玻璃体腔注射康柏西普治疗湿性年龄相关性黄斑变性的早期mfERG变化
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广东省医学科学技术研究基金项目(No.A2016550)


Early multifocal electroretinography findings after intravitreal Conbercept in the treatment of wet age-related macular degeneration
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Medical Scientific Research Foundation of Guangdong Province(No.A2016550)

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    摘要:

    目的:利用多焦视网膜电图(mfERG)评价玻璃体腔注射康柏西普的湿性年龄相关性黄斑变性(age-related macular degeneration,ARMD)患者视网膜功能的早期变化。

    方法:经眼底荧光血管造影确诊为湿性ARMD患者接受玻璃体腔注射康柏西普眼用注射液(0.05mL/0.5mg),记录注射前及注射后1mo的最佳矫正视力及mfERG各环N1、P1波潜伏期及P1波振幅密度。

    结果:共20例20眼患者纳入研究,平均LogMAR视力从注射前0.80±0.48提高到注射后0.65±0.50(P<0.001),环1平均振幅密度从注射前39.59±16.60nV/deg2提高到注射后的53.81±20.41nV/deg2(P=0.006),振幅密度的改变与视力的改变呈正相关(r=-0.776,P<0.001)。

    结论:对于湿性ARMD患者玻璃体腔注射康柏西普短期内能改善黄斑中心凹的功能。

    Abstract:

    AIM: To evaluate the early changes of retinal function in patients with wet age-related macular degeneration(ARMD)after intravitreal Conbercept treatment by multifocal electroretinography(mfERG).

    METHODS: Wet ARMD patients diagnosed by fundus fluorescein angiography and received intravitreal injection of Conbercept(0.05mL/0.5mg)were included. Best corrected visual acuity(BCVA), incubation of N1, P1 and amplitude of P1 in mfERG test were recorded before and 1mo after treatment.

    RESULTS: Twenty patients(20 eyes)were enrolled in total. The mean BCVA was 0.80±0.48 LogMAR at baseline and improved to 0.65±0.50 LogMAR after treatment(P<0.001). Mean P1 amplitude density of the mfERG Ring 1 increased from 39.59±16.60nV/deg2 to 53.81±20.41nV/deg2(P=0.006). The change in visual acuity was positively correlated with the change in P1 amplitude density of Ring 1(r=-0.776, P<0.001).

    CONCLUSION: Intravitreal conbercept injection can improve the central retinal function of wet ARMD patients in the short term.

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黄定国,郑建龙,林国乔,等.玻璃体腔注射康柏西普治疗湿性年龄相关性黄斑变性的早期mfERG变化.国际眼科杂志, 2018,18(9):1692-1695.

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  • 收稿日期:2018-02-02
  • 最后修改日期:2018-07-23
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  • 在线发布日期: 2018-08-17
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