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眼科亚专业护理的并发症:玻璃体内注射抗血管内皮生长因子药物后的眼内炎。

Complications of subspecialty ophthalmic care: endophthalmitis after intravitreal injections of anti-vascular endothelial growth factor medications.

作者信息

Haddock Luis J, Ramsey David J, Young Lucy H

机构信息

Harvard Medical School, Massachusetts Eye and Ear Infirmary and Mass General Hospital , Boston, Massachusetts , USA.

出版信息

Semin Ophthalmol. 2014 Sep-Nov;29(5-6):257-62. doi: 10.3109/08820538.2014.959616.

Abstract

The use of medications directed against vascular endothelial growth factor (VEGF) signaling has revolutionized the treatment of age-related macular degeneration (AMD) and many other retinal diseases in the last decade. However, the rapidly increasing use of these agents has led to a rise in treatment-associated complications. One of the most feared by patients and ophthalmologists is post-injection endophthalmitis, which can result in severe vision loss and, in rare cases, loss of the eye. The aim of this article is to review the incidence, clinical findings, risk factors, management, and visual outcomes in cases of endophthalmitis following intravitreal injections of anti-VEGF medications.

摘要

在过去十年中,针对血管内皮生长因子(VEGF)信号传导的药物应用彻底改变了年龄相关性黄斑变性(AMD)及许多其他视网膜疾病的治疗方式。然而,这些药物的迅速增加使用导致了治疗相关并发症的增多。患者和眼科医生最担心的并发症之一是注射后眼内炎,它可导致严重视力丧失,在罕见情况下可导致眼球丧失。本文旨在综述玻璃体内注射抗VEGF药物后发生眼内炎的发病率、临床特征、危险因素、治疗及视力预后情况。

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