首页|康柏西普与雷珠单抗玻璃体腔注射分别联合小梁切除术治疗新生血管性青光眼对比研究

康柏西普与雷珠单抗玻璃体腔注射分别联合小梁切除术治疗新生血管性青光眼对比研究

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目的:比较小梁切除术分别与康柏西普、雷珠单抗玻璃体腔治疗新生血管性青光眼(NVG)的应用效果.方法:选取2019年6月—2022年5月郑州奥弗克眼科医院收治的NVG患者110例,随机分为对照组与观察组,各组55例.全部患者接受常规干预与小梁切除术,对照组使用雷珠单抗,观察组使用康柏西普,比较两组临床疗效、视力、眼压、新生血管面积、新生血管消退时间及并发症发生情况.结果:两组治疗总有效率、视力、眼压、并发症发生率比较,差异无统计学意义异(P>0.05);两组治疗第7 d时患眼新生血管面积均较治疗前缩小,且观察组小于对照组(P<0.05);观察组新生血管消退用时短于对照组(P<0.05).结论:康柏西普与雷珠单抗玻璃体腔注射分别联合小梁切除术治疗NVG的效果相当,均可有效改善患眼眼压、视力,但相较于雷珠单抗,康柏西普更有利于提高新生血管消退效果.
Comparative Study of Intravitreal Injection of Conbercept and Ranibizumab Combined with Trabeculectomy in the Treatment of Neovascular Glaucoma
Objective:To compare the effect of trabeculectomy with conbercept and ranibizumab in the treatment of neovascular glaucoma (NVG). Methods:A total of 110 patients with NVG admitted to Zhengzhou Overke Eye Hospital from June 2019 to May 2022 were randomly divided into control group and observation group,with 55 patients in each group. All patients received routine intervention and trabeculectomy. The control group was treated with ranibizumab,and the observation group was treated with conbercept. The clinical efficacy,visual acuity,intraocular pressure,neovascularization area,neovascularization regression time and complications were compared between the two groups. Results:There was no significant difference in the total effective rate,visual acuity,intraocular pressure and complication rate between the two groups (P>0.05). On the 7 th day of treatment,the area of neovascularization in the two groups was smaller than that before treatment,and the observation group was smaller than the control group (P<0.05). The regression time of neovascularization in the observation group was shorter than that in the control group (P<0.05). Conclusion:The effects of intravitreal injection of conbercept and ranibizumab combined with trabeculectomy in the treatment of NVG are equivalent,which can effectively improve the intraocular pressure and visual acuity of the affected eyes. However,compared with ranibizumab,conbercept is more conducive to improving the regression effect of neovascularization.

Neovascular glaucomaTrabeculectomyConberceptRanibizumab

魏宁、张英朗

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郑州奥弗克眼科医院眼科,河南郑州 450000

新生血管性青光眼 小梁切除术 康柏西普 雷珠单抗

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(11)