雷珠单抗治疗不同疾病所致黄斑水肿的疗效观察
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中国航天科工集团公司2014年医疗卫生科研项目(No.2014-LCYL-006)


Clinical observation of Ranibizumab for macular edema caused by various diseases
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Chinese CASIC 2014 Medical and Health Research Project(No.2014-LCYL-006)

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    摘要:

    目的:探讨玻璃体腔注射雷珠单抗治疗因糖尿病、视网膜静脉阻塞继发黄斑水肿的安全及有效性。

    方法:选取2013-06/2016-02在北京航天中心医院眼科因糖尿病继发黄斑水肿(DME)和视网膜静脉阻塞继发黄斑水肿(RVO-ME)收治入院,并符合本研究纳入及排除标准的患者35例38眼,其中DME 23眼,RVO-ME 15眼。患眼接受玻璃体腔雷珠单抗(0.5mg/0.05mL)注射治疗,治疗前和治疗后1、3d,1wk、1mo定期门诊回访观察最佳矫正视力(BCVA)、黄斑中心凹厚度(CRT)、眼压。比较雷珠单抗治疗DME及RVO-ME前后的疗效。

    结果:DME组及RVO-ME组治疗后1、3d,1wk的BCVA均较治疗前提高,差异均有统计学意义(P<0.05),而两组1mo的BCVA与治疗前相比差异均无统计学意义(P>0.05)。DME组及RVO-ME组治疗后1、3d,1wk,1mo的CRT均较治疗前明显改善,差异均有统计学意义(P<0.05)。在BCVA及CRT方面比较,雷珠单抗对于RVO-ME及 DME疗效差异无统计学意义(P >0.05)。

    结论:玻璃体腔注射雷珠单抗对DME及RVO-ME的治疗均安全有效。

    Abstract:

    AIM: To identify the effective and safety of ranibizumab intravitreal injection in patients with macular edema(ME)caused by diabetic macular(DM)and retinal vein obstruction(RVO).

    METHODS: Thirty-eight eyes of thirty-five patients was retrospectively evaluated, twenty-three with ME caused by DM and fifteen with RVO, who received intravitreal ranibizumab(0.5mg/0.05ml)and were followed up for at least a month., The best corrected visual acuity(BCVA), central retinal thickness(CRT)and intraocular pressure(IOP)were followed up at 1, 3d, 1wk and 1mo respectively. The effect of the DME and RVO-ME were compared.

    RESULTS: DME and RVO- ME group after treatment in 1, 3d, 1wk, the BCVA were obviously improved, and the differences were statistically significant(P<0.05). But compared the BCVA in 1mo with before showed no statistically significant difference(P>0.05). DME and RVO-ME group after treatment in 1, 3d, 1wk and 1mo, CRT was obviously improved, and the differences were statistically significant(P<0.05). The BCVA and CRT of treatment showed no statistically significant difference between DME with RVO-ME(P>0.05).

    CONCLUSION: Bevacizumab intravitreal injection for ME caused by DM and RVO was safe and effective.

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寇豆,郝晓琳,张仲臣.雷珠单抗治疗不同疾病所致黄斑水肿的疗效观察.国际眼科杂志, 2016,16(12):2272-2275.

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  • 收稿日期:2016-07-05
  • 最后修改日期:2016-11-08
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  • 在线发布日期: 2016-11-23
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