国际眼科纵览 ›› 2014, Vol. 38 ›› Issue (5): 351-355.doi: 10.3760/ cma. j. issn.1673-5803.2014.05.013

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玻璃体腔内注射Bevacizumab治疗湿性年龄相关性黄斑变性的临床应用

刘文杰  高磊   

  1. 262700 山东省寿光市人民医院眼科
  • 收稿日期:2014-04-11 出版日期:2014-10-22 发布日期:2014-10-24
  • 通讯作者: 高磊,Email:gl6365@163.com

Intravitreous injection of Bevacizumab for the wet agerelated macular degeneration

LIU Wen-jie, GAO Lei.   

  1. Department of Ophthalmology, Shouguang County Hospital,  Shandong 262700, China
  • Received:2014-04-11 Online:2014-10-22 Published:2014-10-24
  • Contact: GAO Lei, Email: gl6365@163.com

摘要: 湿性年龄相关性黄斑变性(agerelated macular degeneration,AMD)是以黄斑区出现脉络膜新生血管膜(choroidal neovascularization,CNV)为特点,血管内皮生长因子(vascular endothelial growth factor,VEGF)是目前已知促新生血管形成最主要的刺激因子,VEGF抑制剂通过拮抗作用,抑制血管生成、降低血管通透性,促进CNV渗液的吸收。Bevacizumab虽然存在药物标识外使用(offlabel)问题,它对湿性AMD仍以相对好的短期治疗效果和低廉的治疗成本在国际眼科界被广泛应用。玻璃体腔内1个月注射1次Bevacizumab(125 mg),连续注射3次的方案优于注射1次后再根据病情再次注射的方案。治疗后湿性AMD患者眼底解剖结构和视力均有明显改善。(国际眼科纵览, 2014, 38: 351-355)  

Abstract: Age-related macular degeneration(AMD) is the main disease in today's world of the elderly blind, often resulting in severe vision loss, due to wet AMD in macular choroidal neovascularization (CNV) for clinical characteristics. Vascular endothelial growth factor (VEGF) is known as one of the factors promoting neovascularization stimulated the main form. But VEGF inhibitors by antagonism. Inhibition of angiogenesis, reduce blood capillary permeability, promoting CNV exudate absorption. Although there are Bevacizumab off label use problem, it is still relatively good shortterm therapeutic effect and low treatment cost in the international community has been widely used in the field of ophthalmology. The scheme of intravitreal injection Bevacizumab (125 mg) once a month, continuous 3 times is better than the scheme after once injection, then according to the disease situation for again injection. After intravitreal injection Bevacizumab, both fundus anatomical structure and visual acuity were improved in patients with wet AMD.  (Int Rev Ophthalmol, 2014, 38:   351-355)