康伯莱或雷尼单抗治疗湿性老年性黄斑变性的疗效

Dawei Zhang, Z. Khan, Tao Chai
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引用次数: 0

摘要

目的:本研究的目的是探讨conberept或雷尼单抗治疗湿性年龄相关性黄斑变性(AMD)的效果,并探讨其对视网膜中央厚度(CRT)、视力和脉络膜新生血管(CNV)渗透的影响。患者和方法:本研究共纳入85例湿性AMD患者(85只眼)。所有患者均采用玻璃体内注射抗血管内皮生长因子治疗,随机分为两组。A组患者采用玻璃体内注射conberept治疗,B组患者采用玻璃体内注射雷尼单抗治疗,每月1次,连续3个月。测量最佳矫正视力(BCVA)。用光学相干断层扫描检查患眼和健康眼的中央凹下脉络膜厚度(SFCT)和CRT。行眼底荧光素血管造影,计算CNV渗透面积。结果:两组患者患眼BCVA(最小分辨角对数)在治疗后1个月、2个月、3个月及随访结束时均明显优于治疗前。同时,CRT明显降低。患眼的SFCT明显小于治疗前,与健康眼相比也明显小于治疗前。治疗后3个月及随访结束时,两组患者CNV渗透面积均明显减少。A组平均注射次数明显少于b组。结论:经玻璃体内注射康伯莱和雷尼单抗可显著降低患眼SFCT。但概念性药物注射时间较雷尼单抗短。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of conbercept or ranibizumab in the treatment of wet age-related macular degeneration
Objective: The aim of this study was to investigate the effects of conbercept or ranibizumab in the treatment of wet age-related macular degeneration (AMD) and to explore the influence on central retinal thickness (CRT), visual acuity, and choroidal neovascularization (CNV) permeation. Patients and Methods: A total of 85 patients (85 eyes) with wet AMD were enrolled in this study. All patients were treated by intravitreal injection of anti-vascular endothelial growth factor and were randomly divided into two groups. Patients in Group A were treated by intravitreal injection of conbercept, whereas those in Group B were treated by intravitreal injection of ranibizumab once a month for 3 consecutive months. The best-corrected visual acuity (BCVA) was measured. Subfoveal choroidal thickness (SFCT) and CRT of affected eyes and healthy eyes were examined with optical coherence tomography. Fundus fluorescein angiography was performed, and the area of CNV permeation was calculated. Results: BCVA (logarithm of the minimum angle of resolution) of affected eyes in the two groups was significantly better at 1 month, 2 months, and 3 months after treatment as well as at the end of follow-up than that of before treatment. Meanwhile, CRT was obviously decreased. SFCT of affected eyes was significantly smaller than that of before treatment, which was also remarkably smaller when compared with that of healthy eyes. At 3 months after treatment and at the end of follow-up, the areas of CNV permeation in the two groups were significantly decreased. In addition, the average times of injection in Group A were significantly less than that of Group B. Conclusions: Intravitreal injection of conbercept and ranibizumab significantly decreased SFCT of affected eyes. However, the length of conbercept medication injection time was lower than that of ranibizumab.
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