COMPARISON OF TOPICALLY ADMINISTERED  BEVACIZUMAB AND PROPRANOLOL IN TREATMENT OF  CORNEAL NEOVASCULARIZATION IN RABBITS

Hesam Hedayati 1 *

  1. Hesam Hedayati

Abstract: Objective: To compare the effect of topical bevacizumab with topical propranolol for treatment of the corneal neovascularization (CNV) in a rabbit model of corneal injury.

Methods: Methods: Corneal neovascularization was induced by 3 sutures of the cornea in 30 rabbits (30 corneas). Two weeks after neovascularization all sutures were removed then rabbits were randomly divided into 3 groups: Group 1 received topical propranolol (10 mg/mL), group 2 received topical bevacizumab (10 mg/mL), and group 3 received only topical normal saline drops as the control group, in the right eye three times a day for two weeks. Photographs of CNV were obtained before drug administration and at 1 and 2 weeks after intervention. The images were analyzed using the NIH ImageJ software (version 1.37c).

Results: Results: The mean percentage of CNV area was considered as 100 % before the treatment. At the 1-week and, 2 week intervals post treatment the mean percentage of CNV area in Propranolol, Bevacizumab and saline groups were 78.01± 4.16, 75.64± 4.32 and 93.33± 4.57 and 65.72± 4.15, 61.45± 6.18 and 84.96± 5.21, respectively. After one and two weeks treatment, the neovascularization area in Propranolol and Bevacizumab groups was regressed more than saline group significantly (P<0.0001). But there was no significant difference between Propranolol and Bevacizumab groups (P=0.315, P= 0.123).

Conclusion: Conclusion: Topical administration of propranolol reduces corneal neovascularization in the short term, as topical bevacizumab does but the efficacy of long term treatment needs more investigations. Key Words:Corneal Neovascularization,  Propranolol, Bevacizumab, Topical.





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