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法西单抗治疗息肉状脉络膜血管病变(PCV)疗效不佳病例:一例报告

Faricimab efficacy in a poorly responsive case of Polypoidal Choroidal Vasculopathy (PCV): A case report.

作者信息

Rizzo Clara, Savastano Maria Cristina, Kilian Raphael, Rizzo Stanislao

机构信息

Ophthalmic Unit, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.

Ophthalmology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

出版信息

Eur J Ophthalmol. 2025 May;35(3):NP37-NP41. doi: 10.1177/11206721241310629. Epub 2025 Feb 12.

Abstract

PurposeTo evaluate anatomical and functional outcomes of Faricimab therapy on a case of polypoidal choroidal vasculopathy (PCV) refractory to previous treatments.Major findingsA 56-year-old patient with PCV presenting with a large pigment epithelial detachment (PED) showed best-corrected visual acuity (BCVA) improvement, subretinal fluid (SRF) reduction and PED height reduction at 2 months follow up after a loading phase of 4 monthly Faricimab injections. The patient had previously undergone Aflibercept, Brolucizumab and photodynamic therapy (PDT) treatments with a suboptimal response.ConclusionDespite Faricimab proving itself as an efficient alternative in a case of PCV poorly responsive to previous treatments, definite evidence still needs to be confirmed in larger studies.

摘要

目的

评估法西单抗治疗对一例先前治疗难治性息肉状脉络膜血管病变(PCV)的解剖学和功能结局。

主要发现

一名患有PCV且伴有大的色素上皮脱离(PED)的56岁患者,在接受4次每月一次的法西单抗注射的负荷期后,随访2个月时最佳矫正视力(BCVA)提高、视网膜下液(SRF)减少且PED高度降低。该患者先前接受过阿柏西普、布罗利尤单抗和光动力疗法(PDT)治疗,但反应欠佳。

结论

尽管法西单抗在一例对先前治疗反应不佳的PCV病例中证明是一种有效的替代方法,但仍需要在更大规模的研究中确认确切证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e69/12012268/dab1786cc336/10.1177_11206721241310629-fig1.jpg

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