Ocular Immunology Unit, Azienda USL-IRCCS, Reggio Emilia, Italy.
Ophthalmology, Rome, Italy.
Ocul Immunol Inflamm. 2020;28(2):322-328. doi: 10.1080/09273948.2019.1589526. Epub 2019 May 20.
: To assess the efficacy of interferon (IFN) alpha-2a in the treatment of post-uveitic refractory macular edema (ME).: Retrospective cohort of patients with post-uveitic refractory ME, who received subcutaneous IFN alpha-2a injections for at least 3 months. Baseline central macular thickness (CMT) and best-corrected visual acuity (BCVA) were compared with those at follow-up visits up to 12 months.: Thirty-seven patients were included. Treatment duration (median [interquartile range]) was 14[8-24] months with a follow-up of 17[10-38] months. CMT (mean [standard deviation]) decreased from 438[140] to 335[119] μm after 1 month (p < 0.0001) and remained significantly lower up to 12 months (286[98] μm, p = 0.001). BCVA (0.48[0.33] logMAR at baseline) improved by 0.26[0.33] logMAR (p = 0.001) at 12 months. There were 14 recurrences. Seven patients had treatment side effects, without serious adverse events.: IFN alpha-2a was effective, safe, and well tolerated in treating post-uveitic refractory ME.
评估干扰素(IFN)α-2a 治疗葡萄膜炎后难治性黄斑水肿(ME)的疗效。
葡萄膜炎后难治性 ME 患者的回顾性队列,他们接受了至少 3 个月的皮下 IFNα-2a 注射治疗。比较基线中央黄斑厚度(CMT)和最佳矫正视力(BCVA)与随访 12 个月时的结果。
共纳入 37 例患者。治疗持续时间(中位数[四分位数范围])为 14[8-24]个月,随访时间为 17[10-38]个月。CMT(平均值[标准差])在 1 个月后从 438[140]降至 335[119]μm(p<0.0001),并在 12 个月时仍显著降低(286[98]μm,p=0.001)。BCVA(基线时为 0.48[0.33]logMAR)在 12 个月时提高了 0.26[0.33]logMAR(p=0.001)。有 14 例复发。7 例患者出现治疗副作用,但无严重不良事件。
IFNα-2a 治疗葡萄膜炎后难治性 ME 有效、安全且耐受良好。