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胎儿 60 周龄后患眼内注药治疗后视网膜血管发育进展的定量评估

Quantitative Evaluation of Progression of Retinal Vascularization After 60 Weeks Postmenstrual Age in Infants Treated With Bevacizumab.

出版信息

Ophthalmic Surg Lasers Imaging Retina. 2023 Jul;54(7):417-424. doi: 10.3928/23258160-20230626-01. Epub 2023 Jun 1.

Abstract

BACKGROUND AND OBJECTIVE

To investigate the progression of retinal vascularization after 60 weeks postmenstrual age (PMA) in eyes treated with intravitreal bevacizumab (IVB).

PATIENTS AND METHODS

Twenty-seven eyes that were treated with IVB and underwent two consecutive fluorescein angiographies (FA) after 60 weeks PMA. Horizontal disc diameter (DD), disc-to-fovea (DF) distance, and length of temporal retinal vascularization (LTRV) were measured in pixels on the two consecutive angiograms.

RESULTS

Mean age at first and final FA sessions were 77.7 ± 15.7 and 168.0 ± 49.0 weeks PMA, respectively. The DF/DD ratio was 3.30 ± 0.46 and 3.16 ± 0.46 in the first and final FAs ( = 0.001), respectively. The LTRV/DD ratio was 13.38 ± 2.12 and 13.15 ± 2.13 in the first and final FAs ( = 0.027), respectively. The LTRV/DF ratio was 4.06 ± 0.39 and 4.17 ± 0.42, respectively ( = 0.032).

CONCLUSION

Temporal retinal vascularization did not progress despite an average follow-up of 90 weeks in pixel units and DD. .

摘要

背景与目的

研究在 60 周龄(PMA)后接受玻璃体腔内贝伐单抗(IVB)治疗的眼睛中视网膜血管化的进展情况。

患者与方法

27 只眼接受 IVB 治疗,并在 60 周 PMA 后进行了两次连续的荧光素血管造影(FA)。在两次连续的血管造影上以像素为单位测量水平视盘直径(DD)、视盘至黄斑(DF)距离和颞侧视网膜血管化长度(LTRV)。

结果

首次和最后一次 FA 检查的平均年龄分别为 77.7 ± 15.7 和 168.0 ± 49.0 周 PMA。首次和最后一次 FA 的 DF/DD 比值分别为 3.30 ± 0.46 和 3.16 ± 0.46( = 0.001)。首次和最后一次 FA 的 LTRV/DD 比值分别为 13.38 ± 2.12 和 13.15 ± 2.13( = 0.027)。首次和最后一次 FA 的 LTRV/DF 比值分别为 4.06 ± 0.39 和 4.17 ± 0.42( = 0.032)。

结论

尽管以像素单位和 DD 进行了 90 周的平均随访,但颞侧视网膜血管化并未进展。

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