PMID- 36467087 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221206 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 13 DP - 2022 TI - Ocular adverse events associated with anti-VEGF therapy: A pharmacovigilance study of the FDA adverse event reporting system (FAERS). PG - 1017889 LID - 10.3389/fphar.2022.1017889 [doi] LID - 1017889 AB - Background: The purpose of this study is to identify and characterize ocular adverse events (AEs) that are significantly associated with anti-VEGF drugs for treatment of neovascular age-related macular degeneration and compare the differences between each drug, and provide clinical reference. Methods: Ocular AEs submitted to the US Food and Drug Administration were analyzed to map the safety profile of anti-VEGF drugs. The Pharmacovigilance tools used for the quantitative detection of signals were reporting odds ratio and bayesian confidence propagation neural network. Results: A total of 10,608,503 AE reports were retrieved from FAERS, with 20,836 for ranibizumab, 19,107 for aflibercept, and 2,442 for brolucizumab between the reporting period of Q1, 2004 and Q3, 2021. We found and analyzed the different AEs with the strongest signal in each drug-ranibizumab-macular ischaemia (ROR = 205.27, IC-2SD = 3.70), retinal pigment epithelial tear (ROR = 836.54, IC-2SD = 7.19); aflibercept-intraocular pressure increased (ROR = 31.09, IC-2SD = 4.61), endophthalmitis (ROR = 178.27, IC-2SD = 6.70); brolucizumab-retinal vasculitis (ROR = 2930.41, IC-2SD = 7.47) and/or retinal artery occlusion (ROR = 391.11, IC-2SD = 6.10), dry eye (ROR = 12.48, IC-2SD = 2.88). Conclusion: The presence of AEs should bring clinical attention. The use of anti-VEGF drugs should be based on the patient's underlying or present medical condition to reduce any adverse event associated with the treatment. CI - Copyright (c) 2022 Ma, Pan, Liu, Qu, Xie, Xie, Cao and Chen. FAU - Ma, Pan AU - Ma P AD - Department of Pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, China. FAU - Pan, Xinmei AU - Pan X AD - Department of Pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, China. FAU - Liu, Ruixiang AU - Liu R AD - Department of Pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, China. FAU - Qu, Ya AU - Qu Y AD - Southwest Hospital/Southwest Eye Hospital, Third Military Medical University (Army Medical University), Chongqing, China. FAU - Xie, Linli AU - Xie L AD - Department of Pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, China. FAU - Xie, Jiangchuan AU - Xie J AD - Department of Pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, China. FAU - Cao, Liya AU - Cao L AD - Department of Pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, China. FAU - Chen, Yongchuan AU - Chen Y AD - Department of Pharmacy, The First Affiliated Hospital of Army Medical University, Chongqing, China. LA - eng PT - Journal Article DEP - 20221118 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC9716077 OTO - NOTNLM OT - adverse events OT - aflibercept OT - brolucizumab OT - pharmacovigilance OT - ranibizumab OT - safety signals COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/12/06 06:00 MHDA- 2022/12/06 06:01 PMCR- 2022/11/18 CRDT- 2022/12/05 04:17 PHST- 2022/08/12 00:00 [received] PHST- 2022/11/07 00:00 [accepted] PHST- 2022/12/05 04:17 [entrez] PHST- 2022/12/06 06:00 [pubmed] PHST- 2022/12/06 06:01 [medline] PHST- 2022/11/18 00:00 [pmc-release] AID - 1017889 [pii] AID - 10.3389/fphar.2022.1017889 [doi] PST - epublish SO - Front Pharmacol. 2022 Nov 18;13:1017889. doi: 10.3389/fphar.2022.1017889. eCollection 2022.