Department of Ophthalmology, Faculty of Medicine, Hospital São João, University of Porto, Porto, Portugal.
Ophthalmologica. 2011;225(2):81-8. doi: 10.1159/000317908. Epub 2010 Sep 24.
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).
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.
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.
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.
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。
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。
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。
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。