PMID- 34761684 OWN - NLM STAT- MEDLINE DCOM- 20220812 LR - 20231124 IS - 1724-6016 (Electronic) IS - 1120-6721 (Print) IS - 1120-6721 (Linking) VI - 32 IP - 5 DP - 2022 Sep TI - Ocular adverse events following intravitreal brolucizumab for neovascular age-related macular degeneration at a single tertiary care center. PG - 2747-2751 LID - 10.1177/11206721211059332 [doi] AB - PURPOSE: To determine the incidence of ocular adverse effects (AEs) following brolucizumab injection for neovascular age-related macular degeneration at a tertiary academic institution. DESIGN: Retrospective, single center cohort study. PARTICIPANTS: All patients who received an intravitreal injection of brolucizumab 6 mg for neovascular age-related macular degeneration between October 7, 2019 and July 31, 2020. METHODS: Medical records of all patients who received brolucizumab 6 mg during the aforementioned time period were carefully reviewed and all ocular adverse effects after injection were charted. MAIN OUTCOME MEASURES: Incidence of post-injection ocular AEs, including intraocular inflammation (IOI), and time to development of AEs after injection. RESULTS: A total of 77 patients received brolucizumab 6 mg for a total of 115 administrations during the study period. There were 4 AEs (3.5%), including three cases of IOI (2.6%), one central retinal artery occlusion, and one retinal detachment. Two men and two women were affected. CONCLUSION: Ocular AEs, including those leading to severe vision loss, may develop after intravitreal brolucizumab 6 mg. A careful discussion of benefits and risks to brolucizumab should be conducted with all patients. PRECIS: In this first case series of ocular adverse effects after brolucizumab 6 mg injection at a single tertiary care center, the incidence of ocular adverse effects was 3.5%, including a 2.6% incidence of intraocular inflammation. FAU - Nguyen, Huy V AU - Nguyen HV AD - Byers Eye Institute at Stanford, 10624Stanford University School of Medicine, Palo Alto, CA, USA. FAU - Li, Angela S AU - Li AS AUID- ORCID: 0000-0002-0397-2193 AD - Byers Eye Institute at Stanford, 10624Stanford University School of Medicine, Palo Alto, CA, USA. FAU - Silva, Amila R AU - Silva AR AD - Byers Eye Institute at Stanford, 10624Stanford University School of Medicine, Palo Alto, CA, USA. FAU - Leng, Theodore AU - Leng T AUID- ORCID: 0000-0002-8461-3562 AD - Byers Eye Institute at Stanford, 10624Stanford University School of Medicine, Palo Alto, CA, USA. LA - eng GR - P30 EY026877/EY/NEI NIH HHS/United States PT - Journal Article DEP - 20211111 PL - United States TA - Eur J Ophthalmol JT - European journal of ophthalmology JID - 9110772 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Antibodies, Monoclonal, Humanized) RN - XSZ53G39H5 (brolucizumab) SB - IM MH - Angiogenesis Inhibitors/adverse effects MH - Antibodies, Monoclonal, Humanized MH - Cohort Studies MH - Female MH - Humans MH - Inflammation MH - Intravitreal Injections MH - *Macular Degeneration/drug therapy MH - Male MH - Retrospective Studies MH - Tertiary Care Centers MH - *Uveitis/drug therapy MH - Visual Acuity PMC - PMC10666666 MID - NIHMS1945499 OTO - NOTNLM OT - Age-related macular degeneration OT - anterior uveitis OT - arterial occlusive disease OT - choroidal/retinal inflammation OT - retina - medical therapies COIS- Declaration of conflicting interests The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2021/11/12 06:00 MHDA- 2022/08/13 06:00 PMCR- 2023/11/23 CRDT- 2021/11/11 08:36 PHST- 2021/11/12 06:00 [pubmed] PHST- 2022/08/13 06:00 [medline] PHST- 2021/11/11 08:36 [entrez] PHST- 2023/11/23 00:00 [pmc-release] AID - 10.1177/11206721211059332 [doi] PST - ppublish SO - Eur J Ophthalmol. 2022 Sep;32(5):2747-2751. doi: 10.1177/11206721211059332. Epub 2021 Nov 11.