Department of Ophthalmology, Health Sciences University İzmir Tepecik Training and Research Hospital, Gaziler Street, Konak, Izmir, Turkey.
Department of Allergy and Immunology, Health Sciences University İzmir Tepecik Training and Research Hospital, Izmir, Turkey.
Int Ophthalmol. 2022 Jan;42(1):167-175. doi: 10.1007/s10792-021-02010-w. Epub 2021 Aug 24.
To evaluate the effect of subcutaneous omalizumab therapy on the allergic conjunctivitis symptoms of patients being treated for asthma.
A total of 84 eyes of 42 patients who were receiving subcutaneous omalizumab therapy for asthma and complained of allergic conjunctivitis symptoms underwent complete ophthalmic examination. All of the patients were graded according to signs and symptoms and duration of symptoms, evaluated using an ocular severity index (SI) and quality of life questionnaires. Immunoglobulin E (IgE) levels and both initial and final %FEV (forced expiratory volume in the first second) values were also evaluated. p values < 0.05 were accepted as statistically significant.
The study included 36 women (85.7%) and 6 men (14.3%) with a mean age of 54.5 ± 10.8 years. The mean duration of omalizumab therapy was 46 ± 30.9 months. There were statistically significant changes between initial and final values for ocular SI, quality of life, subjective symptom frequency and severity and %FEV1. Final values of SI, quality of life, and symptom severity and frequency were statistically significantly lower compared to initial values, while final %FEV was statistically significantly higher compared to initial value (p < 0.001).
Omalizumab therapy for asthma had a favorable effect on the patients' allergic conjunctivitis symptoms and decreased parameters related to ocular disease severity, improved quality of life and increased %FEVvalues.
2019/5-5, Trial Registration Date: 28/03/2019, Retrospectively registered.
评估皮下奥马珠单抗治疗对哮喘患者过敏性结膜炎症状的影响。
对 42 例接受皮下奥马珠单抗治疗哮喘且伴有过敏性结膜炎症状的患者的 84 只眼进行了全面的眼科检查。所有患者均根据体征和症状以及症状持续时间进行分级,使用眼严重程度指数(SI)和生活质量问卷进行评估。还评估了免疫球蛋白 E(IgE)水平以及初始和最终的 %FEV(第一秒用力呼气量)值。p 值<0.05 被认为具有统计学意义。
本研究包括 36 名女性(85.7%)和 6 名男性(14.3%),平均年龄为 54.5±10.8 岁。奥马珠单抗治疗的平均时间为 46±30.9 个月。眼 SI、生活质量、主观症状频率和严重程度以及 %FEV1 的初始值和最终值之间存在统计学显著差异。与初始值相比,最终值的 SI、生活质量和症状严重程度和频率均显著降低,而最终 %FEV 值则显著升高(p<0.001)。
奥马珠单抗治疗哮喘对患者的过敏性结膜炎症状有良好的疗效,降低了与眼部疾病严重程度相关的参数,改善了生活质量并增加了 %FEV 值。
2019/5-5,注册日期:2019 年 3 月 28 日,回顾性注册。