@article{KunzmannNgyuenStahletal.2019,
  author    = {Kunzmann, S. and Ngyuen, T. and Stahl, A. and Walz, J. M. and Nentwich, M. M. and Speer, C. P. and Ruf, K.},
  title     = {Necrotizing enterocolitis after intravitreal bevacizumab in an infant with Incontinentia Pigmenti - a case report},
  series = {BMC Pediatrics},
  volume    = {19},
  journal   = {BMC Pediatrics},
  doi       = {10.1186/s12887-019-1732-z},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-201024},
  pages     = {353},
  year      = {2019},
  abstract  = {Background Incontinentia Pigmenti is a rare disease affecting multiple organs. Fifty of patients show affection of the eye with retinopathy and possible amaurosis being the worst outcome. Treatment has commonly been panretinal laser coagulation but intravitreal application of bevacizumab as VEGF-inhibitor has shown to effectively suppress retinal neovascularization. Case presentation A six-week-old female infant with Incontinentia Pigmenti developed a foudroyant necrotizing enterocolitis shortly after intravitreal injection of bevazicumab due to a retinopathy with impending tractional detachment of the left eye. Since the onset of abdominal symptoms occurred immediately after the intravitreal application, a link between the two events seemed likely. Sequential analyses of the VEGF serum concentrations showed a massive suppression of endogenous VEGF with only a very slow recovery over weeks. Such a severe systemic adverse event has not been reported after intravitreal treatment with bevacizumab in an infant. Conclusion This case report shows a relevant systemic uptake of bevacizumab after intravitreal application as suppressed VEGF levels show. There seems to be a connection between suppressed VEGF levels and the onset of necrotizing enterocolitis. Therefore, treatment with bevacizumab should be carefully considered and further research is needed to assess this drug's safety profile.},
  language  = {en}
}
@article{WabbelsFrickeSchittkowskietal.2021,
  author    = {Wabbels, Bettina and Fricke, Julia and Schittkowski, Michael and Gr{\"a}f, Michael and Lorenz, Birgit and Bau, Viktoria and Nentwich, Martin M. and Atili, Abed and Eckstein, Anja and Sturm, Veit and Beisse, Christina and Sterker, Ina and Neppert, Birte and Mauschitz, Matthias M.},
  title     = {Yokoyama procedure for esotropia associated with high myopia: real-world data from a large-scale multicentre analysis},
  series = {Acta Ophthalmologica},
  volume    = {99},
  journal   = {Acta Ophthalmologica},
  number    = {8},
  doi       = {10.1111/aos.14808},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-239939},
  pages     = {e1340 -- e1347},
  year      = {2021},
  abstract  = {Purpose High myopic patients may develop strabismus due to globe dislocation out of the normal extraocular muscle cone. Surgical correction of this strabismus type is possible by joining the superior and lateral rectus muscles without the need for a scleral suture called the Yokoyama procedure. Data from large patient samples and the evaluation of a potential effect of an additional medial rectus recession (MRR) have been lacking so far. Methods We pooled retrospective patient data of 14 departments of ophthalmology in Germany and Switzerland and analysed determinants of postoperative results using multivariable regression models. Results We included 133 patients (mean age: 59.7 ± 13.4 years, surgery between 2008 and 2017) with a mean preoperative esotropia (both Yokoyama with and without MRR) of 23.8°±4.6°. The angle of preoperative esotropia increased with age. The postoperative esotropia was 8.7° ± 9.9°, and six patients were overcorrected. While preoperative esotropia was highly associated with postoperative results, we found no association of additional MRR with any of our postoperative outcome measures. The Yokoyama procedure had a higher absolute effect in patients with higher preoperative esotropia. Conclusion Our study confirms the positive effect of the Yokoyama procedure on strabismus due to high myopia in large-scale real-world data. In some cases, MRR may be needed because of muscle contracture, although additional MRR statistically did not affect the postoperative outcome. In patients with bilateral high myopic strabismus, correction of both eyes seems beneficial. The effect size of the Yokoyama procedure appears to be mainly driven by preoperative esotropia.},
  language  = {en}
}