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近年来葡萄膜炎治疗的新进展:更新。

Recent developments in the treatment of uveitis: an update.

机构信息

Academic Unit of Ophthalmology, York Hospital, Wigginton Road, York YO318HE, UK.

出版信息

Expert Opin Investig Drugs. 2009 May;18(5):609-16. doi: 10.1517/14728220902852570.

Abstract

The management of complex uveitis is often based around the use of oral corticosteroids. To spare the side effects of corticosteroids, second-line oral immunosuppressant drugs are used. Newer systemic immunosuppressive drugs, including biologics, and locally delivered treatments are being evaluated. This article reviews current conventional treatments, discusses their limitations and evaluates newer treatment strategies. Current theories about the pathogenesis of uveitis and potential targets for treatment are discussed in this context. We are still in search of a low-risk, where possible, locally delivered and targeted treatment for uveitis.

摘要

复杂葡萄膜炎的治疗通常基于口服皮质类固醇的应用。为了避免皮质类固醇的副作用,可以使用二线口服免疫抑制剂。新的全身免疫抑制剂,包括生物制剂和局部递药治疗正在评估中。本文综述了目前的常规治疗方法,讨论了它们的局限性,并评估了新的治疗策略。本文还讨论了葡萄膜炎发病机制的当前理论和潜在的治疗靶点。我们仍在寻找一种低风险、尽可能局部递药和靶向治疗葡萄膜炎的方法。

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