Oberacher-Velten I M, Helbig H
Klinik und Poliklinik für Augenheilkunde, Klinikum der Universität Regensburg.
Klin Monbl Augenheilkd. 2010 Sep;227(9):694-700. doi: 10.1055/s-0029-1245717. Epub 2010 Sep 15.
Retinopathy of prematurity (ROP) is one of the three leading causes of legal blindness in childhood in the developed countries. Improved neonatal care has resulted in the increased survival of extremely immature infants at high risk to develop ROP. Current treatment for ROP with laser may prevent blindness by causing involution of pathological vessels and thus inhibit the development of retinal detachment. But this coagulation of the avascular retina is a destructive therapy and does not otherwise ameliorate retinal development. Recent reports have described vascular endothelial growth factor antibodies as therapy for ROP. This article reports our own experience with this new therapy and gives an overview of the recent literature.
早产儿视网膜病变(ROP)是发达国家儿童法定失明的三大主要原因之一。新生儿护理的改善使得极易发生ROP的极不成熟婴儿的存活率增加。目前ROP的激光治疗可通过促使病理性血管退化从而预防失明,进而抑制视网膜脱离的发展。但这种对无血管视网膜的凝固是一种破坏性治疗,无法改善视网膜的发育。最近有报道称血管内皮生长因子抗体可用于治疗ROP。本文报告了我们在这种新疗法方面的经验,并对近期文献进行了综述。