a Marmara University School of Medicine , Department of Ophthalmology , Istanbul , Turkey.
b Marmara University School of Medicine , Chief, Division of Rheumatology , Istanbul , Turkey.
Ocul Immunol Inflamm. 2019;27(1):15-22. doi: 10.1080/09273948.2017.1332768. Epub 2017 Jul 12.
To assess the long-term efficacy and safety of pegylated interferon alpha-2b (peg-IFN-α-2b) for severe uveitis associated with Behçet's disease.
Peg-IFN-α-2b was administrated at an initial dosage of 0,5-1,5 µg/kg/week. If any complications were observed, the dosage was tapered. Ocular examinations, systemic findings, and treatment compliance of the patients were evaluated.
Control of ocular inflammation was achieved in all patients (n = 4). The average increase in visual acuity after drug administration of 0,425 ± 0,125 logMAR was not statistically significant (Wilcoxon Test, p = 0,066) due to small number of cases. Any side-effects with laboratory abnormalities returned to baseline levels with reduction of the doses. Due to less frequent injections, increased satisfaction of the patients was noted.
This series highlights the peg-IFN-α-2b administration in Behçet's uveitis. Peg-IFN-α-2b has a potential long-term therapeutic effect for the treatment of severe uveitis. Efficacy with a reduced number of injections improved the quality of Behçet patients' lives.
评估聚乙二醇干扰素 α-2b(peg-IFN-α-2b)治疗 Behcet 病相关重度葡萄膜炎的长期疗效和安全性。
peg-IFN-α-2b 的初始剂量为 0.5-1.5μg/kg/周。如果观察到任何并发症,则减少剂量。评估患者的眼部检查、全身表现和治疗依从性。
所有患者(n=4)的眼部炎症均得到控制。由于病例数较少,药物治疗后视力平均提高 0.425±0.125 logMAR 无统计学意义(Wilcoxon 检验,p=0.066)。任何实验室异常的副作用在减少剂量后均恢复到基线水平。由于注射次数减少,患者的满意度提高。
本系列强调了 peg-IFN-α-2b 在 Behcet 葡萄膜炎中的应用。peg-IFN-α-2b 对治疗重度葡萄膜炎具有潜在的长期疗效。减少注射次数可提高 Behcet 患者的生活质量。