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药物治疗作为玻璃体切除术的辅助治疗

Pharmacotherapy as an adjunct to vitrectomy.

作者信息

Villegas Victor M, González Mónica P, Berrocal Audina M, Murray Timothy G

机构信息

Department of Ophthalmology, University of Puerto Rico, San Juan, PR, USA; Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.

Department of Ophthalmology, University of Puerto Rico, PO Box 365067, San Juan, PR 00936-5067, USA.

出版信息

Ther Adv Ophthalmol. 2021 May 23;13:25158414211016105. doi: 10.1177/25158414211016105. eCollection 2021 Jan-Dec.

Abstract

Vitreoretinal surgery has advanced extensively from the first days of vitrectomy. During the last decade, new developments in intravitreal pharmacotherapy have created new opportunities to enhance the surgical outcomes of our patients. In this article, we review and discuss some of the supporting evidence of different pharmacotherapies that may be used as an adjunct to vitrectomy for select common etiologies. Triamcinolone acetonide, dexamethasone, and angiogenesis inhibitors are among the most commonly used drugs given their safety profile and proven efficacy. Other pharmaceuticals have also shown promising results in small studies. The adoption of individualized medical treatments prior, during, and after vitrectomy will continue to increase as new evidence supporting the benefit of pharmacotherapy as an adjunct to vitrectomy becomes available.

摘要

从玻璃体切除术开展的最初阶段起,玻璃体视网膜手术就有了广泛的进展。在过去十年中,玻璃体内药物治疗的新进展为提高我们患者的手术效果创造了新的机会。在本文中,我们回顾并讨论了不同药物治疗的一些支持证据,这些药物治疗可作为辅助手段用于特定常见病因的玻璃体切除术。鉴于曲安奈德、地塞米松和血管生成抑制剂的安全性和已证实的疗效,它们是最常用的药物。其他药物在小型研究中也显示出了有前景的结果。随着支持药物治疗作为玻璃体切除术辅助手段有益的新证据不断出现,在玻璃体切除术之前、期间和之后采用个体化医疗治疗的情况将继续增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2740/8150455/cd75cc0e88b3/10.1177_25158414211016105-fig1.jpg

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