国际眼科纵览

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抗VEGF药物辅助治疗新生血管性青光眼

师留坤  杨瑾   

  1. 300000 天津医科大学眼科临床学院 天津市眼科医院 天津市眼科学与视觉科学重点实验室 天津市眼科研究所
  • 收稿日期:2015-07-06 出版日期:2015-12-22 发布日期:2015-12-22
  • 通讯作者: 杨瑾,Email:yangjin979@163.com

Adjuvant treatment of neovascular glaucoma with anti-VEGF

SHI Liu-kun, YANG Jin   

  1. Clinical College of Ophthalmology Tianjin Medical University, Tianjin Eye Hospital, Tianjin Key Laboratory of Ophthalmology and Visual Science, Tianjin Eye Institute,  Tianjin 300000,China
  • Received:2015-07-06 Online:2015-12-22 Published:2015-12-22
  • Contact: YANG Jin, Email: yangjin979@163.com

摘要:

新生血管性青光眼(neovascular glaucoma, NVG)为眼内缺血性疾病造成的严重并发症。由于缺血产生高浓度的血管内皮生长因子(vascular endothelial growth factor, VEGF),在前房中导致虹膜新生血管的形成并持续存在,引起房水排出受阻。抗VEGF药物可与VEGF受体结合,使VEGF失活,从而延迟虹膜新生血管的形成。抗VEGF药物(贝伐单抗、雷珠单抗等)经前房或玻璃体腔注射联合传统治疗手段如小梁切除术、青光眼减压阀植入术、玻璃体切除术、全视网膜光凝术等可治疗NVG。(国际眼科纵览, 2015,  39:   376-381)

Abstract:

Neovascular glaucoma (NVG) is a severe complication of ocular ischemia diseases. High concentration of vascular endothelial growth factor (VEGF) exists in anterior segment which leads to iris neovascularization. Aqueous humor outflow will be blocked. Anti-VEGF agent can combine with VEGF receptor and block VEGF,  and to a certain extent delay the appearance of iris neovascularization. Intravitreal or intracameral injection of anti-VEGF agents (such as bevacizumab, ranibizumab and so on) combined with the traditional treatment such as trabecutectomy, glaucoma valve implantation, vitrectomy, panretinal photocoagulation are good choices to treat neovascular glaucoma.  (Int Rev Ophthalmol,  2015,  39:     376-381)