Iannetti Ludovico, Paroli Maria Pia, Fabiani Claudia, Nardella Chiara, Campanella Michelangelo, Pivetti-Pezzi Paola
Department of Ophthalmology, "Sapienza" University of Rome, Rome - Italy.
Eur J Ophthalmol. 2013 Jan 21;23(1):114 - 118. doi: 10.5301/ejo.5000192. Epub 2012 Aug 8.
purpose. To test the efficacy of intravitreal bevacizumab (IB) in the treatment of inflammatory choroidal neovascularization (CNV). Methods. A prospective interventional study on patients with subfoveal CNV secondary to posterior/diffuse uveitis treated with 1.5 mg/0.05 mL of IB. Eight eyes of 8 patients, with mean follow-up of 19.25±6 months, were included. The measurements adopted were 1) changes in best-corrected visual acuity (BCVA), 2) reduction in CNV size, and 3) changes in central foveolar thickness (CFT) measured by optical coherence tomography. Results. The mean number of intravitreal injections was 3.75±1.38. After IB treatment, the mean BCVA improved significantly, from 0.27±0.10 before treatment to 0.5±0.29 after treatment (p<0.05). The CFT also responded well to IB, with 402.75±114.11 µm preoperatively, and after treatment 300.5±90.98 µm (p<0.01). Notably, all patients showed a reduction in the size of the CNV and BCVA remained stable or improved in 7 eyes (87.5%). No episode of active intraocular inflammation was observed and patients continued to receive their systemic steroid or immunosuppressive therapy. Conclusions. Intravitreal bevacizumab may be an additional strategy in inflammatory CNV of eyes with controlled uveitis.
目的。测试玻璃体内注射贝伐单抗(IB)治疗炎症性脉络膜新生血管(CNV)的疗效。
方法。对1.5毫克/0.05毫升IB治疗的后极部/弥漫性葡萄膜炎继发的黄斑下CNV患者进行前瞻性干预研究。纳入8例患者的8只眼,平均随访19.25±6个月。采用的测量指标为:1)最佳矫正视力(BCVA)的变化;2)CNV大小的减小;3)通过光学相干断层扫描测量的中心凹厚度(CFT)的变化。
结果。玻璃体内注射的平均次数为3.75±1.38次。IB治疗后,平均BCVA显著改善,从治疗前的0.27±0.10提高到治疗后的0.5±0.29(p<0.05)。CFT对IB也有良好反应,术前为402.75±114.11微米,治疗后为300.5±90.98微米(p<0.01)。值得注意的是,所有患者的CNV大小均减小,7只眼(87.5%)的BCVA保持稳定或改善。未观察到活动性眼内炎症发作,患者继续接受全身类固醇或免疫抑制治疗。
结论。玻璃体内注射贝伐单抗可能是控制葡萄膜炎的眼睛炎症性CNV的一种额外治疗策略。