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雷珠单抗治疗视网膜静脉阻塞所致黄斑水肿患者的两年随访结果

[Two-Year Follow-up Results of Patients with Macular Oedema Due to Retinal Vein Occlusion Treated with Ranibizumab].

作者信息

Hladíková Z, Klofáčová E, Kalvodová B

出版信息

Cesk Slov Oftalmol. 2017 Summer;73(2):43-51.

PMID:28931295
Abstract

PURPOSE

To evaluate 2-year follow-up results of patients with macular oedema (ME) caused by central (CRVO) and branch (BRVO) retinal vein occlusion treated with intravitreal ranibizumab at the Department of Ophthalmology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic.

METHODS

Retrospective study.

RESULTS

The 2-year follow-up was completed by 18 patients with ME caused by CRVO and 16 patients with ME caused by BRVO. In CRVO group mean age at diagnosis was 63 years, mean interval from diagnosis to the beginning of treatment was 3,6 months. During the first year of treatment the mean improvement of best corrected visual acuity (BCVA) was 17,4 letters of Early Treatment Diabetic Retinopathy Study (ETDRS) optotype, during the second year +2,4 letters. Mean number of injections was 6,8 in the first and 3,6 in the second year of treatment, mean total of 10,2 injections. In BRVO group the mean age at diagnosis was 68 years, mean interval from diagnosis to the beginning of treatment 6 month, mean gain in BCVA was +18,7 letters in the first and +1 letters in the second year of treatment, mean number of injections was 7 and 3,2 respectively, mean total of 9,6 injections. In both groups neither ocular nor systemic serious adverse effects were noted.

CONCLUSION

According to our results intravitreal ranibizumab is a safe and effective treatment for ME caused by retinal vein occlusion. Our results in BRVO group were in accordance with published international studies - BRAVO (BRVO) +18,3 letters, HORIZON -0,7 and even slightly better in CRVO group - CRUISE (CRVO) +13,9 letters, HORIZON study -4,1 lettersKey words: macular oedema, ranibizumab, retinal vein occlusion, central retinal vein occlusion, branch retinal vein occlusion, 2-year follow-up.

摘要

目的

评估在捷克共和国布拉格的查理大学第一医学院和综合大学医院眼科,接受玻璃体内注射雷珠单抗治疗的中心性视网膜静脉阻塞(CRVO)和分支视网膜静脉阻塞(BRVO)所致黄斑水肿(ME)患者的2年随访结果。

方法

回顾性研究。

结果

18例CRVO所致ME患者和16例BRVO所致ME患者完成了2年随访。CRVO组诊断时的平均年龄为63岁,从诊断到开始治疗的平均间隔时间为3.6个月。治疗的第一年,最佳矫正视力(BCVA)平均提高了17.4个早期糖尿病性视网膜病变研究(ETDRS)视标字母,第二年提高了2.4个字母。治疗第一年的平均注射次数为6.8次,第二年为3.6次,平均总注射次数为10.2次。BRVO组诊断时的平均年龄为68岁,从诊断到开始治疗的平均间隔时间为6个月,治疗第一年BCVA平均提高18.7个字母,第二年提高1个字母,平均注射次数分别为7次和3.2次,平均总注射次数为9.6次。两组均未观察到眼部或全身严重不良反应。

结论

根据我们的结果,玻璃体内注射雷珠单抗是治疗视网膜静脉阻塞所致ME的一种安全有效的方法。我们在BRVO组的结果与已发表的国际研究结果一致——BRAVO(BRVO)提高18.3个字母,HORIZON研究提高-0.7个字母,CRVO组甚至略好——CRUISE(CRVO)提高13.9个字母,HORIZON研究提高-4.1个字母。关键词:黄斑水肿;雷珠单抗;视网膜静脉阻塞;中心性视网膜静脉阻塞;分支视网膜静脉阻塞;2年随访

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引用本文的文献

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