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富含生长因子自体血浆滴眼液治疗蒸发型干眼的安全性和有效性

Safety and Efficacy of Autologous Plasma Rich in Growth Factors Eye Drops for the Treatment of Evaporative Dry Eye.

作者信息

Merayo-Lloves Jesús, Sanchez-Avila Ronald M, Riestra Ana C, Anitua Eduardo, Begoña Leire, Orive Gorka, Fernandez-Vega Luis

机构信息

Instituto Universitario Fernx00E1;ndez-Vega, Fundacix00F3;n de Investigacix00F3;n Oftalmolx00F3;gica, Universidad de Oviedo, Oviedo, Spain.

出版信息

Ophthalmic Res. 2016 Jul;56(2):68-73. doi: 10.1159/000444496. Epub 2016 May 28.

Abstract

PURPOSE

To provide preliminary information about the safety and efficacy of plasma rich in growth factors (PRGF) in the treatment of evaporative dry eye (EDE) and analyze the influence of certain variables on treatment outcomes.

METHODS

This retrospective study included patients with EDE treated between January 2011 and December 2013. Outcome measures including signs and symptoms of the disease were evaluated before and after treatment. The influence of some of the patient's clinical variables on results was assessed. Safety assessment was also performed.

RESULTS

Eighty-three patients with a total of 156 eyes were evaluated. Statistically significant reductions in the Ocular Surface Disease Index (38.2%), best-corrected visual acuity (27.4%), Visual Analogue Scale scores for frequency (32%) and severity (34%), and a significant improvement in the Schirmer test scores (177.5%) were observed (p < 0.05). The results were stratified according to the identified potential effect modifiers. Only four adverse events were reported. All of them were mild and resolved within a few days.

CONCLUSIONS

Results suggest that PRGF eye drops could be a safe and effective treatment in reducing EDE signs and symptoms. When treating patients, the possible influence of some clinical variables must be taken into account.

摘要

目的

提供关于富含生长因子血浆(PRGF)治疗蒸发过强型干眼(EDE)的安全性和有效性的初步信息,并分析某些变量对治疗结果的影响。

方法

这项回顾性研究纳入了2011年1月至2013年12月期间接受治疗的EDE患者。在治疗前后评估包括疾病体征和症状在内的结果指标。评估了部分患者临床变量对结果的影响。还进行了安全性评估。

结果

共评估了83例患者的156只眼睛。观察到眼表疾病指数(38.2%)、最佳矫正视力(27.4%)、视觉模拟评分频率(32%)和严重程度(34%)有统计学意义的降低,以及泪液分泌试验评分有显著改善(177.5%)(p<0.05)。根据确定的潜在效应修饰因素对结果进行分层。仅报告了4例不良事件。所有事件均为轻度,且在数天内缓解。

结论

结果表明,PRGF滴眼液可能是一种安全有效的减少EDE体征和症状的治疗方法。在治疗患者时,必须考虑某些临床变量的可能影响。

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