anton; Garg, Sunir J. |
| Contributors: |
J. Arch McNamara, MD Fund for Retina Research and Education |
| Source: |
Journal of VitreoRetinal Diseases ; volume 10, issue 2, page 211-216 ; ISSN 2474-1264 2474-1272 |
| Publisher Information: |
SAGE Publications |
| Publication Year: |
2025 |
| Description: |
Purpose. To determine short-term changes in intraocular pressure (IOP) after intravitreal injection of 0.1 mL pegcetacoplan (Syfovre; Apellis Pharmaceuticals) for the treatment of geographic atrophy (GA). Methods. This prospective, interventional study evaluated a case series of patients with GA without corneal pathology or a history of vitreoretinal surgery who received pegcetacoplan injections. IOP was measured with a handheld applanation tonometer immediately prior to injection, immediately after injection, and at 5, 10, 20, and 30 minutes postinjection. Results. Fifty-one patients (total 73 eyes) were enrolled. The mean (±SD) preinjection IOP was 15.3 ± 3.3 mm Hg, which significantly increased to 40.2 ± 13.7 mm Hg ( P < .001) immediately after injection. Subsequent IOP measurements showed a gradual decrease to 31.3 ± 11.6 mm Hg at 5 minutes ( P < .001), 23.2 ± 9.7 mm Hg at 10 minutes ( P < .001), 19.6 ± 8.6 mm Hg at 20 minutes ( P < .001), and 16.4 ± 4.9 mm Hg at 30 minutes ( P = .05) postinjection. No further treatment was required, except that the left eye of 1 patient with a history of primary open-angle glaucoma and persistent IOP elevation underwent anterior chamber tap 20 minutes after injection. Multivariate linear regression analysis revealed that a higher IOP at 30 minutes postinjection was significantly associated with the preinjection IOP ( P = .004) and with a history of glaucoma ( P = .019). Conclusions. Following pegcetacoplan injections, immediate IOP elevation was observed, which gradually declined within the first 30 minutes. Eyes with higher baseline IOP or a history of glaucoma exhibited higher postinjection IOP. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1177/24741264251390791 |
| Availability: |
https://doi.org/10.1177/24741264251390791; https://journals.sagepub.com/doi/pdf/10.1177/24741264251390791; https://journals.sagepub.com/doi/full-xml/10.1177/24741264251390791 |
| Rights: |
https://journals.sagepub.com/page/policies/text-and-data-mining-license |
| Accession Number: |
edsbas.CB4EAEC8 |
| Database: |
BASE |