康柏西普治疗糖尿病性黄斑水肿的视觉功能和视觉质量
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陕西省科技厅社发课题项目(No.2020SF-167)


Visual function and visual quality in diabetic macular edema treated by Conbercept
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The Social Development Project of Shaanxi Provincial Department of Science and Technology(No.2020SF-167)

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    摘要:

    目的:评价康柏西普注射液治疗糖尿病性黄斑水肿患者的视觉功能和视觉质量。

    方法:观察2018-02/2021-02连续3mo接受康柏西普治疗的糖尿病性黄斑水肿患者38例43眼。分析对比敏感度(CS)从基线到治疗12wk的平均变化,比较治疗前后最佳矫正视力(BCVA)、视网膜中央厚度(CRT)和视觉功能问卷(NEIVFQ-25)评分。

    结果:玻璃体腔注射康柏西普注射液后,CS从基线的1.060±0.14增加到治疗12wk的1.47±0.31(P<0.05)。基线时BCVA(LogMAR)为0.535±3.32,治疗12wk时为0.333±0.11(P<0.05)。基线时CRT为369.45±36.42μm,治疗12wk时降至226.53±39.48μm(P<0.05)。CRT与BCVA测量变化及CS的改善均无相关关系。患者30例(79%)从基线至第12wk,NEIVFQ-25综合评分总体改善,6例(16%)无变化,2例(5%)综合评分总体下降。

    结论:康柏西普注射液治疗糖尿病性黄斑水肿,可明显改善患者的视功能,提高视觉相关生活质量。

    Abstract:

    AIM: To evaluate the visual function and visual quality of patients with diabetic macular edema treated with conbercept injection.

    METHODS: The average change of contrast sensitivity(CS), best corrected visual acuity(BCVA), central retinal thickness(CRT)and NEIVFQ-25 score were observed for 3mo after intravitreal injection of conbercept in 43 eyes of 38 patients with diabetic macular edema.

    RESULTS: The mean CS increased from(1.060±0.14)units to(1.47±0.31)units at 12wk after intravitreal injection of conbercept(P<0.05). The average LogMAR BCVA decreased significantly from 0.535±3.32 to 0.333±0.11 at 12wk(P<0.05), and the average CRT decreased significantly from 369.45±36.42μm to 226.53±39.48μm at 12wk(P<0.05). There is not a correlation between the changes in CRT and BCVA and the improvement of CS. The NEIVFQ-25 score improved in 30 cases(79%)from baseline to 12wk. 6 cases(16%)had no change in the NEIVFQ-25 score, and 2 cases(5%)declined in the NEIVFQ-25 score.

    CONCLUSION: The treatment of conbercept injection for diabetic retinal macular edema can significantly improve the visual function and the quality of life.

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李鹏,刘擎,张辰殊,等.康柏西普治疗糖尿病性黄斑水肿的视觉功能和视觉质量.国际眼科杂志, 2022,22(1):127-129.

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  • 收稿日期:2021-07-27
  • 最后修改日期:2021-11-26
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  • 在线发布日期: 2021-12-21
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