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玻璃体内注射贝伐单抗治疗中心性浆液性脉络膜视网膜病变。

Intravitreal bevacizumab injection for central serous chorioretinopathy.

机构信息

The Retina Center of Nene Eye Hospital, Gangnam-Ku, Korea.

出版信息

Retina. 2010 Jan;30(1):100-6. doi: 10.1097/IAE.0b013e3181bcf0b4.

Abstract

PURPOSE

The purpose of this study was to evaluate the effectiveness of intravitreal injection of bevacizumab for treatment of central serous chorioretinopathy.

METHODS

In this retrospective case series, six patients (six eyes) with central serous chorioretinopathy were treated with an intravitreal injection of bevacizumab. The outcome measures included visual acuity with Early Treatment Diabetic Retinopathy Study letters, central macular thickness measurement with optical coherence tomography, changes in fluorescein angiography, and indocyanine green angiography.

RESULTS

The mean age of the patients was 42.3 years and the mean follow-up period was 9.0 months (range, 5-12 months). Mean visual acuity +/- standard deviation increased from 40.8 +/- 8.3 Early Treatment Diabetic Retinopathy Study letters at baseline to 49.0 +/- 5.0 Early Treatment Diabetic Retinopathy Study letters at 1 month (P = 0.046) and to 53.3 +/- 5.2 Early Treatment Diabetic Retinopathy Study letters at 3 months (P = 0.028). Mean central macular thickness +/- standard deviation decreased from 331.5 +/- 93.4 microm to 164 +/- 34 microm at 3 months (P = 0.043). Leakage on fluorescein angiography and hyperpermeability on indocyanine green angiography decreased in conjunction with improvement in central macular thickness observed by optical coherence tomography.

CONCLUSION

Intravitreal bevacizumab injections resulted in improved visual acuity and anatomical results for central serous chorioretinopathy.

摘要

目的

本研究旨在评估玻璃体内注射贝伐单抗治疗中心性浆液性脉络膜视网膜病变的疗效。

方法

在这项回顾性病例系列研究中,6 名(6 只眼)中心性浆液性脉络膜视网膜病变患者接受了玻璃体内注射贝伐单抗治疗。观察指标包括早期治疗糖尿病视网膜病变研究字母视力、光学相干断层扫描测量的中心黄斑厚度、荧光素血管造影和吲哚青绿血管造影的变化。

结果

患者的平均年龄为 42.3 岁,平均随访时间为 9.0 个月(5-12 个月)。平均视力±标准偏差从基线时的 40.8±8.3 个早期治疗糖尿病视网膜病变研究字母增加到 1 个月时的 49.0±5.0 个(P=0.046)和 3 个月时的 53.3±5.2 个(P=0.028)。平均中心黄斑厚度±标准偏差从 331.5±93.4μm 降低到 3 个月时的 164±34μm(P=0.043)。荧光素血管造影渗漏和吲哚青绿血管造影的高通透性与光学相干断层扫描观察到的中心黄斑厚度的改善同时减少。

结论

玻璃体内注射贝伐单抗可改善中心性浆液性脉络膜视网膜病变的视力和解剖学结果。

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