Zhao Xuli, Wang Yakun
Department of Ophthalmology, ChengDu Second Peoples' Hospital, Chengdu 610021, Sichuan, China.
Department of Ophthalmology, Clinical Medical College, Yangzhou University, Yangzhou 225000, Jiangsu, China.
Evid Based Complement Alternat Med. 2022 Aug 1;2022:4127293. doi: 10.1155/2022/4127293. eCollection 2022.
For verifying the prognosis of Lucentis-assisted vitrectomy (PPV) in diabetic retinopathy (DR) and neovascular glaucoma (NVG), a retrospective analysis of DR and NVG patients who were admitted to our hospital from July 2019 to December 2020 was conducted. According to the treatment protocol, subjects who had PPV intervention were in the control group (CG; = 38) and those receiving Lucentis adjunctive PPV were included in the intervention group (RG; = 40). The indicators between groups were listed: treatment success rate, postoperative complication rate, surgical outcome indicators, BCVA, intraocular pressure (IOP) change, foveal thickness, and VEGF level in aqueous humor. Indicators in RG were obviously higher than in CG, such as treatment success rate and surgical outcome indicators. Conversely, lower postoperative complication rate, postoperative BCVA, IOP, retinal fovea thickness, and VEGF level in aqueous humor were found in RG than in CG. Therefore, the study reached the following conclusions about vitrectomy assisted by Lucentis: (1) it effectively increases the success rate of treatment, decreases postoperative complications as well as surgical risks, and improves patients' vision; (2) it promotes the recovery of IOP, reduces macular edema and VEGF levels in aqueous humor, and inhibits the neonatal formation of blood vessels. It is finally confirmed that Lucentis adjuvant PPV in the treatment of DR complicated with NVG is safe and feasible.
为验证雷珠单抗辅助玻璃体切除术(PPV)治疗糖尿病性视网膜病变(DR)和新生血管性青光眼(NVG)的预后,对2019年7月至2020年12月我院收治的DR和NVG患者进行回顾性分析。根据治疗方案,接受PPV干预的受试者为对照组(CG;n = 38),接受雷珠单抗辅助PPV的受试者纳入干预组(RG;n = 40)。列出了两组之间的指标:治疗成功率、术后并发症发生率、手术结果指标、最佳矫正视力(BCVA)、眼压(IOP)变化、黄斑中心凹厚度和房水中血管内皮生长因子(VEGF)水平。RG组的指标明显高于CG组,如治疗成功率和手术结果指标。相反,RG组术后并发症发生率、术后BCVA、IOP、视网膜黄斑中心凹厚度和房水中VEGF水平均低于CG组。因此,该研究得出关于雷珠单抗辅助玻璃体切除术的以下结论:(1)它有效提高治疗成功率,降低术后并发症以及手术风险,并改善患者视力;(2)它促进眼压恢复,减轻黄斑水肿并降低房水中VEGF水平,并抑制新生血管形成。最终证实雷珠单抗辅助PPV治疗DR合并NVG安全可行。