与膜炎相关的中间视网膜血管扩散性瘤的治疗:一系列病例
Ayman G Elnahry1,2, Sunil Bellur1, Henry E Wiley1
1National Eye Institute, National Institutes of Health, Bethesda, MD, USA.
Retinal cases & brief reports
|September 27, 2023
概括
与抗血管内皮生长因子 (VEGF) 和皮质类固醇植入物的联合治疗有效地治疗了中间性脑膜炎患者的视网膜血管扩散性瘤 (VPT). 这种方法改善了视力,减少了炎症,并导致瘤回归.
科学领域:
- 眼科医生 眼科 眼科
- 医疗视网膜 医学视网膜
- 管道炎管理 管道炎管理
背景情况:
- 视网膜血管扩散性瘤 (VPT) 可能与中等级的脑膜炎有关.
- 对于中级紫外炎相关的VPTs的治疗选择需要有效的管理策略.
研究的目的:
- 评估用于中级紫外线炎相关的VPTs的结合体内药物疗法的疗效.
- 评估使用抗血管内皮生长因子 (VEGF) 剂与皮质类固醇植入物相结合.
主要方法:
- 对VPT二次至中级紫外线炎患者的回顾性图表审查.
- 在治疗前和治疗后进行多式成像 (心底图像,光素血管图像,OCT).
- 结合体内药物治疗,包括抗VEGF和皮质类固醇植入物.
主要成果:
- 所有接受治疗的患者都显示视力敏度有所改善,眼内炎症减少.
- 中部黄斑厚度和视网膜血管泄漏明显减少.
- 视网膜血管扩散性瘤在治疗后表现出回归和减少损伤泄漏.
结论:
- 结合体内抗VEGF和皮质类固醇植入物提供了一个有前途的治疗方法,用于中级紫外炎相关的VPTs.
- 这种联合治疗策略导致受影响眼睛的功能和结构改善.
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