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[地图样萎缩的治疗方法]

[Therapy approaches for geographic atrophy].

作者信息

Schmitz-Valckenberg S, Mössner A, Fleckenstein M, Wiedemann P, Holz F G

机构信息

Universitäts-Augenklinik Bonn, Ernst-Abbe-Strasse 2, Bonn, Deutschland.

出版信息

Ophthalmologe. 2010 Nov;107(11):1016-9. doi: 10.1007/s00347-010-2160-5.

DOI:10.1007/s00347-010-2160-5
PMID:21088950
Abstract

Geographic atrophy, the dry form and late manifestation of age-related macular degeneration, is the next challenge following the breakthrough in the treatment of neovascular age-related macular degeneration (AMD). Various interventional pharmacologic approaches with different targets are already being tested in clinical interventional trials. These include reduction of retinal toxins, anti-inflammatory agents, complement inhibition, neuroprotection and alleviation of oxidative stress. Until efficacy and safety is demonstrated, aids for poor vision and further rehabilitative measures remain essential for patients with advanced dry AMD.

摘要

地图样萎缩是年龄相关性黄斑变性的干性形式和晚期表现,是新生血管性年龄相关性黄斑变性(AMD)治疗取得突破后的下一个挑战。目前,针对不同靶点的各种介入性药物治疗方法正在临床试验中进行测试。这些方法包括减少视网膜毒素、使用抗炎药物、抑制补体、神经保护以及减轻氧化应激。在疗效和安全性得到证实之前,对于晚期干性AMD患者而言,视力辅助工具和进一步的康复措施仍然至关重要。

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本文引用的文献

1
Treatment of geographic atrophy by the topical administration of OT-551: results of a phase II clinical trial.OT-551 局部给药治疗地图状萎缩的 II 期临床试验结果。
Invest Ophthalmol Vis Sci. 2010 Dec;51(12):6131-9. doi: 10.1167/iovs.10-5637. Epub 2010 Jun 23.
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Progression of geographic atrophy and genotype in age-related macular degeneration.年龄相关性黄斑变性中地理萎缩和基因型的进展。
Ophthalmology. 2010 Aug;117(8):1554-9, 1559.e1. doi: 10.1016/j.ophtha.2009.12.012. Epub 2010 Apr 9.
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Pharmacologic treatment of atrophic age-related macular degeneration.
Invest Ophthalmol Vis Sci. 2012 Nov 19;53(12):7684-92. doi: 10.1167/iovs.12-10069.
萎缩性年龄相关性黄斑变性的药物治疗。
Curr Opin Ophthalmol. 2010 May;21(3):190-6. doi: 10.1097/ICU.0b013e32833866c8.
4
Change in area of geographic atrophy in the Age-Related Eye Disease Study: AREDS report number 26.年龄相关性眼病研究中地图样萎缩面积的变化:年龄相关性眼病研究报告第26号
Arch Ophthalmol. 2009 Sep;127(9):1168-74. doi: 10.1001/archophthalmol.2009.198.
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Fundus autofluorescence and progression of age-related macular degeneration.眼底自发荧光与年龄相关性黄斑变性的进展
Surv Ophthalmol. 2009 Jan-Feb;54(1):96-117. doi: 10.1016/j.survophthal.2008.10.004.
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The epidemiology of progression of pure geographic atrophy: the Beaver Dam Eye Study.单纯性地图样萎缩进展的流行病学:比弗迪尔姆眼科研究
Am J Ophthalmol. 2008 Nov;146(5):692-9. doi: 10.1016/j.ajo.2008.05.050. Epub 2008 Jul 30.
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Systemic complement activation in age-related macular degeneration.年龄相关性黄斑变性中的全身补体激活
PLoS One. 2008 Jul 2;3(7):e2593. doi: 10.1371/journal.pone.0002593.
8
High-resolution spectral domain-OCT imaging in geographic atrophy associated with age-related macular degeneration.高分辨率光谱域光学相干断层扫描成像在与年龄相关性黄斑变性相关的地图样萎缩中的应用
Invest Ophthalmol Vis Sci. 2008 Sep;49(9):4137-44. doi: 10.1167/iovs.08-1967. Epub 2008 May 16.
9
The long-term natural history of geographic atrophy from age-related macular degeneration: enlargement of atrophy and implications for interventional clinical trials.年龄相关性黄斑变性所致地图样萎缩的长期自然病程:萎缩范围扩大及其对干预性临床试验的意义
Ophthalmology. 2007 Feb;114(2):271-7. doi: 10.1016/j.ophtha.2006.09.016.
10
Progression of geographic atrophy and impact of fundus autofluorescence patterns in age-related macular degeneration.年龄相关性黄斑变性中地图样萎缩的进展及眼底自发荧光模式的影响
Am J Ophthalmol. 2007 Mar;143(3):463-72. doi: 10.1016/j.ajo.2006.11.041. Epub 2006 Dec 22.