两种抗VEGF药物治疗渗出性年龄相关性黄斑病变的疗效
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Efficacy of two anti-VEGF drugs for age-related macular degeneration
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    摘要:

    目的:观察雷珠单抗和康柏西普治疗湿性年龄相关性黄斑变性的临床疗效。

    方法:回顾性病例系列研究。分析30例30眼雷珠单抗玻璃体腔注射0.5mg每月1次,连续3次治疗湿性老年黄斑变性的病例和28例30眼康柏西普玻璃体腔注射0.5mg每月1次,连续3次治疗湿性老年黄斑变性的病例,比较两组分别在玻璃体腔注药1mo后的最佳矫正视力及OCT变化情况。

    结果:连续3次玻璃体腔注药,每次治疗后1mo与治疗前相比,A 组 BCVA 平均值提高,CMT平均值降低,差异具有统计学意义(P<0.05); B组BCVA 平均值提高, CMT平均值亦降低,差异具有统计学意义(P<0.05),两组间比较 BCVA 变化、CMT变化差异不具有统计学意义(P>0.05)。

    结论:雷珠单抗和康柏西普治疗均能有效控制湿性AMD患者病情发展并改善视力,治疗3mo内两种药物疗效的比较无统计学意义。

    Abstract:

    AIM: To evaluate efficacy of Ranibizumab and Conbercept for wet age-related macular degeneration(wAMD).

    METHODS: This was a retrospective case series study. Thirty patients(30 eyes)with wAMD were enrolled to receive intravitreal injections of ranibizumab(0.5mg)on 3 consecutive monthly schedule and 28 patients(30 eyes)with wAMD were enrolled to receive intravitreal injections of conbercept(0.5mg)on 3 consecutive monthly schedule. Best corrected visual acuity(BCVA), optic coherence tomography(OCT)measurement were compared at 1mo after injections.

    RESULTS: One month after every injection, the BCVA increased while the central macular thickness(CMT)decreased compared with those before treatment in group A and B(P<0.05). BCVA and CMT changes between two groups were no statistically different(P>0.05).

    CONCLUSION:Ranibizumab and conbercept therapy can control the prognosis of wAMD and improve the vision effectively. There is no statistical difference on the curative effect between two drugs for 3mo.

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蔡锡安,彭惠.两种抗VEGF药物治疗渗出性年龄相关性黄斑病变的疗效.国际眼科杂志, 2016,16(8):1501-1503.

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  • 收稿日期:2016-03-31
  • 最后修改日期:2016-07-10
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  • 在线发布日期: 2016-07-26
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