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中心性浆液性脉络膜视网膜病变患者房水和血浆中血管内皮生长因子及白细胞介素-8 的浓度。

Aqueous humor and plasma levels of vascular endothelial growth factor and interleukin-8 in patients with central serous chorioretinopathy.

机构信息

Department of Ophthalmology, Hallym University, Chuncheon Sacred Heart Hospital, Kangwon-don, Republic of Korea.

出版信息

Retina. 2010 Oct;30(9):1465-71. doi: 10.1097/IAE.0b013e3181d8e7fe.

Abstract

PURPOSE

The purpose of this study was to determine aqueous vascular endothelial growth factor (VEGF) and interleukin-8 (IL-8) levels in patients with central serous chori-oretinopathy (CSC) before a single intravitreal bevacizumab injection.

METHODS

Twelve eyes with symptomatic CSC were included. Samples from patients with cataracts served as controls. The levels of VEGF and IL-8 concentrations were measured in aqueous humor and plasma by multiplex bead assays.

RESULTS

All patients with CSC showed an improvement in visual acuity and resolved neurosensory detachment after intravitreal bevacizumab injection. The aqueous humor levels of VEGF and IL-8 were not significantly increased in patients with CSC compared with the healthy control group (18.2 ± 24.8 vs. 35.3 ± 28.5 pg/mL, P > 0.05; 2.3 ± 0.4 vs. 2.8 ± 0.3 pg/mL, P > 0.05, respectively). The plasma levels of VEGF and IL-8 in patients with CSC were not different from those in the healthy control group.

CONCLUSION

Vascular endothelial growth factor and IL-8 were not increased in the aqueous humor and plasma of patients with CSC. The effect of intravitreal bevacizumab injection as a treatment for CSC must be fully understood, and the true effect of anti-VEGF treatment in patients with CSC remains to be elucidated.

摘要

目的

本研究旨在单次玻璃体内注射贝伐单抗前,确定中心性浆液性脉络膜视网膜病变(CSC)患者房水中血管内皮生长因子(VEGF)和白细胞介素-8(IL-8)的水平。

方法

纳入 12 只患有症状性 CSC 的眼作为研究对象,以患有白内障的患者作为对照组。采用多指标微球检测法测量房水和血浆中的 VEGF 和 IL-8 浓度。

结果

所有 CSC 患者在玻璃体内注射贝伐单抗后视力均有所提高,神经感觉脱离得到缓解。与健康对照组相比,CSC 患者房水中的 VEGF 和 IL-8 水平并未显著升高(18.2±24.8 比 35.3±28.5pg/ml,P>0.05;2.3±0.4 比 2.8±0.3pg/ml,P>0.05)。CSC 患者的血浆 VEGF 和 IL-8 水平与健康对照组无差异。

结论

CSC 患者房水和血浆中的 VEGF 和 IL-8 并未增加。玻璃体内注射贝伐单抗治疗 CSC 的效果尚需充分了解,CSC 患者抗 VEGF 治疗的真正效果仍有待阐明。

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