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[眼房水中血管生成的抑制]

[Inhibition of angiogenesis in the anterior chamber of the eye].

作者信息

Bock F, König Y, Dietrich T, Zimmermann P, Baier M, Cursiefen C

机构信息

Augenklinik mit Poliklinik, Friedrich-Alexander-Universität Erlangen Nürnberg, Erlangen, Deutschland.

出版信息

Ophthalmologe. 2007 Apr;104(4):336-44. doi: 10.1007/s00347-007-1512-2.

DOI:10.1007/s00347-007-1512-2
PMID:17372736
Abstract

BACKGROUND

Recent years have seen tremendous progress in our understanding of the mechanisms of neovascular diseases of the eye. Antiangiogenic treatment options are now widely used in the management of age-related maculopathy (AMD) and diabetic retinopathy. The aim of this article is to highlight some novel methods of local antiangiogenic treatment of the cornea and conjunctiva and in the anterior chamber of the eye.

METHODS

The study took the form of a literature review (PUBMED) and a review of the authors' own data.

RESULTS

Initial experience with novel inhibitors of angiogenesis, especially bevacizumab, used locally on cornea and conjunctiva is promising. Intracameral injections of VEGF inhibitors can be used to ameliorate neovascular glaucoma.

CONCLUSION

Novel antiangiogenic drugs are available for topical use in the anterior segment of the eye (as off-label use) and will improve the management of neovascular diseases affecting cornea and conjunctiva and in the anterior chamber of the eye.

摘要

背景

近年来,我们对眼部新生血管疾病机制的理解取得了巨大进展。抗血管生成治疗方案目前广泛应用于年龄相关性黄斑病变(AMD)和糖尿病视网膜病变的治疗。本文旨在强调角膜、结膜及眼前房局部抗血管生成治疗的一些新方法。

方法

本研究采用文献综述(PUBMED)及作者自身数据回顾的形式。

结果

新型血管生成抑制剂,尤其是贝伐单抗,在角膜和结膜局部应用的初步经验很有前景。前房内注射血管内皮生长因子(VEGF)抑制剂可用于改善新生血管性青光眼。

结论

新型抗血管生成药物可用于眼前节局部(作为超说明书用药),并将改善影响角膜、结膜及眼前房的新生血管疾病的治疗。

相似文献

1
[Inhibition of angiogenesis in the anterior chamber of the eye].[眼房水中血管生成的抑制]
Ophthalmologe. 2007 Apr;104(4):336-44. doi: 10.1007/s00347-007-1512-2.
2
Antivascular endothelial growth factors in anterior segment diseases.
Dev Ophthalmol. 2010;46:133-139. doi: 10.1159/000320016. Epub 2010 Aug 10.
3
Bilateral response after unilateral subconjunctival bevacizumab injection in a child with Stevens-Johnson syndrome.史蒂文斯-约翰逊综合征患儿单侧结膜下注射贝伐单抗后的双侧反应
J AAPOS. 2012 Jun;16(3):309-11. doi: 10.1016/j.jaapos.2011.12.153. Epub 2012 Mar 28.
4
Anti-VEGF therapy with bevacizumab for anterior segment eye disease.贝伐单抗抗血管内皮生长因子治疗前节眼病。
Cornea. 2012 Mar;31(3):322-34. doi: 10.1097/ICO.0b013e31822480f9.
5
[Topical inhibition of angiogenesis at the cornea. Safety and efficacy].[角膜血管生成的局部抑制。安全性与有效性]
Ophthalmologe. 2009 May;106(5):399-406. doi: 10.1007/s00347-009-1934-0.
6
[Results of an expert survey on VEGF inhibitors in ophthalmology].[眼科领域VEGF抑制剂专家调查结果]
Klin Monbl Augenheilkd. 2011 Jul;228(7):607-12. doi: 10.1055/s-0029-1245827. Epub 2011 Apr 6.
7
The impact of subconjuctivally injected EGF and VEGF inhibitors on experimental corneal neovascularization in rat model.表皮生长因子和血管内皮生长因子抑制剂经结膜下注射对大鼠模型实验性角膜新生血管的影响。
Curr Eye Res. 2011 Nov;36(11):1005-13. doi: 10.3109/02713683.2011.601840.
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Effect of subconjunctival and intraocular bevacizumab injections on corneal neovascularization in a mouse model.眼表及玻璃体内注射贝伐单抗对小鼠角膜新生血管的影响。
Curr Eye Res. 2010 Feb;35(2):108-15. doi: 10.3109/02713680903429007.
9
The effect of subconjunctival suramin on corneal neovascularization in rabbits.结膜下苏拉明对兔角膜新生血管的作用。
Cornea. 2010 Jan;29(1):86-92. doi: 10.1097/ICO.0b013e3181ae91e3.
10
Inhibition of experimental corneal neovascularization by using subconjunctival injection of bevacizumab (Avastin).通过结膜下注射贝伐单抗(阿瓦斯汀)抑制实验性角膜新生血管形成。
Cornea. 2008 Apr;27(3):349-52. doi: 10.1097/ICO.0b013e31815cf67d.

