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康柏西普联合激光治疗视网膜分支静脉阻塞性黄斑水肿的疗效观察
Observation on efficacy of conbercept combined with laser therapy for treating macular edena secondary to branch retinal vein occlusion

微创医学 201813卷05期 页码:612-614

作者机构:广西壮族自治区南溪山医院眼科,桂林市541002

基金信息:▲基金项目:广西卫计委自筹经费科研课题(编号:Z20170205)

DOI:DOI:10.11864/j.issn.1673.2018.05.13

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目的探讨玻璃体腔内注射康柏西普联合激光治疗视网膜分支静脉阻塞(BRVO)继发黄斑水肿(CME)的临床疗效。方法选取经眼底检查、光学相干断层扫描(OCT)及眼底荧光素血管造影(FFA)检查确诊的38例(38眼)BRVO继发CME患者为研究对象,均接受玻璃体腔内注射康柏西普联合激光治疗。比较治疗前及治疗后1 d、1周、4周、8周的最佳矫正视力及OCT、FFA检查结果。结果治疗后8周,视力提高28例(73.68%),视力稳定8例(21.05%),视力下降2例(5.26%)。治疗前,黄斑中心凹视网膜厚度为(617.5±38.0)μm;治疗后4周,黄斑中心凹视网膜厚度为(308.3±110.4)μm;治疗后8周,黄斑中心凹视网膜厚度为(189.0±36.5)μm,差异均有统计学意义(P<0.05)。随访1个月,4例(10.53%)发生一过性高眼压,未见眼内炎、葡萄膜炎、白内障、长期高眼压等不良事件发生。结论玻璃体腔内注射康柏西普联合激光治疗视网膜分支静脉阻塞继发的黄斑水肿,临床疗效显著,可有效提高患者裸眼视力,值得临床推广。
ObjectiveTo investigate the clinical efficacy of intravitreal injection of conbercept combined with laser therapy for treating cystic macular edema(CME) secondary to branch retinal vein occlusion (BRVO). MethodsThirty-eight patients (38 eyes)were enrolled as objects, and were definitely diagnosed as CME secondary to BRVO by fundus examination,optical coherence tomography (OCT) and fundus fluorescein angiography(FFA). All patients received intravitreal injection of conbercept combined with laser therapy. The best corrected visual acuity, the results of OCT and FFA before treatment andwere compared among different time points (at 1 day, 1 week, 4 weeks and 8 weeks after treatment).ResultsAt 8 weeks after treatment, the visual acuity of 28 eyes(73.68%), 8 eyes(21.05%) and 2 eyes(5.26%) were improved, stable and decreased respectively. The central macular thickness before treatment, at 4 weeks and 8 weeks after treatment were (617.5±38.0)μm, (308.3±110.4)μm and (189.0±36.5)μmrespectively, and significant difference was found(P<0.05). During the 1-month follow-up, transient ocular hypertension occurred in 4 cases (10.53%), but no adverse reactions including endoophthalmitis, uveitis, cataract and long-term ocular hypertension were observed. ConclusionIntravitreal injection of conbercept combined with laser therapy obtains obvious clinical efficacy for treating CME secondary to BRVO, can effectively improve naked visual acuity and is worthy of clinical application.

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