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Myocardial Infarction, Stroke, and Death after Intravitreal Injection of Anti-VEGF in a Nationwide Study - PubMed

4 hours ago
  • #Myocardial Infarction
  • #Intravitreal Injection
  • #Anti-VEGF
  • Study assesses risk of myocardial infarction, stroke, and death after intravitreal injection (IVT) of anti-VEGF.
  • Controlled cohort study in France (2010-2016) comparing 334,663 anti-VEGF IVT patients with 981,172 cataract surgery controls.
  • Low occurrence (0.2%) of myocardial infarction, stroke, or death at 28 days in both groups.
  • No increased risk observed in the IVT group (adjusted RR 0.96; 95% CI 0.88-1.05; P = 0.42).
  • No additional risk found in patients with diabetes or history of stroke/myocardial infarction.
  • Subgroup analysis showed similar results for ranibizumab (RR 0.97) and aflibercept (RR 0.82).
  • Conclusion: Low overall risk of main outcomes post-IVT; no difference between aflibercept and ranibizumab.