国际眼科纵览 ›› 2015, Vol. 39 ›› Issue (1): 34-38.doi: 103706/ cma.j.issn.16735803201501007

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阿柏西普治疗眼底新生血管性疾病

冯燕兵  翁文庆   

  1. 310053杭州, 浙江中医药大学(冯燕兵系在读硕士研究生);314001浙江,嘉兴市中医院眼科(翁文庆)
  • 收稿日期:2014-08-24 出版日期:2015-02-22 发布日期:2015-03-03
  • 通讯作者: 翁文庆, Email:wengwenq@163.com E-mail:wengwenq@163.com

Aflibercept for the treatment of fundus neovascular diseases

FENG Yan-bing1, WENG Wen-qing2   

  1.  1 Zhejiang Chinese Medical University, Hangzhou 310053, China; 2 Department of Ophthalmology, Jiaxing Hospital of Traditional Chinese Medicine, Jiaxing 314001, China
  • Received:2014-08-24 Online:2015-02-22 Published:2015-03-03
  • Contact: WENG Wen-qing, Email: wengwenq@163.com E-mail:wengwenq@163.com

摘要: 眼底新生血管性疾病的预后主要取决于新生血管的形成情况。目前认为血管内皮生长因子(vascular endothelial growth factor,VEGF)是促新生血管生成最重要的诱导因子,也是抗新生血管治疗中重要的治疗靶点。阿柏西普是最新一代的抗VEGF药物,可以与VEGFA、VEGFB、血小板源性生长因子(plateletderived growth factor,PDGF)所有亚型相结合,与VEGF有更高的亲和力,用于治疗湿性年龄相关性黄斑变性、视网膜静脉阻塞、糖尿病视网膜病变及息肉样脉络膜血管病变,能够提高患者最佳矫正视力和减少中央视网膜厚度,同时在某些其他抗VEGF无应答患者的治疗中亦获得较好效果。

Abstract: The  prognosis of fundus neovascular diseases mainly depend on the situation of the neovascularization. vascular endothelial growth factor (VEGF) is considered to be the most important pathogenic factor, and also an important therapeutic target in fundus neovascular diseases.  Aflibercept is the latest generation of antiVEGF drugs, which binds VEGFA and VEGF\|B, as well as plateletderived growth factor (PDGF), has higher affinity with VEGF. Aflibercept is applied to the treatment of wet agerelated macular degeneration, retinal vein occlusion, diabetic retinopathy and polypoidal choroidal vasculopathy. It can improve the  best corrected visual acuity and reduce the central retinal thickness. At the same time, in some nonresponse cases the good results are also received.