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通过改良全身炎症评分评估非新生血管性和新生血管性年龄相关性黄斑变性患者的炎症水平。

Assessment of inflammation levels through the modified systemic inflammation score in patients with nonneovascular and neovascular age-related macular degeneration.

作者信息

Polat Gültekin Burcu, Çomçali Sebile, Şahin Elif

机构信息

Department of Ophthalmology, Izmir City Hospital, Izmir, Turkey.

Department of Ophthalmology, Bilkent City Hospital, Ankara, Turkey.

出版信息

Medicine (Baltimore). 2025 Jun 27;104(26):e43047. doi: 10.1097/MD.0000000000043047.

Abstract

This study assesses the inflammation levels through the modified systemic inflammation score (mSIS) in patients with nonneovascular and neovascular age-related macular degeneration (AMD). A total of 90 participants were categorized into 3 groups: a control group, individuals with nonneovascular AMD under follow-up, and individuals with neovascular AMD who had not yet started injection treatment. Demographic and clinical parameters, including body mass index, were analyzed. The mSIS, based on serum albumin levels and the lymphocyte-to-monocyte ratio, was used to determine the level of systemic inflammation. There were no significant differences between the groups in terms of age (P = .08) or gender (P = .06). Regarding body mass index, no significant differences were observed between the groups (P = .06). When comparing mSIS scores between the groups, no significant differences were found for mSIS scores 0 and 1 across the groups. However, for mSIS 2, the proportion of participants with an mSIS score of 2 was significantly higher in the neovascular AMD group compared with the control group (P = .01). These findings suggest that mSIS may be a valuable tool for assessing systemic inflammation in AMD. The higher mSIS scores in the neovascular AMD group may indicate that disease severity is associated with increased inflammation. Further large-scale studies are needed to confirm the utility and clinical relevance.

摘要

本研究通过改良全身炎症评分(mSIS)评估非新生血管性和新生血管性年龄相关性黄斑变性(AMD)患者的炎症水平。总共90名参与者被分为3组:对照组、正在接受随访的非新生血管性AMD个体以及尚未开始注射治疗的新生血管性AMD个体。分析了包括体重指数在内的人口统计学和临床参数。基于血清白蛋白水平和淋巴细胞与单核细胞比例的mSIS用于确定全身炎症水平。各组之间在年龄(P = 0.08)或性别(P = 0.06)方面无显著差异。关于体重指数,各组之间未观察到显著差异(P = 0.06)。在比较各组之间的mSIS评分时,各组的mSIS评分为0和1时未发现显著差异。然而,对于mSIS 2,新生血管性AMD组中mSIS评分为2的参与者比例与对照组相比显著更高(P = 0.01)。这些发现表明,mSIS可能是评估AMD全身炎症的一个有价值的工具。新生血管性AMD组中较高的mSIS评分可能表明疾病严重程度与炎症增加有关。需要进一步的大规模研究来证实其效用和临床相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2128/12212847/6ca98490dcbf/medi-104-e43047-g001.jpg

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