玻璃体内注射康柏西普治疗视网膜分支静脉阻塞继发黄斑水肿的临床研究

来源 :医学临床研究 | 被引量 : 0次 | 上传用户:nj_lcj
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
【目的】初步评价玻璃体腔内注射康柏西普治疗视网膜分支静脉阻塞(BRVO)继发黄斑水肿(ME)的疗效及安全性。【方法】对2014年8月至2015年2月就诊于本院眼科已确诊为 BRVO 继发 ME 的患者21例(21眼)的临床资料进行回顾性分析,对患眼均给予玻璃体腔内注射康柏西普,观察术前和术后1 d、1周、1个月、3个月时患者的最佳矫正视力,光学相干断层扫描测定黄斑中心区视网膜厚度的变化。【结果】在21眼中有19眼视力提高,2眼视力不变。治疗前的 LogMRA 视力为0.55±0.74,治疗后1周、1个月、3个月时分别为:0.57±0.70、0.61±0.63、0.62±0.58,其与治疗前相比差异均具有显著性(P <0.05)。黄斑中心凹平均厚度治疗前为(404.25±62.76)μm,治疗后1周、1个月、3个月时分别为(354.25±64.12)μm、(221.75±37.30)μm、(195.30±24.70)μm,治疗后明显改善,与治疗前相比差异具有显著性(P <0.05)。未发现与药物相关的眼部并发症及全身的不良反应。【结论】玻璃体内注射康柏西普治疗 BRVO 继发 ME 患者中短期内可提高视力、减轻 ME,但长期疗效仍需进一步观察。“,”Objective]To evaluate the efficacy and safety of intravitreal compaq sipp injection in patients with macular edema (ME)induced by branch retinal vein occlusion (BRVO).[Methods]21 patients (21 eyes)with macular edema in patient with branch retinal vein occlusion were diagnosed in our hospital from 2014 August to 2015 Februry.Patients were given compaq sipp injection in vitreous cavity.Best corrected visual acuity (BCVA)was observed at 1 day,1 week,1 month,and 3 months after treatment and com-pared with before treatments.Optical coherence tomography was used to measure the change in macular retinal thickness.[Results]Of the 21 eyes,19 cases showed improvement in visual acuity and 2 showed no change.LogMAR vision before treatment was 0.55±0.74, and 1 day,1 week,1 month,and 3 months after treatment it was 0.57±0.70,0.61±0.63,and 0.64±0.58,respectively.When com-pared to before treatment,the differences were statistically significant (P <0.05).The central macular thickness before treatment was 404.25±62.76 um,and 1 day,1 week,1 months,3 months after treatment it was 354.25±64.12,221.75±37.30,and 195.30±24.70, respectively.Thicknesses after treatment were all lower than before treatment (all P <0.05).Conclusion]Intravitreal injection of com-paq sipp for patients with macular edema secondary to branch retinal vein occlusion can improve the visual acuity and releive macular e-dema in the short-term,but the long-term efficacy remains to be seen.No adverse drug related ocular or systemic complications oc-curred in our study.
其他文献
【目的】探讨256层螺旋 CT(MSCT)与超声心动图评价左心室功能的相关性。【方法】前瞻性收集2012年8月至2013年12月就诊本院并于10日内均行 MSCT 冠状动脉血管造影(CTA)及经胸
不治已病,治未病”是指在发现异常苗头时,采取积极的预防措施,逆转其发展方向,恢复其正常状态.防病于未然,治病于潜伏阶段,是中医“治未病”的精髓.我们在临床防治心脏神经官
【目的】研究异氟烷、丙泊酚两种麻醉方法对体外循环(CPB)心脏手术患者术后认知功能的影响。【方法】60例CPB 心脏手术患者,年龄35~60岁,ASAⅡ~Ⅲ级,无严重肝肾功能受损和活
【目的】探讨腹腔镜手术治疗新生儿先天性肥厚性幽门狭窄的安全性及有效性。【方法】根据手术方式的不同将88例先天性肥厚性幽门狭窄新生儿分为腹腔镜手术的观察组和开腹手术