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玻璃体内注射康柏西普联合激光光凝对缺血性视网膜静脉阻塞继发黄斑水肿的短期影响

Short-term effects of intravitreal Conbercept injection combined with laser photocoagulation on macular edema secondary to ischemic retinal vein occlusion.

作者信息

Liu Zheng-Feng, Wang Xing-Rong, Zhang Xiao-Yan, Pan Xue-Mei, Zhang Rui-Xue, Bi Hong-Sheng, Wen Ying

机构信息

Medical School of Ophthalmology & Optometry, Shandong University of Traditional Chinese Medicine, Jinan 250355, Shandong Province, China.

Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250002, Shandong Province, China.

出版信息

Int J Ophthalmol. 2021 May 18;14(5):732-736. doi: 10.18240/ijo.2021.05.14. eCollection 2021.

Abstract

AIM

To observe changes in the best-corrected visual acuity (BCVA), central macular thickness (CMT), and central choroidal thickness (CCT) of patients with macular edema (ME) secondary to ischemic retinal vein occlusion (iRVO) following intravitreal Conbercept injection.

METHODS

This retrospective study included 33 eyes from 33 patients who received intravitreal injections of Conbercept for ME secondary to iRVO. Treatments were performed on a 3+ (3+PRN) basis. All of the patients were examined by fundus fluorescein angiography and spectral domain optical coherence tomography at the first visit. Laser photocoagulation was performed in the nonperfusion area of the retina of all eyes after the first injection. BCVA, CMT, and CCT were observed before and after 6mo of treatment. The number of injections necessary to achieve improved vision was also noted.

RESULTS

Following Conbercept treatment, the mean BCVA significantly improved from 0.81±0.39 at baseline to 0.41±0.25 and 0.43±0.29 logMAR in the third and sixth months, respectively (both =0.000). The CMT of the patients at baseline was 556.75±98.57 µm; 304.78±68.53 and 306.85±76.77 µm 3 and 6mo after treatment, respectively (both =0.000 baseline). The CCTs of the patients at baseline, 3 and 6mo after treatment were 304.63±57.83, 271.31±45.53, and 272.29±39.93 µm, respectively (=0.026 and 0.035 baseline). No severe adverse event relevant to the therapy was noted, and the average number of injections delivered was 3.35.

CONCLUSION

Intravitreal Conbercept injection combined with laser photocoagulation appears to be a safe and effective treatment for ME secondary to iRVO in the short-term.

摘要

目的

观察玻璃体内注射康柏西普后,缺血性视网膜静脉阻塞(iRVO)继发黄斑水肿(ME)患者的最佳矫正视力(BCVA)、黄斑中心凹厚度(CMT)和脉络膜中央厚度(CCT)的变化。

方法

本回顾性研究纳入33例接受玻璃体内注射康柏西普治疗iRVO继发ME的患者的33只眼。治疗采用3 +(3 +按需)方案。所有患者在首次就诊时均接受眼底荧光血管造影和频域光学相干断层扫描检查。首次注射后,对所有患眼视网膜无灌注区进行激光光凝。观察治疗6个月前后的BCVA、CMT和CCT。记录视力改善所需的注射次数。

结果

康柏西普治疗后,平均BCVA从基线时的0.81±0.39分别显著提高至第3个月和第6个月时的0.41±0.25和0.43±0.29 logMAR(均P = 0.000)。患者基线时的CMT为556.75±98.57 µm;治疗后3个月和6个月分别为304.78±68.53和306.85±76.77 µm(均P = 0.000 vs基线)。患者基线时、治疗后3个月和6个月的CCT分别为30,4.63±57.83、271.31±45.53和272.29±39.93 µm(P = 0.026和0.035 vs基线)。未观察到与治疗相关的严重不良事件,平均注射次数为3.35次。

结论

玻璃体内注射康柏西普联合激光光凝在短期内似乎是治疗iRVO继发ME的一种安全有效的方法。

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