This study aimed to identify and describe anatomical and functional changes on short (1-3 months) and medium (6-12 months) term after intravitreal injections of bevacizumab (Avastin, Genentech) in patients with choroidal neovascularization (CNV) in the context of exudative form of age-related macular degeneration (AMD). We performed a retrospective, analytical, interventional study, based on a series of cases with exudative form of AMD, which also comprised a prospective component related to the inclusion and treatment of the patients with a very new interventional method for that time (2006) and the follow-up of the effects of intravitreal injection of bevacizumab (1.25 mg) therapy in three monthly doses for short (1-3 months) and medium (6-18 months) periods of time. The follow-up of these patients was made by determining visual acuity (VA) as best corrected visual acuity (BCVA) at baseline and at every visit, slit lamp examination with contact or noncontact lenses each time, and optical coherence tomography and/or angiofluorography, applied only for certain patients, at various times of the study. In total, 376 intravitreal injections were administered to 117 eyes of 96 patients. The VA improved in the assessment of 3 months in 77 eyes (66%), either subjective (by the patient) or objectively quantified (by the physician). In 40 eyes (34%), there was no change in VA. In patients for whom optical coherence tomography could be performed, a significant reduction of the macula's thickness was found. The use of bevacizumab in subretinal neovascular membrane treatment is effective and safe on short and medium term, with the improvement of BCVA and reduction of macular edema in a significant number of cases.

译文

本研究旨在识别和描述玻璃体内注射贝伐单抗 (Avastin,genentech) 在渗出形式的年龄相关性黄斑变性 (AMD) 的情况下的脉络膜新生血管 (CNV) 患者中。我们进行了一项回顾性,分析,干预性研究,基于一系列渗出性AMD病例,其中还包括与当时非常新的介入方法 (2006) 的患者的纳入和治疗有关的前瞻性成分,以及玻璃体内注射贝伐单抗 (1.25 mg) 治疗的效果的随访 (3个月短 (1-3个月) 和中 (6-18个月) 的时间段。这些患者的随访是通过在基线和每次访视时确定视力 (VA) 为最佳矫正视力 (BCVA),每次使用隐形眼镜或非接触镜片进行裂隙灯检查,以及光学相干断层扫描和/或血管荧光成像,仅适用于某些患者,在研究的不同时间。总共对96例患者的117只眼睛进行了376次玻璃体内注射。在77眼 (66%) 的3个月评估中,VA改善了主观 (由患者) 或客观量化 (由医生)。在40眼 (34%) 中,VA没有变化。在可以进行光学相干断层扫描的患者中,发现黄斑厚度显着减少。在视网膜下新生血管膜治疗中使用贝伐单抗是短期和中期安全有效的,在大量病例中可以改善BCVA并减少黄斑水肿。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录