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曲安奈德注射后脉络膜上腔空间改变:糖尿病性黄斑水肿患者1/2期HULK研究的事后分析

Suprachoroidal Space Alterations Following Delivery of Triamcinolone Acetonide: Post-Hoc Analysis of the Phase 1/2 HULK Study of Patients With Diabetic Macular Edema.

作者信息

Lampen Shaun I R, Khurana Rahul N, Noronha Glenn, Brown David M, Wykoff Charles C

出版信息

Ophthalmic Surg Lasers Imaging Retina. 2018 Sep 1;49(9):692-697. doi: 10.3928/23258160-20180831-07.

DOI:10.3928/23258160-20180831-07
PMID:30222804
Abstract

BACKGROUND AND OBJECTIVE

To study anatomic changes in the suprachoroidal space (SCS) following suprachoroidal injection of CLS-TA, triamcinolone acetonide injectable suspension.

PATIENTS AND METHODS

Eyes with diabetic macular edema receiving CLS-TA were imaged serially using anterior segment spectral-domain optical coherence tomography to examine the SCS.

RESULTS

At the final imaging session, the SCS was not significantly different in study eyes (n = 14; 8.4 μm) compared to fellow eyes (n = 10; 8.1 μm; P = .698). Two eyes were imaged immediately before and 30 minutes after suprachoroidal injections; in these eyes, mean suprachoroidal width increased significantly following CLS-TA injection, 9.9 μm to 75.1 μm (P < .001), and subsequently returned to 14.9 μm 1 month after the final injection (P = .221).

CONCLUSION

Suprachoroidal CLS-TA injection caused a measurable increase in the SCS, which returned to preinjection levels by 1 month following injection with no apparent lasting impact on SCS anatomy. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:692-697.].

摘要

背景与目的

研究脉络膜上腔(SCS)在脉络膜上腔注射CLS-TA(曲安奈德注射用混悬液)后的解剖学变化。

患者与方法

使用眼前节光谱域光学相干断层扫描对接受CLS-TA治疗的糖尿病性黄斑水肿患者的眼睛进行连续成像,以检查脉络膜上腔。

结果

在最后一次成像时,研究眼(n = 14;8.4μm)的脉络膜上腔与对侧眼(n = 10;8.1μm;P = 0.698)相比无显著差异。对2只眼睛在脉络膜上腔注射前及注射后30分钟进行成像;在这些眼中,CLS-TA注射后脉络膜上腔平均宽度显著增加,从9.9μm增至75.1μm(P < 0.001),并在最后一次注射后1个月时恢复至14.9μm(P = 0.221)。

结论

脉络膜上腔注射CLS-TA可使脉络膜上腔出现可测量的增宽,注射后1个月时恢复至注射前水平,对脉络膜上腔解剖结构无明显持久影响。[《眼科手术、激光与视网膜成像》。2018;49:692 - 697。]

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