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1
Sustained Inhibition of VEGF and TNF-α Achieves Multi-Ocular Protection and Prevents Formation of Blood Vessels after Severe Ocular Trauma.持续抑制血管内皮生长因子(VEGF)和肿瘤坏死因子-α(TNF-α)可实现多眼部保护并预防严重眼外伤后血管形成。
Pharmaceutics. 2023 Jul 31;15(8):2059. doi: 10.3390/pharmaceutics15082059.
2
Microporous Drug Delivery System for Sustained Anti-VEGF Delivery to the Eye.用于眼部持续抗 VEGF 递药的微孔药物输送系统。
Transl Vis Sci Technol. 2020 Jul 2;9(8):5. doi: 10.1167/tvst.9.8.5. eCollection 2020 Jul.
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Therapeutic Effects of a Novel Phenylphthalimide Analog for Corneal Neovascularization and Retinal Vascular Leakage.

本文引用的文献

1
Intravitreal bevacizumab for filtering surgery.玻璃体内注射贝伐单抗用于滤过性手术。
Ophthalmic Res. 2007;39(2):121-2. doi: 10.1159/000099248. Epub 2007 Feb 2.
2
Immune privilege and angiogenic privilege of the cornea.角膜的免疫赦免与血管生成赦免
Chem Immunol Allergy. 2007;92:50-57. doi: 10.1159/000099253.
3
Antiangiogenesis to treat cancer and intraocular neovascular disorders.抗血管生成疗法用于治疗癌症和眼内新生血管疾病。
新型苯酞亚胺类似物治疗角膜新生血管和视网膜血管渗漏的疗效。
Invest Ophthalmol Vis Sci. 2018 Jul 2;59(8):3630-3642. doi: 10.1167/iovs.18-24015.
4
The inhibitory effect of different concentrations of KH902 eye drops on corneal neovascularization induced by alkali burn.不同浓度KH902滴眼液对碱烧伤诱导的角膜新生血管的抑制作用。
Indian J Ophthalmol. 2017 Nov;65(11):1127-1132. doi: 10.4103/ijo.IJO_339_17.
5
Topical versus subconjunctival anti-vascular endothelial growth factor therapy (Bevacizumab, Ranibizumab and Aflibercept) for treatment of corneal neovascularization.局部应用与结膜下注射抗血管内皮生长因子疗法(贝伐单抗、雷珠单抗和阿柏西普)治疗角膜新生血管化
Saudi J Ophthalmol. 2017 Apr-Jun;31(2):99-105. doi: 10.1016/j.sjopt.2017.02.008. Epub 2017 Mar 8.
6
Vascular Endothelial Growth Factor in Tear Samples of Patients with Systemic Sclerosis.系统性硬化症患者泪液样本中的血管内皮生长因子
Mediators Inflamm. 2015;2015:573681. doi: 10.1155/2015/573681. Epub 2015 Aug 3.
7
Three-year corneal graft survival rate in high-risk cases treated with subconjunctival and topical bevacizumab.结膜下及局部应用贝伐单抗治疗高危病例的三年角膜移植存活率
Graefes Arch Clin Exp Ophthalmol. 2015 Feb;253(2):287-94. doi: 10.1007/s00417-014-2851-8. Epub 2014 Nov 16.
8
