首页|玻璃体腔注射康柏西普治疗PM-CNV的临床效果及对黄斑区形态和微循环的影响

玻璃体腔注射康柏西普治疗PM-CNV的临床效果及对黄斑区形态和微循环的影响

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目的:探讨玻璃体腔注射康柏西普治疗病理性近视继发脉络膜新生血管(PM-CNV)的临床效果及对黄斑区形态和微循环的影响.方法:选取2021年6月—2024年3月蚌埠医科大学第一附属医院收治的PM-CNV患者101例,按照不同治疗方法对患者进行分组,其中对照组(n=49)采用玻璃体腔注射雷珠单抗治疗,观察组(n=52)采用玻璃体腔注射康柏西普治疗.记录并比较两组患者治疗前后最佳矫正视力(best corrected visual acuity,BCVA)、眼压、黄斑区形态指标[黄斑中心凹视网膜厚度(CMT)、中心凹下内层视网膜厚度(IRT)、中心凹下外层视网膜厚度(ORT)]、黄斑区微循环指标[浅层视网膜血流密度(SCP-VD)、深层视网膜血流密度(DCP-VD)、黄斑中心凹血流密度(FVD)、脉络膜毛细血管血流密度(CC-VD)]水平变化及并发症发生情况.结果:治疗后,观察组logMAR BCVA、眼压和CMT、IRT、ORT、CC-VD均低于对照组,SCP-VD、DCP-VD、FVD均高于对照组,差异均有统计学意义(P<0.05).观察组并发症发生率(3.85%)低于对照组(16.33%),差异有统计学意义(P<0.05).结论:玻璃体腔注射康柏西普治疗PM-CNV能促进视力恢复,改善黄斑区形态和微循环,且并发症发生率低,安全性良好.
Clinical Efficacy of Intravitreal Injection of Conbercept in the Treatment of PM-CNV and Its Impact on Macular Morphology and Microcirculation
Objective:To investigate the clinical efficacy of intravitreal injection of Conbercept in the treatment of pathological myopia secondary choroidal neovascularization (PM-CNV) and its effects on macular morphology and microcirculation. Method:A total of 101 patients with PM-CNV admitted to the First Affiliated Hospital of Bengbu Medical University from June 2021 to March 2024 were selected and divided into two groups according to different treatment methods. The control group (n=49) was treated with intravitreal injection of Ranibizumab,while the observation group (n=52) was treated with intravitreal injection of Conbercept. The best corrected visual acuity (BCVA),intraocular pressure,macular morphology indicators[central macular thickness (CMT),subfoveal inner retina thickness (IRT),subfoveal outer retina thickness (ORT)],microcirculation indicators[superficial capillary plexus vessel density (SCP-VD),deep capillary plexus vessel density (DCP-VD),foveal vessel density (FVD),choroidal capillary vessel density (CC-VD)]before and after treatment,and incidence of complications between two groups. Result:After treatment,the logMAR BCVA,intraocular pressure,CMT,IRT,ORT and CC-VD in observation group were lower than those in control group,while SCP-VD,DCP-VD and FVD were higher than those in control group,with statistical significance (P<0.05). The incidence of complications in the observation group (3.85%) was lower than that in the control group (16.33%),the difference was statistically significant (P<0.05). Conclusion:Intravitreal injection of Conbercept in the treatment of PM-CNV can promote visual acuity recovery,improve macular morphology and microcirculation,with low complication rate and good safety.

Pathological myopiaSecondary choroidal neovascularizationIntravitreal injection of ConberceptMacular morphologyMicrocirculation

许澈、魏木红

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蚌埠医科大学第一附属医院眼科 安徽 蚌埠 233000

蚌埠医科大学 安徽 蚌埠 233000

病理性近视 继发脉络膜新生血管 玻璃体腔注射康柏西普 黄斑区形态 黄斑区微循环

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(35)