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用于角膜新生血管化的光动力疗法。

Photodynamic therapy for corneal neovascularization.

作者信息

Primbs G B, Casey R, Wamser K, Snyder W J, Crean D H

机构信息

Jules Stein Eye Institute, University of California at Los Angeles, USA.

出版信息

Ophthalmic Surg Lasers. 1998 Oct;29(10):832-8.

PMID:9793949
Abstract

BACKGROUND AND OBJECTIVE

Photodynamic therapy with tin ethyl etiopurpurin (SnET2) was evaluated as a treatment modality for rat corneal neovascularization.

MATERIALS AND METHODS

Escalating light doses at 664 nm were applied focally to corneal neovascularization in rats 10 minutes following an intravenous injection of SnET2 using a low-power diode laser. Controls consisted of light-only and drug-only treatments. Clinical, angiographic, and histopathologic evaluations were performed on the animals up to 28 days after drug and/or light treatment.

RESULTS

A drug and light dose-response was seen in producing neovessel closure. In animals treated with SnET2 and the highest light dose (25 J/cm2), all eyes showed occlusion at every follow-up evaluation up to 28 days. Control eyes demonstrated progressive disease at all time points.

CONCLUSIONS

Photodynamic therapy appears to be safe and effective for eliciting prolonged (> 28 days) occlusion of corneal neovascularization in the rat model with minimal side effects and good clinical outcomes.

摘要

背景与目的

评估用乙磺卟啉锡(SnET2)进行光动力疗法治疗大鼠角膜新生血管的疗效。

材料与方法

静脉注射SnET2 10分钟后,使用低功率二极管激光器,以递增的光剂量在664nm波长下对大鼠角膜新生血管进行局部照射。对照组包括单纯光照和单纯药物治疗。在药物和/或光照治疗后长达28天的时间里,对动物进行临床、血管造影和组织病理学评估。

结果

在促使新生血管闭合方面观察到药物和光剂量反应。在用SnET2和最高光剂量(25J/cm²)治疗的动物中,直至28天的每次随访评估时,所有眼睛均显示血管闭塞。对照眼在所有时间点均表现为病情进展。

结论

在大鼠模型中,光动力疗法对于引发角膜新生血管的长期(>28天)闭塞似乎是安全有效的,副作用极小且临床效果良好。

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