Anti-vascular endothelial growth factor therapies in ophthalmology: current use, controversies and the future.眼科抗血管内皮生长因子疗法:当前应用、争议与未来
Br J Clin Pharmacol. 2014 Oct;78(4):699-706. doi: 10.1111/bcp.12371.
9
Topically administered bevacizumab had longer standing anti-angiogenic effect than subconjunctivally injected bevacizumab in rat corneal neovacularization.在大鼠角膜新生血管模型中,局部应用贝伐单抗比结膜下注射贝伐单抗具有更持久的抗血管生成作用。
Int J Ophthalmol. 2013 Oct 18;6(5):588-91. doi: 10.3980/j.issn.2222-3959.2013.05.06. eCollection 2013.
10
Effects of topical bevacizumab application on early bleb failure after trabeculectomy: observational case series.小梁切除术后局部应用贝伐单抗对早期滤过泡失败的影响:观察性病例系列
Clin Ophthalmol. 2013;7:1929-35. doi: 10.2147/OPTH.S45210. Epub 2013 Sep 25.
Lab Invest. 2007 Mar;87(3):227-30. doi: 10.1038/labinvest.3700526. Epub 2007 Jan 29.
4
Inhibition of experimental corneal neovascularisation by bevacizumab (Avastin).贝伐单抗(阿瓦斯汀)对实验性角膜新生血管形成的抑制作用
Br J Ophthalmol. 2007 Jun;91(6):804-7. doi: 10.1136/bjo.2006.107912. Epub 2006 Dec 19.
5
Intravitreal bevacizumab (Avastin) in the treatment of neovascular glaucoma.玻璃体内注射贝伐单抗(阿瓦斯汀)治疗新生血管性青光眼。
Am J Ophthalmol. 2006 Dec;142(6):1054-6. doi: 10.1016/j.ajo.2006.06.066. Epub 2006 Aug 2.
6
A review of drug options in age-related macular degeneration therapy and potential new agents.年龄相关性黄斑变性治疗中的药物选择及潜在新药物综述。
Expert Opin Pharmacother. 2006 Dec;7(17):2355-68. doi: 10.1517/14656566.7.17.2355.
7
Absence of blood and lymphatic vessels in the developing human cornea.发育中的人类角膜中不存在血管和淋巴管。
Cornea. 2006 Jul;25(6):722-6. doi: 10.1097/01.ico.0000214230.21238.3d.
8
[Early effects of systemic and intravitreal bevacizumab (avastin) therapy for neovascular age-related macular degeneration].[全身及玻璃体内注射贝伐单抗(阿瓦斯汀)治疗新生血管性年龄相关性黄斑变性的早期疗效]
Klin Monbl Augenheilkd. 2006 Oct;223(10):822-7. doi: 10.1055/s-2006-926875.
9
[Postoperative care after glaucoma filtration surgery].[青光眼滤过手术后的术后护理]
Ophthalmologe. 2006 Sep;103(9):815-23; quiz 824-5. doi: 10.1007/s00347-006-1404-x.
10
Nonvascular VEGF receptor 3 expression by corneal epithelium maintains avascularity and vision.角膜上皮细胞中非血管性血管内皮生长因子受体3的表达维持无血管状态和视力。
Proc Natl Acad Sci U S A. 2006 Jul 25;103(30):11405-10. doi: 10.1073/pnas.0506112103. Epub 2006 Jul 18.