Role of daunorubicin in inhibiting proliferative vitreoretinopathy after retinal detachment surgery

• Published in: Clinical & experimental ophthalmology Vol. 30; no. 5; pp. 348 - 351
• Main Authors: Kumar, Atul, Nainiwal, Sanjeev, Choudhary, Indranil, Tewari, Hem K, Verma, Lalit K
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Science Pty 01.10.2002
• Subjects: Antibiotics, Antineoplastic - therapeutic use; daunorubicin; Daunorubicin - therapeutic use; Female; Humans; Injections; intravitreal; Male; Middle Aged; proliferative vitreo­retinopathy; retinal detachment; Retinal Detachment - complications; Retinal Detachment - surgery; retinal pigment epithelium; Scleral Buckling; Visual Acuity; Vitrectomy; Vitreoretinopathy, Proliferative - etiology; Vitreoretinopathy, Proliferative - prevention & control; Vitreous Body
• ISSN: 1442-6404; 1442-9071
• DOI: 10.1046/j.1442-9071.2002.00554.x

Purpose: To study the role of daunorubicin in inhibiting pro­liferative vitreoretinopathy after retinal detachment surgery. Method: Thirty eyes of 30 patients with a primary rhegmato­genous retinal detachment and proliferative vitreoretin­opathy of stage D1 or more advanced were included in the study. The eyes were randomly assigned to either the experimental or the control group. The eyes in the experimental group received an intravitreal injection of dauno­rubicin (5 µg) before conclusion of the vitrectomy. The main outcome measures evaluated were: retinal attachment, vitreous activity and visual acuity at 3 months after surgery. Results: Complete retinal attachment was achieved in 13 eyes (86.6%) in the daunorubicin group and 10 eyes (66.6%) in the control group, at 3 months. Nine patients (60%) in the daunorubicin group and five patients (33.3%) in the control group had a best‐corrected visual acuity of ≥3/60 at 3 months of follow up. There was a statistically significant reduction in vitreous reaction at all times during the postoperative period in the daunorubicin group. Conclusion: Daunorubicin may be a useful drug in inhibiting proliferative vitreoretinopathy after surgery for primary rhegmatogenous retinal detachment.