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玻璃内 faricimab 之后的玻璃炎:一个回顾性单心分析
Alexandre Bourdin1, Salomon Yves Cohen2, Sylvia Nghiem-Buffet3
115-20 National Ophthalmologic Center, Paris, France.
概括
与其他抗VEGF药物相比,静脉内法里西马布注射可能具有较高的眼内炎症 (IOI) 风险,包括明显的视炎模式. 对于特定的患者群体来说,仔细评估益处/风险至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
- 眼部炎症 眼部炎症
背景情况:
- 静脉内抗VEGF药物通常在低水平的眼内炎症 (IOI) 时是安全的.
- 法里西马布是一种新型双特异性抗体,向VEGF-A和血管蛋白-Tie2.
- 现实世界的研究表明,尽管在临床试验中具有安全概况,但法里西马布可能会导致IOI病例.
研究的目的:
- 报告内法利西马布注射后眼内炎症的发生率和临床过程.
- 为了比较IOI与法里西马布的发病率与其他抗VEGF药物和德克萨梅他松植入物.
主要方法:
- 从2023年12月1日到2024年4月30日的第三级护理中心病例的回顾性分析.
- 在法里西马布注射后IOI发病率的评估与其他抗VEGF药物和德克萨植入物相比.
主要成果:
- 11只眼睛 (7名患者) 发展了IOI,呈现为前膜炎或前膜炎的视炎.
- 观察到一种独特的玻璃炎模式,带有密集的灰色玻璃体带.
- 法里西马布的IOI发病率为0.87% (11/1,271),有0.63%的视炎 (8/1,271);在3,728种其他抗VEGF注射或43种德甲植入物注射中没有报告IOI病例.
结论:
- 与aflibercept和ranibizumab相比,法里西马布可能与IOI的风险更高,包括独特的视炎模式.
- 需要仔细评估好处与风险,特别是对于单眼视力或需要双边注射的患者.
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