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玻璃体内注射法西单抗治疗糖尿病性黄斑水肿的短期真实世界疗效

Short-term real-world outcomes of diabetic macular edema treated with intravitreal faricimab.

作者信息

Hirakata Toshiaki, Hara Fumihiro, Nochi Yuta, Shinohara Daisuke, Yamamoto Shutaro, Hiratsuka Yoshimune, Nakao Shintaro

机构信息

Department of Ophthalmology, Juntendo University Faculty of Medicine, Tokyo, Japan.

出版信息

PLoS One. 2025 May 13;20(5):e0323088. doi: 10.1371/journal.pone.0323088. eCollection 2025.

Abstract

Faricimab, a new drug for diabetic macular edema (DME), was made available in Japan in 2022. However, few reports have been published about its treatment outcomes in clinical practice. To assess the short-term outcomes of intravitreal faricimab (IVF) in patients with DME, the records of patients with DME receiving IVF therapy between July 2022 and July 2023 at Juntendo University Hospital were retrospectively reviewed. Their best-corrected visual acuities in the logarithm of the minimum angle of resolution units and central macular thicknesses were compared at baseline and one month after the final IVF. Eighteen patients and 22 eyes were included and allocated to the naïve and switched groups: 12 cases (15 eyes) and 6 cases (7 eyes), respectively. The best-corrected visual acuity improved for the naïve group, but no difference was observed for the switched group. In contrast, the central macular thickness improved for both the naïve and switched groups. IVF demonstrated good short-term outcomes for DME, suggesting that it is effective for DME in clinical practice.

摘要

法西单抗是一种用于治疗糖尿病性黄斑水肿(DME)的新药,于2022年在日本上市。然而,关于其在临床实践中的治疗效果的报道很少。为了评估玻璃体内注射法西单抗(IVF)治疗DME患者的短期疗效,我们回顾性分析了2022年7月至2023年7月在顺天堂大学医院接受IVF治疗的DME患者的记录。比较了他们在基线时和最后一次IVF治疗后1个月时的最佳矫正视力(以最小分辨角对数单位表示)和中心黄斑厚度。纳入了18例患者共22只眼,分为初治组和转换组,分别为12例(15只眼)和6例(7只眼)。初治组的最佳矫正视力有所改善,但转换组未观察到差异。相比之下,初治组和转换组的中心黄斑厚度均有所改善。IVF治疗DME显示出良好的短期疗效,表明其在临床实践中对DME有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be71/12074261/76e5766f2e1f/pone.0323088.g001.jpg

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