糖尿病玻璃切除术中的外科手术期抗血管内皮生长因子治疗:叙述性综述
Ramanuj Samanta1, Sabia Handa2, Nitin Kumar Menia3
1Department of Ophthalmology, AIIMS, Rishikesh, Uttarakhand, India.
Indian journal of ophthalmology
|March 12, 2026
概括
在外科手术期间的抗血管内皮生长因子 (anti-VEGF) 治疗可以改善糖尿病玻璃切除术患者的治疗结果. 本综述分析了其在管理晚期糖尿病视网膜病变 (DR) 中的益处,时间和潜在风险.
科学领域:
- 眼科医生 眼科 眼科
- 糖尿病学 糖尿病学
- 视网膜外科手术 视网膜外科手术
背景情况:
- 全球糖尿病 mellitus 的增加导致视力威胁糖尿病视网膜病变 (DR) 的增加.
- 在先进的DR中扩大帕斯普拉纳视切除术 (PPV) 的指示.
- 越来越多地使用静脉内抗血管内皮生长因子 (抗VEGF) 注射,通常与PPV.
研究的目的:
- 总结和批判性地分析围手术期抗VEGF治疗在糖尿病玻璃切除术中的作用.
- 阐明术后的抗VEGF治疗的指示,时间上的争议和益处.
主要方法:
- 现有文献的叙述性审查.
- 在糖尿病玻璃切除术中对外科手术期间的抗VEGF治疗的分析,包括指示,时间和结果.
主要成果:
- 在外科手术期间的抗VEGF疗法在玻璃切除术期间显示出好处,减少了手术内出血,减少了阳性断裂,并且减少了对内皮膜/油的需求.
- 改善了术后视力增益和减少了玻璃体出血,对二次手术的需求更低.
- 潜在的不良影响包括拖拉性视网膜脱落的进展和其他眼睛/全身事件.
结论:
- 术后的抗VEGF疗法是糖尿病玻璃切除术中的一个有价值的辅助剂,改善了手术结果和患者的视力.
- 仔细考虑时间和潜在风险对于最佳的患者管理至关重要.
关键词:
一个自由的概念.贝瓦西祖马布 (bevacizumab) 是一种药物.这是一个PPVPPV.这是一种反-VEGF的药物.糖尿病视网膜病变 糖尿病视网膜病变糖尿病的玻璃切除术拉尼比祖马布拉尼尼比祖马布拉尼拖拉性视网膜脱落的情况更多相关视频
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