Endophthalmitis vs Panophthalmitis – Key Differences
If you have sudden eye pain, blurred vision, or eye floaters, you may wonder how serious it is and how fast you should act. This
Dr. Anwesha Chakma (MBBS, MS, FG, FPRS) specializes in General Ophthalmology, Cataract (Phaco), Glaucoma, and Refractive Surgery. She pursued specialized long-term fellowships in both Glaucoma and Phaco/Refractive Surgery and is a member of AIOS, KOS, and ESCRS.
Anti-VEGF agents can feel like a miracle drug for people losing sight bit by bit. They pause the decline of sight, and sometimes even partially restore it.
Vascular Endothelial Growth Factor is meant to make new blood vessels grow. This is vital in healing wounds and keeping organs alive. However, when it comes to the eye, it can sometimes get carried away. It can build vessels in all the wrong places.
Once it does that, tiny, fragile vessels leak. And when fluid seeps into the retina, there can be swelling, blurred sight, and permanent scarring. So while VEGF serves a purpose, too much of it near the retina can cause damage.
Anti-VEGF agents are molecular defenders, designed to prevent VEGF from causing more harm than good. Their job is to find VEGF and bind to it. This stops it from sparking unwanted vessel growth. Anti-VEGF agents aim for one thing: no more leaks, no more swelling, and a fighting chance at clearer sight.
Before anti-VEGF drugs, sight loss from conditions like wet AMD (age-related macular degeneration) felt inevitable. The drugs reduce swelling, hold off further damage, and let light through again.
They are not perfect. And they are not always permanent. But they have redefined what’s possible in retinal care.
Several anti-VEGF agents in ophthalmology are used today. Each of these agents comes with its own strengths, dosing schedule, and molecular structure.
While all aim to suppress VEGF activity, the choice of agent is crucial. It often depends on disease type, severity, patient response, and cost considerations involved.
Below is a comparison of the most commonly used intravitreal anti-VEGF agents. This information can help patients and caregivers understand differences and clinical use.
Name | Brand Name | Type | Dose Frequency | Common Use Cases |
|---|---|---|---|---|
Bevacizumab | Avastin | Monoclonal antibody | Every 4–6 weeks (off-label) | AMD, diabetic macular oedema, retinal vein occlusion |
Ranibizumab | Lucentis | Antibody fragment | Monthly or PRN (as needed) | AMD, myopic CNV, diabetic retinopathy |
Aflibercept | Eylea | Fusion protein | Every 8–12 weeks | AMD, DME, RVO |
Brolucizumab | Beovu | Single-chain antibody fragment | Every 8–12 weeks | Wet AMD |
Faricimab | Vabysmo | Bispecific antibody | Up to every 16 weeks | AMD, DME |
The common conditions treated with anti-VEGF agents are many. Take, for example, age-related macular degeneration. Then, there is diabetic macular oedema. Retinal vein occlusion is in the list, too. The names are clinical, but the effects aren’t.
All of these conditions distort your centre, steal your sharpness, and make faces fade. Anti-VEGF therapy brings structure back. It dries leakage, calms swelling, and, sometimes, brings back the ability to read, drive, or see someone’s smile clearly again. Not always, but often enough to matter. That’s the silent power of anti VEGF agents.
The idea of a needle to the eye is a frightening thought. The reality is much different when you find out really about how intravitreal anti-VEGF agents are put in. It’s all surprisingly routine. Numbing drops dull the area. A small device keeps the lids apart. And within seconds, the injection is administered.
Most patients describe a sensation, not pain. Afterward, vision might blur or floaters might drift, but things do settle. Importantly, there are no stitches and typically no downtime. However, some patients may be advised to rest for a short while.
Anti VEGF agents are mostly safe. There maybe common side effects like redness, mild irritation, and temporary floaters. Less common, but more serious ones are infection, endophthalmitis, intraocular inflammation, retinal detachment, or spikes in eye pressure.
For those with heart conditions, there’s a theoretical risk of systemic issues such as stroke, though very rare. But don’t be stressed. What matters more is noticing changes such as worsening vision, pain, or swelling, and reporting them fast to the medical practitioners.
With good monitoring, most complications arising from anti-VEGF agents stay just that: threats, not outcomes.
Anti-VEGF agents don’t cure. But they interrupt the damage.
The drugs powered by anti-VEGF agents hold the line when vision starts slipping away. They are not perfect, not uncomfortable, and not forever. But they offer time, and in the world of sight, time matters more than people realise.
Bevacizumab is commonly used, partly because it is both affordable and effective in treating multiple retinal diseases.
They sound worse than they feel. Most people describe pressure or a sharp flick, but not outright pain. With numbing and precision, the experience feels more awkward than painful.
Sometimes. Especially if treatment begins early. It won’t work like a reset button, but it might reclaim some lost clarity and stop things from getting worse.
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