首页|雷珠单抗联合577nm微脉冲激光治疗非缺血型CRVO继发ME的效果观察

雷珠单抗联合577nm微脉冲激光治疗非缺血型CRVO继发ME的效果观察

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目的 观察雷珠单抗联合 577 nm微脉冲激光治疗非缺血型视网膜中央静脉阻塞(CRVO)继发黄斑水肿(ME)的临床效果。方法 选取34 例非缺血型CRVO继发ME患者。根据患者自行选择是否接受微脉冲激光治疗,分为对照组和观察组,每组 17 例(17 只眼)。对照组行玻璃体腔注射雷珠单抗治疗,观察组在对照组基础上联合577 nm微脉冲激光治疗。比较两组治疗后的 1 个月、3 个月、6 个月最佳矫正视力(BCVA)及黄斑中心视网膜厚度(CMT),总注药次数及按需治疗次数。结果 治疗后的3 个月、6 个月,观察组BCVA优于对照组,CMT低于对照组,差异有统计学意义(P<0。05);观察组的总注药次数少于对照组(P<0。05);两组按需治疗次数比较,差异无统计学意义(P>0。05)。结论 雷珠单抗联合 577 nm微脉冲激光治疗非缺血型CRVO继发ME,疗效显著,可改善视力,降低黄斑厚度,减少总注药次数。
Observation of the clinical effect of Leizumab combined with 577 nm micropulse laser in the patients with non ischemic central retinal vein occlusion and secondary macular edema
Objective To observe the clinical efficacy of Leizumab combined with 577 nm micropulse laser in the patients with non ischemic central retinal vein occlusion(CRVO)and secondary macular edema(ME).Methods 34 patients with non-deficient CRVO and secondary ME were selected.Patients were divided into control group and observation group according to their choice of whether to receive micropulse laser therapy,with 17 cases(17 eyes)in each group.The control group were treated with intravitreal injection of Leizumab,and the observation group were treated with Leizumab combined with 577 nm micropulse laser.The best corrected visual acuity(BCVA),macular central retinal thickness(CMT),total injection times and pro re nata(PRN)times were compared between the two groups 1 month,3 months and 6 months after treatment.Results At 3 months and 6 months after treatment,BCVA in observation group was better than that in control group,CMT was lower than that in control group.The differences between the two groups were statistically significant(all P<0.05).The total injection times in the observation group was less than that in the control group(P<0.05).There was no significant difference in PRN times between the two groups(P>0.05).Conclusion Leizumab combined with 577 nm micropulse laser is effective in the treatment of non-ischemic CRVO and secondary ME,which can improve patients'visual acuity,lower macular thickness and reduce the total injection times.

non-ischemic central retinal vein occlusionmacular edemaranibizumab577 nm micropulse laser

覃蓓、刘晓辉、秦程

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桂林医学院第二附属医院眼科,桂林 541199

非缺血型视网膜中央静脉阻塞 黄斑水肿 雷珠单抗 577nm微脉冲激光

桂林市科学研究与技术开发计划项目

20190218-6-3

2024

华夏医学
桂林医学院

华夏医学

影响因子:0.569
ISSN:1008-2409
年,卷(期):2024.37(3)
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