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January 24, 20260 citationsOpen Access

Off-label intravitreal brolucizumab and bevacizumab for chronic central serous chorioretinopathy

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JJJung Yeon JooYJYONG HYUN JUNSKSeong Taeck Kim

Key Points

  • To compare the effectiveness of brolucizumab and bevacizumab in treating chronic central serous chorioretinopathy.
  • Patients with cCSC were assigned to either bevacizumab or brolucizumab groups.
  • Outcomes measured included resolution of subretinal fluid, best-corrected visual acuity, central macular thickness, and subfoveal choroidal thickness.
  • Statistical comparisons were made between groups at different time points.
  • Brolucizumab showed a statistically significant higher resolution of subretinal fluid compared to bevacizumab (P<0.05).
  • In one month, central macular thickness significantly reduced in the brolucizumab group (265±69 μm) compared to the bevacizumab group (319±70 μm) with P=0.021.
  • No significant differences in central macular thickness were observed between groups at two and three months (P>0.05).

Abstract

AIM: To compare the intravitreal brolucizumab and bevacizumab injections for chronic central serous chorioretinopathy (cCSC). METHODS: Patients with cCSC were classified into bevacizumab and brolucizumab group. The proportion of complete resolution of subretinal fluid (SRF), best-corrected visual acuity (BCVA), central macular thickness (CMT), and subfoveal choroidal thickness (SFCT) were compared between the two groups. RESULTS: A total of 40 eyes from 40 patients with aged 34-59y were enrolled in the study. Twenty eyes in bevacizumab group (17 males) and 20 eyes (18 males) in brolucizumab group. Comparing the proportion of complete resolution of SRF, the brolucizumab group was statistically significantly higher than the bevacizumab group (P0.05). CONCLUSION: Brolucizumab is anatomically and functionally superior to bevacizumab in the treatment of patients with cCSC.

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Cite This Study

Joo et al. (2026) studied this question.

synapsesocial.com/papers/69746149bb9d90c67120b197https://doi.org/10.18240/ijo.2026.02.14
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