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[慢性丙型肝炎治疗期间的急性视力丧失]

[Acute loss of vision during therapy of chronic hepatitis C].

作者信息

Salgado J P, Khoramnia R, Maier M M, Lohmann C P, Winkler von Mohrenfels C

机构信息

Augenklinik und Poliklinik, Universität Würzburg, Josef-Schneider-Strasse 11, Würzburg, Germany.

出版信息

Ophthalmologe. 2011 Jun;108(6):561-4. doi: 10.1007/s00347-010-2327-0.

DOI:10.1007/s00347-010-2327-0
PMID:21271253
Abstract

A patient undergoing combined therapy of chronic hepatitis C with pegylated interferon-α-2a (PEG-IFN-α-2a) and ribavirin suddenly developed severe loss of visual acuity. A central vein occlusion with macular edema was found and intravitreal injections of bevacizumab were initiated. Retinal occlusion is a known complication of therapy with pegylated interferon-α-2a and ribavirin. An interdisciplinary assessment of patients treated for a chronic hepatitis C as well as an early anti-VEGF administration can be helpful in the therapy of this complication of chronic hepatitis C.

摘要

一名接受聚乙二醇化干扰素-α-2a(PEG-IFN-α-2a)和利巴韦林联合治疗慢性丙型肝炎的患者突然出现严重视力丧失。发现中央静脉阻塞伴黄斑水肿,并开始玻璃体内注射贝伐单抗。视网膜阻塞是聚乙二醇化干扰素-α-2a和利巴韦林治疗的已知并发症。对接受慢性丙型肝炎治疗的患者进行多学科评估以及早期给予抗血管内皮生长因子(VEGF)治疗,可能有助于治疗慢性丙型肝炎的这一并发症。

相似文献

1
[Acute loss of vision during therapy of chronic hepatitis C].[慢性丙型肝炎治疗期间的急性视力丧失]
Ophthalmologe. 2011 Jun;108(6):561-4. doi: 10.1007/s00347-010-2327-0.
2
Retinal vein thrombosis associated with peginterferon alpha 2b plus ribavirin in a chronic hepatitis C patient.一名慢性丙型肝炎患者使用聚乙二醇干扰素α-2b加利巴韦林治疗后出现视网膜静脉血栓形成
Farm Hosp. 2011 Mar-Apr;35(2):93-4. doi: 10.1016/j.farma.2010.01.010. Epub 2010 Jul 7.
3
Branch retinal vein thrombosis and visual loss probably associated with pegylated interferon therapy of chronic hepatitis C.视网膜分支静脉血栓形成及视力丧失可能与慢性丙型肝炎的聚乙二醇化干扰素治疗有关。
World J Gastroenterol. 2006 Jul 28;12(28):4602-3. doi: 10.3748/wjg.v12.i28.4602.
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Retinal thrombosis secondary to the combination therapy of pegylated interferon and ribavirin for chronic hepatitis C virus infection. A rare complication.聚乙二醇化干扰素与利巴韦林联合治疗慢性丙型肝炎病毒感染继发视网膜血栓形成。一种罕见的并发症。
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Branch retinal artery occlusion and central retinal vein occlusion associated with pegylated interferon plus ribavirin combination therapy for chronic hepatitis C.视网膜分支动脉阻塞和视网膜中央静脉阻塞与聚乙二醇化干扰素联合利巴韦林治疗慢性丙型肝炎相关
Cutan Ocul Toxicol. 2012 Sep;31(3):253-7. doi: 10.3109/15569527.2011.641197. Epub 2011 Dec 16.
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Retinal vein thrombosis associated with pegylated-interferon and ribavirin combination therapy for chronic hepatitis C.聚乙二醇干扰素与利巴韦林联合治疗慢性丙型肝炎相关的视网膜静脉血栓形成
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Cystoid macular edema and visual loss as sequelae to interferon alpha treatment of systemic hepatitis C.结节性黄斑水肿和视力丧失是全身丙型肝炎干扰素 α 治疗的后遗症。
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Commentary: efficacy and safety of ribavirin plus pegylated interferon-alpha in geriatric patients with chronic hepatitis C - authors' reply.评论:利巴韦林联合聚乙二醇化干扰素-α治疗老年慢性丙型肝炎患者的疗效与安全性——作者回复
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Is combination therapy interferon and ribavirin in patients with chronic hepatitis C infection toxic for eyes?慢性丙型肝炎感染患者的干扰素和利巴韦林联合治疗对眼睛有毒性吗?
J Ocul Pharmacol Ther. 2013 Apr;29(3):345-8. doi: 10.1089/jop.2012.0169. Epub 2012 Oct 31.

本文引用的文献

1
Retinopathy in hepatitis C patients due to combination therapy with pegylated interferon and ribavirin.聚乙二醇干扰素联合利巴韦林治疗丙型肝炎患者的视网膜病变。
Jpn J Ophthalmol. 2009 Nov;53(6):598-602. doi: 10.1007/s10384-009-0738-8. Epub 2009 Dec 18.
2
Long-term safety and efficacy of intravitreal bevacizumab (Avastin) for the management of central retinal vein occlusion.玻璃体内注射贝伐单抗(阿瓦斯汀)治疗视网膜中央静脉阻塞的长期安全性和有效性。
Retina. 2008 Oct;28(9):1325-37. doi: 10.1097/IAE.0b013e318188501f.
3
Hepatitis B and hepatitis C in 2009.
2009年的乙型肝炎和丙型肝炎。
Liver Int. 2009 Jan;29 Suppl 1:1-8. doi: 10.1111/j.1478-3231.2008.01947.x.
4
Intravitreal bevacizumab injections for treatment of central retinal vein occlusion: six-month results of a prospective trial.玻璃体内注射贝伐单抗治疗视网膜中央静脉阻塞:一项前瞻性试验的六个月结果
Retina. 2007 Oct;27(8):1004-12. doi: 10.1097/IAE.0b013e3180ed458d.
5
Intraocular complications of IFN-alpha and ribavirin therapy in patients with chronic viral hepatitis C.慢性丙型病毒性肝炎患者接受干扰素-α和利巴韦林治疗的眼内并发症
World J Gastroenterol. 2007 Jun 14;13(22):3137-40. doi: 10.3748/wjg.v13.i22.3137.
6
Retinal vein thrombosis associated with pegylated-interferon and ribavirin combination therapy for chronic hepatitis C.聚乙二醇干扰素与利巴韦林联合治疗慢性丙型肝炎相关的视网膜静脉血栓形成
World J Gastroenterol. 2006 Aug 14;12(30):4908-10. doi: 10.3748/wjg.v12.i30.4908.
7
Global epidemiology of hepatitis C virus infection.丙型肝炎病毒感染的全球流行病学
Lancet Infect Dis. 2005 Sep;5(9):558-67. doi: 10.1016/S1473-3099(05)70216-4.
8
Interferon-associated combined branch retinal artery and central retinal vein obstruction.干扰素相关的视网膜分支动脉与视网膜中央静脉联合阻塞
Retina. 2003 Aug;23(4):546-8. doi: 10.1097/00006982-200308000-00019.
9
Retinal vein thrombosis associated with chronic hepatitis C: a case series and review of the literature.慢性丙型肝炎相关的视网膜静脉血栓形成:病例系列及文献综述
J Viral Hepat. 2000 Nov;7(6):466-70. doi: 10.1046/j.1365-2893.2000.00245.x.