反复玻璃体内注射贝伐单抗治疗复发性ROP的极低出生体重婴儿：3年随访和文献综述

IF 0.6 Q4 OPHTHALMOLOGY

Case Reports in Ophthalmology Pub Date : 2025-06-13 eCollection Date: 2025-01-01 DOI:10.1159/000546935

Anny M S Cheng, Shailesh K Gupta, Tehilla Steiner, Samarth Shah, David T Y Yang, Elizabeth S Yang, Neil E Kanterman

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引用次数: 0

摘要

低妊娠出生体重与早产儿视网膜病变（ROP）的发病率增加有关。近年来，玻璃体内注射抗血管内皮生长因子（VEGF）治疗ROP越来越普遍。尽管抗vegf注射后显示出有效性，但有报道称ROP复发。抗vegf单药治疗后复发性ROP的标准化治疗方案仍然缺乏，特别是对于极低出生体重的婴儿。本研究综述了复发性ROP和相关挑战的可能治疗方法。病例介绍：我们报告了一个非常低出生体重的婴儿（500 g），在最初的玻璃体内注射贝伐单抗（IVB）后，ROP复发，后来再次注射成功治疗。长期随访36个月，未见视网膜脱离或复发。结论：本病例报告强调了处理ROP的复杂性，特别是对于非常低出生体重婴儿的复发性ROP。极低出生体重的早产儿可能受益于初始IVB后重复注射抗vegf治疗复发。

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Repeat Intravitreal Bevacizumab in a Very Low Birth Weight Infant with Recurrent ROP: 3-Year Follow-Up and Literature Review.

Introduction: Low gestational birth weight is associated with increased incidence of retinopathy of prematurity (ROP). In recent years, intravitreal injection of anti-vascular endothelial growth factor (VEGF) has become more prevalent for ROP. Despite the demonstrated effectiveness following anti-VEGF injection, recurrence of ROP has been reported. A standardized treatment protocol for recurrent ROP following anti-VEGF monotherapy is still lacking, particularly for extremely low birth weight infants. This study reviews possible treatments for recurrent ROP and associated challenges.

Case presentation: We report a very low birth weight infant (500 g) with a recurrence of ROP after the initial intravitreal bevacizumab (IVB) injection, who was successfully treated with a repeat injection at a later date. No retinal detachment or recurrence was observed after a long-term follow-up of 36 months.

Conclusion: This case report highlights the complexity of managing ROP, particularly for recurrent ROP in very low birth weight infants. Premature infants with extremely low birth weight may benefit from a repeat injection of anti-VEGF after the initial IVB to treat the recurrence.

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来源期刊

Case Reports in Ophthalmology OPHTHALMOLOGY-

CiteScore

0.90

自引率

0.00%

发文量

129

审稿时长

12 weeks

期刊介绍： This peer-reviewed online-only journal publishes original case reports covering the entire spectrum of ophthalmology, including prevention, diagnosis, treatment, toxicities of therapy, supportive care, quality-of-life, and survivorship issues. The submission of negative results is strongly encouraged. The journal will also accept case reports dealing with the use of novel technologies, both in the arena of diagnosis and treatment. Supplementary material is welcomed. The intent of the journal is to provide clinicians and researchers with a tool to disseminate their personal experiences to a wider public as well as to review interesting cases encountered by colleagues all over the world. Universally used terms can be searched across the entire growing collection of case reports, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.