在神经血管与年龄相关的黄斑退化中的抗血管内皮生长因子治疗后影响视觉敏度的因素:日本的一项多中心研究
Aoi Kominami1, Shuhei Tomita2, Aki Kato1
1Department of Ophthalmology and Visual Science, Graduate School of Medical Sciences, Nagoya City University, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan.
Journal of clinical medicine
|October 26, 2024
概括
诸如年龄,吸烟,糖尿病和初始眼睛发现,如内液 (IRF) 和色素上皮脱落 (PED) 等因素可能会对接受抗血管内皮生长因子 (VEGF) 治疗的新血管与年龄相关的黄斑变性 (nvAMD) 患者的视力结果产生负面影响.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
- 医学研究 医学研究
背景情况:
- 抗血管内皮生长因子 (VEGF) 治疗是新血管与年龄相关的黄斑变性 (nvAMD) 的标准第一线治疗方法.
- nvAMD患者的视觉预后受疾病类型,眼部特征,生活方式和全身健康状况的影响.
研究的目的:
- 确定影响治疗抗VEGF的nvAMD患者视觉预后的关键因素.
主要方法:
- 一项多中心回顾性队列研究,涉及182名日本新诊断为nVAMD的患者.
- 患者接受了拉尼比祖马布或阿弗利塞普特,并被跟踪至少一年.
- 分析的重点是疾病类型,系统因素和初始 fundus 发现对一年最佳校正视敏度 (BCVA) 的影响.
主要成果:
- 单变量分析显示年龄,基线BCVA,网膜内液 (IRF),色素上皮质脱落 (PED) 和子网膜超反射物质 (SHRM) 是重要的因素.
- 多变量分析确定年龄,吸烟史,糖尿病,IRF和PED是视力恶化的重要危险因素.
结论:
- 初始存在的IRF,PED和SHRM,以及吸烟和糖尿病史,与nVAMD患者的视觉预后不佳有关.
- 这些发现突出了预测NVAMD治疗结果的关键因素.
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