Hong In Hwan, Park Sung Pyo
Department of Ophthalmology, Hallym University Medical Center, Kangdong Sacred Heart Hospital, Seoul, South Korea.
Indian J Ophthalmol. 2017 Jul;65(7):559-568. doi: 10.4103/ijo.IJO_278_17.
Antivascular endothelial growth factor (VEGF) treatment is still used intravitreally worldwide for various neovascular diseases, despite other available, approved treatments. We performed a systematic search of the literature focused on visual physiology studies. We used the online biomedical search engine PubMed and searched key words including "M-chart," "Preferential Hyperacuity Perimetry," "microperimetry," (MP) "electroretinography," and "contrast sensitivity" to estimate treatment efficacy of anti-VEGF treatments in a quantitative manner. Many studies were identified which used a variety of methodologies, disease entities, injected agents, and patient populations, making it difficult to obtain a direct comparison of their results. However, favorable functional outcomes achieved using current quantitative methods would lend further confidence to the effectiveness of a treat-and-extend protocol using intravitreal anti-VEGF for the management of patients with neovascular diseases. Despite anti-VEGF's wide use, a well-designed longitudinal multicenter study to systematically evaluate and compare different physiological methods or parameters in patients with neovascular diseases is still lacking, though it would benefit therapeutic decisions.
尽管有其他可用的、已获批准的治疗方法,但抗血管内皮生长因子(VEGF)治疗在全球范围内仍通过玻璃体内注射用于各种新生血管疾病。我们对专注于视觉生理学研究的文献进行了系统检索。我们使用在线生物医学搜索引擎PubMed,并搜索了包括“M-图表”、“优先超敏锐度视野计”、“微视野计”(MP)、“视网膜电图”和“对比敏感度”等关键词,以定量评估抗VEGF治疗的疗效。我们识别出了许多研究,这些研究采用了各种方法、疾病实体、注射药物和患者群体,因此难以直接比较它们的结果。然而,使用当前定量方法所取得的良好功能结果将进一步增强对采用玻璃体内抗VEGF治疗并延长治疗间隔方案治疗新生血管疾病患者有效性的信心。尽管抗VEGF被广泛使用,但仍缺乏一项精心设计的纵向多中心研究来系统评估和比较新生血管疾病患者的不同生理方法或参数,不过这将有助于治疗决策。