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在年龄相关性黄斑变性患者单次注射法西单抗后,使用光学相干断层扫描血管造影评估脉络膜新生血管膜血流消退情况:一项病例研究

Assessing Choroidal Neovascular Membrane Flow Regression Using Optical Coherence Tomography Angiography After a Single Injection of Faricimab in Age-Related Macular Degeneration: A Case Study.

作者信息

Alsatrawi Ahmed B

机构信息

Ophthalmology, Government Hospitals, Manama, BHR.

出版信息

Cureus. 2024 Nov 15;16(11):e73760. doi: 10.7759/cureus.73760. eCollection 2024 Nov.

Abstract

This case study aims to evaluate the regression of the vascular network in a patient with age-related macular degeneration (AMD) following a single injection of faricimab, utilizing optical coherence tomography angiography (OCTA) for detailed assessment. An elderly patient diagnosed with neovascular AMD received a single injection of faricimab, with pre and post-treatment OCTA imaging performed to assess changes in the choroidal neovascular membrane (CNVm) and surrounding retinal structures. OCTA revealed significant regression of the vascular network following the single injection of faricimab, demonstrating a marked reduction in blood flow within the CNV, which corresponded with structural and anatomical improvements in the retina. This case highlights the potential of faricimab to induce rapid regression of CNVm in AMD after a single injection, as observed through OCTA. Furthermore, while current monitoring primarily relies on OCT B-scan structural assessments, the flow dynamics captured by OCTA may play a crucial role in future treatment monitoring and therapeutic strategies for managing neovascular AMD.

摘要

本病例研究旨在利用光学相干断层扫描血管造影(OCTA)进行详细评估,以评价单次注射法西单抗后年龄相关性黄斑变性(AMD)患者血管网络的消退情况。一名被诊断为新生血管性AMD的老年患者接受了单次法西单抗注射,并在治疗前后进行了OCTA成像,以评估脉络膜新生血管膜(CNVm)和周围视网膜结构的变化。OCTA显示,单次注射法西单抗后血管网络显著消退,表明CNV内血流明显减少,这与视网膜的结构和解剖学改善相对应。本病例突出了通过OCTA观察到的法西单抗单次注射后在AMD中诱导CNVm快速消退的潜力。此外,虽然目前的监测主要依赖于OCT B扫描结构评估,但OCTA所捕捉的血流动力学可能在未来新生血管性AMD的治疗监测和治疗策略中发挥关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d5d/11646488/b1336c27313f/cureus-0016-00000073760-i01.jpg

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