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雷珠单抗治疗与年龄相关性黄斑变性和病理性近视无关的脉络膜新生血管。

Ranibizumab treatment for choroidal neovascularization from causes other than age-related macular degeneration and pathological myopia.

机构信息

Department of Ophthalmology, Faculty of Medicine, Hospital São João, University of Porto, Porto, Portugal.

出版信息

Ophthalmologica. 2011;225(2):81-8. doi: 10.1159/000317908. Epub 2010 Sep 24.

Abstract

AIM

Evaluation of safety and efficacy of intravitreal ranibizumab in the treatment of choroidal neovascularization (CNV) secondary to causes other than age-related macular degeneration (AMD) or pathological myopia (PM).

METHODS

Retrospective and multicentric analysis of 21 eyes with CNV. Nine eyes had angioid streaks, 5 inflammatory chorioretinal diseases, 3 central serous chorioretinopathy and 4 idiopathic CNV. Follow-ups lasted ≥3 months. Best-corrected visual acuity (BCVA), ocular coherence tomography (OCT) and fundus examination were assessed monthly.

RESULTS

Sixteen eyes (76%) completed 180 days of follow-up. Overall BCVA increased by +9.8 letters with treatment (p = 0.015). Visual acuity improvements ≥15 letters occurred in 43%. A significant reduction in OCT central thickness was observed. No cases of severe visual acuity loss, systemic or ocular side effects were registered.

CONCLUSION

Short-term results of intravitreal ranibizumab for CNV unrelated to AMD or PM are encouraging. This treatment may constitute the only option for some of these patients.

摘要

目的

评估玻璃体内雷珠单抗治疗年龄相关性黄斑变性(AMD)或病理性近视(PM)以外原因引起的脉络膜新生血管(CNV)的安全性和疗效。

方法

对 21 只眼的 CNV 进行回顾性和多中心分析。9 只眼有脉络膜血管样条纹,5 只眼有炎症性脉络膜视网膜疾病,3 只眼有中心性浆液性脉络膜视网膜病变,4 只眼为特发性 CNV。随访时间≥3 个月。每月评估最佳矫正视力(BCVA)、眼部相干断层扫描(OCT)和眼底检查。

结果

16 只眼(76%)完成 180 天随访。治疗后总 BCVA 增加+9.8 个字母(p=0.015)。视力提高≥15 个字母的占 43%。OCT 中心厚度明显减少。未发生严重视力丧失、全身或眼部副作用的病例。

结论

玻璃体内雷珠单抗治疗与 AMD 或 PM 无关的 CNV 的短期结果令人鼓舞。对于这些患者中的一些人,这种治疗可能是唯一的选择。

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