国际眼科纵览 ›› 2014, Vol. 38 ›› Issue (6): 425-428.doi: 10.3760/ cma. j. issn.1673-5803.2014.06.014

• 综述 • 上一篇    

抗VEGF药物在新生血管性青光眼治疗中的应用

左华欣, 王涛, 王华   

  1. 100730 首都医科大学附属北京同仁医院 北京同仁眼科中心 眼科学与视觉科学北京市重点实验室
  • 收稿日期:2014-06-23 出版日期:2014-12-22 发布日期:2014-12-26
  • 通讯作者: 王涛,Email:stevenwa@126.com

Anti-VEGF for  the treatment of neovascular glaucoma

ZUO Hua-xin, WANG Tao, WANG Hua   

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology & Visual Science, Beijing 100730, China
  • Received:2014-06-23 Online:2014-12-22 Published:2014-12-26
  • Contact: WANG Tao, Email: stevenwa@126.com

摘要: 新生血管性青光眼(neovascular glaucoma, NVG)是继发于眼底缺血性疾病的一类难治性青光眼。既往抗青光眼药物和手术治疗失败率较高。近几年抗血管内皮细胞生长因子(antivascular endothelial growth factor, antiVEGF)药物逐渐用于辅助小梁切除术、引流装置植入术、睫状体光凝/冷冻术、玻璃体切除术等综合治疗。其抗血管形成和抗成纤维细胞的特性可以有效改善视网膜缺血、迅速消除眼前段新生血管、防止术中术后前房出血和延长滤过泡寿命,明显提高了NVG手术的成功率,尤其是早期治疗的成功率。但抗VEGF在NVG治疗中的时机选择及安全性等方面还需进一步研究。(国际眼科纵览, 2014, 38:  425-428)

Abstract: Neovascular glaucoma (NVG) is regarded as refractory glaucoma secondary to retinal ischemia. Previous antiglaucoma drugs and surgeries present low therapeutic effect. Recently anti\|vascular endothelial growth factor (anti-VEGF) agent has been used as an adjunction for NVG comprehensive treatment, including trabeculectomy, drainage valve implantation, cyclophotocoagulation/cyclocryotherapy and vitrectomy etc. The antiangiogenic and antifibroblastic properties of anti-VEGF agents have shown great promise in reducing retinal ischemia, rapid regression of anterior segment neovascularization, preventing intra\| and post\|operative hyphema and improving the filtering bled, which effectively increase the operative successful rate, especially for NVG in the early stage. However, injection timing, safty and other aspects of anti-VEGF therapy in NVG treatment still need further study.  (Int Rev Ophthalmol, 2014, 38:   425-428)