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非感染性葡萄膜炎的眼内治疗

Intraocular therapy in noninfectious uveitis.

作者信息

Modugno Rocco Luigi, Testi Ilaria, Pavesio Carlos

机构信息

Department of Neuroscience, Ophthalmology Unit, University of Padua, Padua, Italy.

Moorfields Eye Hospital, National Health Service Foundation Trust, 162 City Rd, Old Street, London, EC1V 2PD, UK.

出版信息

J Ophthalmic Inflamm Infect. 2021 Oct 10;11(1):37. doi: 10.1186/s12348-021-00267-x.

DOI:10.1186/s12348-021-00267-x
PMID:34632541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8502718/
Abstract

Systemic corticosteroids and immunosuppressant agents are the mainstay of therapy for non-infectious uveitis (NIU). However, the risks associated with systemic administration and the need of delivering an effective and safe anti-inflammatory treatment targeted to the site of inflammation have prompt the use of local therapy in the management of NIU. This review will analyse the different local treatment options available, including corticosteroids, anti-vascular endothelial growth factor (VEGF), methotrexate and the recent biologics.

摘要

全身用皮质类固醇和免疫抑制剂是治疗非感染性葡萄膜炎(NIU)的主要手段。然而,全身给药相关的风险以及需要针对炎症部位提供有效且安全的抗炎治疗,促使人们在NIU的治疗中采用局部治疗。本综述将分析现有的不同局部治疗选择,包括皮质类固醇、抗血管内皮生长因子(VEGF)、甲氨蝶呤以及最近的生物制剂。

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本文引用的文献

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Br J Ophthalmol. 2022 Feb;106(2):234-240. doi: 10.1136/bjophthalmol-2020-317372. Epub 2020 Nov 26.
2
Seven-Year Outcomes of Uveitic Macular Edema: The Multicenter Uveitis Steroid Treatment Trial and Follow-up Study Results.葡萄膜炎性黄斑水肿七年结局:多中心葡萄膜炎激素治疗试验及随访研究结果。
Ophthalmology. 2021 May;128(5):719-728. doi: 10.1016/j.ophtha.2020.08.035. Epub 2020 Sep 10.
3
Effect of a Fluocinolone Acetonide Insert on Recurrence Rates in Noninfectious Intermediate, Posterior, or Panuveitis: Three-Year Results.氟轻松醋酸酯插入剂对非感染性中、后或全葡萄膜炎复发率的影响:三年结果。
Ophthalmology. 2020 Oct;127(10):1395-1404. doi: 10.1016/j.ophtha.2020.04.001. Epub 2020 Apr 17.
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Efficacy and Safety of Intravitreal Sirolimus for Noninfectious Uveitis of the Posterior Segment: Results from the Sirolimus Study Assessing Double-Masked Uveitis Treatment (SAKURA) Program.玻璃体内注射西罗莫司治疗后部非感染性葡萄膜炎的疗效和安全性:西罗莫司评估双盲葡萄膜炎治疗(SAKURA)计划的研究结果。
Ophthalmology. 2020 Oct;127(10):1405-1415. doi: 10.1016/j.ophtha.2020.03.033. Epub 2020 Apr 3.
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Ther Deliv. 2019 Oct;10(10):621-625. doi: 10.4155/tde-2019-0051. Epub 2019 Oct 30.
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Adv Ther. 2019 Aug;36(8):2137-2146. doi: 10.1007/s12325-019-00989-4. Epub 2019 May 28.
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Doc Ophthalmol. 2019 Feb;138(1):3-19. doi: 10.1007/s10633-018-9664-8. Epub 2018 Nov 19.
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Ophthalmology. 2019 Apr;126(4):601-610. doi: 10.1016/j.ophtha.2018.10.033. Epub 2018 Oct 25.