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孟加拉国南部糖尿病视网膜病变和黄斑水肿的回顾性研究

Retrospective Study of Diabetic Retinopathy and Macular Edema in Southern Part of Bangladesh.

作者信息

Hasan Md Asif, Islam Sheikh Md Rabiul, Pathan Md Arif Hayat Khan

机构信息

Department of Biomedical Engineering, Khulna University of Engineering and Technology, Khulna 9203, Bangladesh.

Department of Electronics and Communication Engineering, Khulna University of Engineering and Technology, Khulna 9203, Bangladesh.

出版信息

J Ophthalmol. 2024 Jun 6;2024:8437947. doi: 10.1155/2024/8437947. eCollection 2024.

Abstract

BACKGROUND

Diabetic mellitus is a vision-threatening disease because it causes diabetic retinopathy worldwide. The main focus of this research is to determine the prevalence and assess the visual outcome in diabetic retinopathy and macular edema patients by injecting Bevacizumab clinically.

METHODS

This hospital-based trial case was conducted in Khulna BNSB Eye Hospital, Bangladesh. This study is based on a prospective cohort with a population of macular edema in 41 eyes of 25 diabetic patients, of whom 94 were diagnosed with diabetic retinopathy in 320 type 2 diabetes mellitus patients. The treating physician inserts 1.25 mg (0.05 ml) into the patient's eye. We have used optical coherence tomography (OCT) and colour fundus photography (CFP) for an eye check performed on all patients before and after the injection of Bevacizumab. The method results analyze the effects of the technique using IBM SPSS 25.

RESULTS

The study population selected 25 patients with 41 eyes for clinical investigation by injection of Bevacizumab. The net effects of this study on five eyes with macular edema were entirely resolved. It was BCVA from 6/6 to 6/9. The 29 eyes were partially resolved, which is called improved visual acuity, and BCVA was 6/12 to 6/60. In the case of seven eyes, we found that the vision did not change before or after the Avastin injection. No change was seen in seven eyes of macular edema due to the effects of the Avastin injection before and after.

CONCLUSIONS

In clinical trial-based research, Bevacizumab (Avastin) is best effective for diabetic retinopathy (DR) and diabetic macular edema (DME) patients.

摘要

背景

糖尿病是一种威胁视力的疾病,因为它在全球范围内会引发糖尿病性视网膜病变。本研究的主要重点是通过临床注射贝伐单抗来确定糖尿病性视网膜病变和黄斑水肿患者的患病率,并评估其视觉预后。

方法

这项基于医院的试验病例在孟加拉国库尔纳BNSB眼科医院进行。本研究基于一个前瞻性队列,该队列中有25名糖尿病患者的41只眼睛出现黄斑水肿,在320名2型糖尿病患者中,有94人被诊断患有糖尿病性视网膜病变。治疗医生将1.25毫克(0.05毫升)药物注入患者眼中。我们在所有患者注射贝伐单抗前后均使用光学相干断层扫描(OCT)和彩色眼底摄影(CFP)进行眼部检查。该方法的结果使用IBM SPSS 25分析技术效果。

结果

研究人群选取了25名患者的41只眼睛通过注射贝伐单抗进行临床研究。本研究对五只黄斑水肿眼睛的净效应完全消退。最佳矫正视力(BCVA)从6/6提高到了6/9。29只眼睛部分消退,即视力有所改善,BCVA为6/12至6/60。在七只眼睛的病例中,我们发现阿瓦斯汀注射前后视力没有变化。由于阿瓦斯汀注射前后的影响,七只黄斑水肿眼睛的视力没有变化。

结论

在基于临床试验的研究中,贝伐单抗(阿瓦斯汀)对糖尿病性视网膜病变(DR)和糖尿病性黄斑水肿(DME)患者最有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8629/11175843/921523440d88/JOPH2024-8437947.001.jpg

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