• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

PMID:33074617
Abstract

Uveitis is a disease characterized by inflammation of the uvea. Uvea is the middle layer of the eye wall. The anterior uvea segment includes the iris and ciliary body, intermediate uvea includes vitreous humor, and posterior uvea segment is known as the choroid. Based on the location of the Inflammation, uveitis can be classified as anterior uveitis (AU), intermediate uveitis (IU), posterior uveitis (PU) and panuveitis. Panuveitis is defined as uveitis involving all parts of uvea. Based on the etiology, uveitis can be divided into infectious uveitis and non-infectious uveitis (NIU). NIU includes uveitis caused by systemic immune-mediated disease, immune-related drug reactions, or some syndromes resulting in uveitis. The common complications of uveitis include cystoid macular edema (CME), cataract, intraocular pressure elevation, and glaucoma; the risk of specific complications of uveitis depends on the underlying illness. Treatment of NIU is still clinically challenging. There is very limited information from controlled trials. The treatment choice for NIU depends upon the location of the uveitis (such as AU/IU/PU). In the literature, it has been indicated that the initial treatment for non-infectious posterior uveitis is corticosteroids administered locally or systemically. Non-infectious anterior uveitis is commonly treated with topical glucocorticoids. However, posterior uveitis is generally not responsive to topical medication. Intravitreal dexamethasone implant (IDI, 0.7 mg, Ozurdex) is usually used for patients with uveitis, when underlying systemic disease is well controlled or is not present. Following corticosteroids, immunosuppressive drugs including methotrexate and azathioprine are commonly used. Long-term use of systemic corticosteroids above 7.5 mg per day is not recommended due to potential adverse effects such as cataract, glaucoma, etc. In Canada, intravitreal dexamethasone implants (IDI) are indicated for the treatment of NIU affecting the posterior segment of the eye. The pivotal trial used to support the Health Canada’s indication was a single, multicenter, masked RCT for the treatment of NIU affecting the intermediate and posterior segment of the eye. In the treatment of NIU, the Health Canada recommended dose regimen of IDI is one dose. The product monograph notes that for uveitis, there is no experience with reinjection and it is therefore not recommended (p. 4) but also notes that the need for IDI reinjection is determined by physician based on patient’s clinical need. For other indications (e.g. diabetic macular edema), reinjection at an interval of six months between two injections has been recommended. IDI is not recommended by Health Canada for pediatric use. The purpose of this report is to review the clinical effectiveness, safety, cost-effectiveness of IDI in the treatment of NIU. Of particular interest is evidence on different dose regimens of IDI (e.g., a single implant or two implants with approximately six months between doses, or continual treatment (i.e., three or more implants) or implants at intervals of less than every six months). In addition, this report also reviews the evidence-based guidelines on the treatment of NIU.

摘要

相似文献

1
2
Corticosteroid implants for chronic non-infectious uveitis.皮质类固醇植入物治疗慢性非感染性葡萄膜炎。
Cochrane Database Syst Rev. 2023 Jan 16;1(1):CD010469. doi: 10.1002/14651858.CD010469.pub3.
3
Corticosteroid implants for chronic non-infectious uveitis.皮质类固醇植入物治疗慢性非感染性葡萄膜炎。
Cochrane Database Syst Rev. 2023 Aug 29;8(8):CD010469. doi: 10.1002/14651858.CD010469.pub4.
4
Fluocinolone acetonide 0.18-mg implant for treatment of recurrent inflammation due to non-infectious uveitis: a case series of 15 patients.0.18毫克醋酸氟轻松植入剂治疗非感染性葡萄膜炎所致复发性炎症:15例病例系列
J Ophthalmic Inflamm Infect. 2024 Sep 19;14(1):44. doi: 10.1186/s12348-024-00427-9.
5
Dexamethasone intravitreal implant for macular edema and some other rare indications in uveitis.地塞米松玻璃体内植入物用于治疗黄斑水肿及葡萄膜炎的其他一些罕见适应症。
Med Int (Lond). 2023 Jul 19;3(4):39. doi: 10.3892/mi.2023.99. eCollection 2023 Jul-Aug.
6
A systematic review and economic evaluation of adalimumab and dexamethasone for treating non-infectious intermediate uveitis, posterior uveitis or panuveitis in adults.阿达木单抗和地塞米松治疗成人非感染性中间葡萄膜炎、后葡萄膜炎或全葡萄膜炎的系统评价和经济评估。
Health Technol Assess. 2017 Nov;21(68):1-170. doi: 10.3310/hta21680.
7
Intravitreal dexamethasone implants for non-infectious uveitis.玻璃体内注射地塞米松植入物治疗非感染性葡萄膜炎。
Clin Exp Ophthalmol. 2019 Dec;47(9):1156-1163. doi: 10.1111/ceo.13611. Epub 2019 Aug 27.
8
Intravitreal dexamethasone implant for noninfectious uveitis in Chinese patients.玻璃体内注射地塞米松植入物治疗中国患者的非感染性葡萄膜炎。
Int Ophthalmol. 2022 Jul;42(7):2063-2069. doi: 10.1007/s10792-021-02204-2. Epub 2022 Jan 4.
9
Corticosteroid implants for chronic non-infectious uveitis.用于慢性非感染性葡萄膜炎的皮质类固醇植入物。
Cochrane Database Syst Rev. 2016 Feb 12;2(2):CD010469. doi: 10.1002/14651858.CD010469.pub2.
10
Intravitreal Sirolimus for Noninfectious Uveitis: A Phase III Sirolimus Study Assessing Double-masKed Uveitis TReAtment (SAKURA).玻璃体内西罗莫司治疗非感染性葡萄膜炎:评估双重盲法葡萄膜炎治疗的 III 期西罗莫司研究(SAKURA)。
Ophthalmology. 2016 Nov;123(11):2413-2423. doi: 10.1016/j.ophtha.2016.07.029. Epub 2016 Sep 28.