在首次内注射贝瓦西祖马布后眼内压力立即升高
Pir S Mahar1,2, Sohail Bukhari2, Ayisha Shakeel3
1Ophthalmology, Aga Khan University Hospital, Karachi, PAK.
Cureus
|June 14, 2023
概括
贝瓦齐祖马布的第一个静脉内注射在两个小时内在大多数患者中显著增加眼内压力 (IOP). 在注射后3小时内,内压水平恢复到基线,表明暂时的效果.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 静脉内抗VEGF治疗对于各种胆管关节疾病至关重要.
- 了解注射后眼内压力 (IOP) 变化对于患者的安全至关重要.
研究的目的:
- 为了调查bevacizumab的初始视内注射后眼内压力 (IOP) 的立即变化.
- 为了评估贝瓦齐祖马布 (bevacizumab) 后内压升高的持续时间和程度.
主要方法:
- 一个干预病例系列涉及147名患者 (191只眼睛) 接受了他们的第一个静脉直肠注射贝瓦西祖马布.
- 眼内压力 (IOP) 每小时监测六小时,从注射前一个小时开始.
- 排除标准包括先前的抗VEGF/类固醇注射和前史的玻璃眼.
主要成果:
- 绝大多数眼睛 (88.5%) 在注射后五分钟内经历了升高的内血压 (> 21 mmHg).
- 注射后平均内血压在5分钟后达到30.44±6.53mmHg的峰值,并保持高达2小时.
- 眼内压力 (IOP) 在注射后3小时恢复到注射前的水平.
结论:
- 第一次静脉注射贝瓦西祖马布会导致眼内压力 (IOP) 显著增加,尽管是暂时的.
- 建议在接受贝瓦西祖马布的患者中在注射后的立即期间密切监测IOP.
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