在治疗早产视网膜病变的抗血管内皮生长因子治疗后的视野
Kazuki Imai1, Shumpei Obata1, Riko Matsumoto1
1Department of Ophthalmology, Shiga University of Medical Science, Otsu, Japan.
PloS one
|May 7, 2025
概括
与抗血管内皮生长因子 (抗VEGF) 治疗的早产视网膜病变 (ROP) 患者与正常对照组相比,视野显著狭窄. 这表明,在ROP的抗VEGF治疗后,可能会出现视野缺陷.
科学领域:
- 眼科医生 眼科 眼科
- 医学研究 医学研究
- 临床研究 临床研究
背景情况:
- 众所周知,用于早产视网膜病变 (ROP) 的激光光凝会导致视野缺陷.
- 没有先前的研究将ROP患者的视野与正常对照进行比较,这些患者接受了抗血管内皮生长因子 (抗VEGF) 治疗.
研究的目的:
- 为了比较治疗ROP与抗VEGF治疗的儿童的视野角度与健康儿童的视野角度.
- 在ROP中调查与抗VEGF治疗相关的潜在视野缺陷.
主要方法:
- 对抗VEGF组的回顾性队列研究 (类型1 ROP的内性贝瓦西祖马布或拉尼祖马布) 和对正常对照组的前性研究.
- 在4岁及以上的儿童中,使用戈德曼周边测量来评估视野.
- 两个组之间的总和定向视角的比较.
主要成果:
- 与正常对照组相比,抗VEGF治疗组在总和大多数方向上表现出明显更窄的视野角度.
- 统计学意义 (P <0.05) 观察到总角度,上部,鼻上部,鼻下部,下部,下部,上部和上部方向.
- 观察到特定的角度差异,例如,总角度为502度而不是540度.
结论:
- 对早产视网膜病变 (ROP) 的抗血管内皮生长因子 (抗VEGF) 治疗可能与比正常更窄的视野相关.
- 需要进一步的研究,以了解这些视野变化的长期影响.
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