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在实际临床实践中,玻璃体内注射康柏西普联合或不联合格栅样激光光凝治疗弥漫性糖尿病性黄斑水肿

Intravitreal Conbercept Injection with and without Grid Laser Photocoagulation in the Treatment of Diffuse Diabetic Macular Edema in Real-Life Clinical Practice.

作者信息

Xu Yule, Rong Ao, Bi Yanlong, Xu Wei

机构信息

Department of Ophthalmology, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.

出版信息

J Ophthalmol. 2016;2016:2143082. doi: 10.1155/2016/2143082. Epub 2016 Sep 29.

Abstract

. To evaluate the efficacy of intravitreal conbercept (IVC) plus modified grid laser photocoagulation (MGP) versus IVC alone for treatment of diffuse diabetic macular edema (DDME). In this retrospective study, 51 DDME patients were treated with either IVC alone (IVC group) or IVC plus MGP (combined group) with 12 months of follow-up. The clinical records of those patients were reviewed. 26 patients (31 eyes) received IVC alone and 25 patients (30 eyes) received combined therapy. At month 12, the mean best-corrected visual acuity (BCVA) letter score improvement was 9.1 ± 4.5 and 7.5 ± 4.2 in the IVC group and the combined group and the mean central retinal thickness (CRT) reduction was 145.1 ± 69.9 m and 168.5 ± 53.6 m, respectively. There was no statistically significant difference of improvement in BCVA ( = 0.164) and decrease in CRT ( = 0.149) between the two groups. The mean number of injections delivered was significantly higher ( < 0.001) in the IVC group (5.6 ± 0.8 per eye) than in the combined group (3.3 ± 1.2 per eye). . IVC alone or combined with MGP appeared to be effective for treatment of DDME, achieving the similar clinical efficacy. Moreover, MGP helps to reduce the number of injections.

摘要

评估玻璃体内注射康柏西普(IVC)联合改良格栅激光光凝(MGP)与单纯IVC治疗弥漫性糖尿病性黄斑水肿(DDME)的疗效。在这项回顾性研究中,51例DDME患者接受了单纯IVC治疗(IVC组)或IVC联合MGP治疗(联合组),并进行了12个月的随访。回顾了这些患者的临床记录。26例患者(31只眼)接受单纯IVC治疗,25例患者(30只眼)接受联合治疗。在第12个月时,IVC组和联合组的平均最佳矫正视力(BCVA)字母评分改善分别为9.1±4.5和7.5±4.2,平均中心视网膜厚度(CRT)降低分别为145.1±69.9μm和168.5±53.6μm。两组之间BCVA改善(P = 0.164)和CRT降低(P = 0.149)无统计学显著差异。IVC组每只眼的平均注射次数(5.6±0.8次)显著高于联合组(3.3±1.2次)(P < 0.001)。单纯IVC或联合MGP治疗DDME似乎有效,临床疗效相似。此外,MGP有助于减少注射次数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d19d/5061960/e088e5f24c4e/JOPH2016-2143082.001.jpg

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