国际眼科纵览 ›› 2023, Vol. 47 ›› Issue (5): 475-480.doi: 10.3760/ cma.j.issn.1673-5803.2023.05.016

• 综述 • 上一篇    

抗VEGF治疗对角膜的影响

祁媛媛1,2 金翠华1 薛新霞1 张立军1,2   

  1. 1 大连医科大学附属大连市第三人民医院眼科 辽宁省角膜与眼表疾病重点实验室,大连 116033; 2 大连医科大学,大连 116044
  • 收稿日期:2023-04-27 出版日期:2023-10-22 发布日期:2023-11-06
  • 通讯作者: 张立军,Email:Lijunzhangw1970@163.com E-mail: Lijunzhangw1970@163.com

Effect of anti-VEGF drugs on cornea

Qi Yuanyuan1,2, Jin Cuihua1, Xue Xinxia1, Zhang Lijun1,2   

  1. 1Departement of Ophthalmology, The Third People’s Hospital of Dalian, Dalian Medical University, Liaoning Key Laboratory of Cornea and Ocular Surface Disease, Dalian 116033, China; 2 Dalian Medical University, Dalian 116044, China
  • Received:2023-04-27 Online:2023-10-22 Published:2023-11-06
  • Contact: Zhang Lijun, Email: Lijunzhangw1970@163.com E-mail: Lijunzhangw1970@163.com

摘要: 抗血管内皮生长因子(anti-vascular endothelial growth factor,VEGF)是许多视网膜血管性疾病导致黄斑水肿的一线治疗方法,在临床上多需要反复进行玻璃体注射才能达到治疗效果,其玻璃体注射安全性高,仅少数报道出现眼压升高、眼内炎等并发症。近年来,临床医生逐渐开始关注抗VEGF药物反复注射是否会对角膜产生影响。研究发现,抗VEGF药物可能会对角膜上皮、角膜内皮、角膜神经、角膜生物力学、干眼等方面产生影响,在临床工作中需要引起我们的关注。

关键词: 血管内皮生长因子, 角膜

Abstract: Anti-(vascular endothelial growth factor,VEGF) is a first-line treatment for many retinal vascular diseases leading to macular edema. In clinical practice, repeated intraocular injections is required to achieve therapeutic effects. Intraocular injection is safety, and only few complications such as elevated intraocular pressure and intraocular inflammation have been reported. In recent years, clinicians have gradually begun to pay attention to the effects of repeated injections of anti-VEGF drugs on cornea. It has been reported that anti-VEGF drugs may affect corneal epithelium, corneal endothelium, corneal nerve, corneal biomechanics, dry eye and other aspects, which should be paid attention to by ophthalmologists.

Key words: vascular endothelial growth factor, cornea