Augustin Albert J, Holz Frank G, Haritoglou Christos, Mayer Wolfgang J, Bopp Silvia, Scheuerle Alexander F, Maier Matthias, Sekundo Walter, Sandner Dirk, Shirlaw Andrew, Hattenbach Lars-Olof
Städtisches Klinikum Karlsruhe, Karlsruhe, Germany.
Ophthalmologica. 2015;233(1):18-26. doi: 10.1159/000368840. Epub 2014 Dec 5.
To retrospectively evaluate the re-injection interval, efficacy and safety of dexamethasone (DEX) intravitreal implant 0.7 mg in the treatment of macular oedema (ME) due to retinal vein occlusion (RVO) in Germany in 2009-2012.
Retrospective, multicentre, anonymised observational study of data collected from the first DEX implant 0.7 mg injection through 3-6 months following the last injection. Data were included if the patient was >18 years old, had a diagnosis of ME secondary to branch or central RVO, and received at least 2 DEX implant 0.7 mg injections during routine practice.
Data from 87 patients were analysed. Mean time to re-injection between first and second treatments was 5.03 months in the total RVO population, and 5.46 and 4.52 months for the branch and central RVO subpopulations, respectively. An intraocular pressure increase of >25 mm Hg was recorded in 20% of patients, and 34% of patients began treatment with anti-glaucoma medication, but surgery was not needed for this condition.
DEX implant 0.7 mg was found to be well tolerated and effective with repeat treatments in clinical practice.
回顾性评估2009 - 2012年在德国使用0.7毫克地塞米松玻璃体内植入剂治疗视网膜静脉阻塞(RVO)所致黄斑水肿(ME)的再次注射间隔时间、疗效及安全性。
对从首次注射0.7毫克地塞米松植入剂至最后一次注射后3 - 6个月收集的数据进行回顾性、多中心、匿名观察性研究。纳入标准为患者年龄大于18岁,诊断为分支或中央RVO继发的ME,且在常规治疗期间接受至少2次0.7毫克地塞米松植入剂注射。
分析了87例患者的数据。在整个RVO患者群体中,首次与第二次治疗之间的平均再次注射时间为5.03个月,分支RVO亚组和中央RVO亚组分别为5.46个月和4.52个月。20%的患者眼压升高超过25毫米汞柱,34%的患者开始使用抗青光眼药物治疗,但无需为此进行手术。
在临床实践中,发现0.7毫克地塞米松植入剂在重复治疗时耐受性良好且有效。