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Klin Monbl Augenheilkd:阿柏西普对视网膜中央静脉阻塞后黄斑水肿的治疗效果

2019-02-25 不详 网络

英国伊普斯维奇医院眼科的Panos GD等人近日在Klin Monbl Augenheilkd杂志上发表了一篇文章,他们报告了玻璃体内阿柏西普治疗继发于视网膜中央静脉阻塞(CRVO)的黄斑囊样水肿(CME)的效率和安全性。

英国伊普斯维奇医院眼科的Panos GD等人近日在Klin Monbl Augenheilkd杂志上发表了一篇文章,他们报告了玻璃体内阿柏西普治疗继发于视网膜中央静脉阻塞(CRVO)的黄斑囊样水肿(CME)的效率和安全性。

他们采取回顾性队列研究。研究群体包括10名CMV继发CME患者的10只眼睛。所有眼睛接受3个月aflibercept注射,然后在之后的每月随访时按需注射。在基线和随访期结束时评估最佳矫正视力(BCVA)和中央视网膜厚度(CRT)。

结果发现,中位随访期为6个月(范围:6-9)。注射次数中位数为4(范围:3-5)。BCVA中位数从基线时的1.05 LogMAR单位(范围:0.7-1.6)改善至随访期结束时的0.65(范围:0.4-1.6)(p = 0.02)。在随访期结束时, CRT中位数从基线时的690μm(范围:561-1235)改善至243μm(范围:207- 531)(p = 0.002)。所有统计检验的功效均大于0.8。没有发现任何不良反应或并发症。

因此,他们认为,对CRVO继发的CME进行玻璃体内注射aflibercept可显着改善黄斑解剖和视敏度,且无不良反应。

原文出处:

Panos, G.D., V.T. Kostakis, and G.M. Porter, Effect of Aflibercept on Cystoid Macular Edema Associated with Central Retinal Vein Occlusion. Results from a District Hospital in the United Kingdom. Klin Monbl Augenheilkd, 2019

本文系梅斯医学(MedSci)原创编译整理,转载需授权!

 

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    2019-07-31 fusion
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    2019-04-07 tomyang96
  4. 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createdBy=0bc129907796, createdName=fusion, createdTime=Wed Jul 31 23:53:00 CST 2019, time=2019-07-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1696874, encodeId=d13116968e438, content=<a href='/topic/show?id=d2e99e651e4' target=_blank style='color:#2F92EE;'>#阻塞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97651, encryptionId=d2e99e651e4, topicName=阻塞)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a23129903429, createdName=tomyang96, createdTime=Sun Apr 07 07:53:00 CST 2019, time=2019-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1894102, encodeId=fc4c189410273, content=<a href='/topic/show?id=5e456463eee' target=_blank style='color:#2F92EE;'>#治疗效果#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, 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objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64238, encryptionId=4ce26423802, topicName=水肿)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKCRibWHQArPHdSkqP90U1HwwqlGeU7BUgzY240D3v2ibBDJ09ybkGkwOjxz7qRmngZaGlK1taX6hfA/132, createdBy=2e772500094, createdName=小华子, createdTime=Wed Feb 27 12:53:00 CST 2019, time=2019-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1441502, encodeId=f1a01441502d9, content=<a href='/topic/show?id=cbad9e850a6' target=_blank style='color:#2F92EE;'>#阿柏西普#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97850, encryptionId=cbad9e850a6, topicName=阿柏西普)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=aceb4855063, createdName=ms8888626721583891, createdTime=Wed Feb 27 12:53:00 CST 2019, time=2019-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1510917, encodeId=08d2151091ef2, content=<a href='/topic/show?id=abd8103141b8' target=_blank style='color:#2F92EE;'>#黄斑水肿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103141, encryptionId=abd8103141b8, topicName=黄斑水肿)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8b9a10269982, createdName=xiay994456, createdTime=Wed Feb 27 12:53:00 CST 2019, time=2019-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1525156, encodeId=66cc1525156a5, content=<a href='/topic/show?id=65e91031337f' target=_blank style='color:#2F92EE;'>#黄斑#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103133, encryptionId=65e91031337f, topicName=黄斑)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=638b11619344, createdName=muzishouyi, createdTime=Wed Feb 27 12:53:00 CST 2019, time=2019-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032080, encodeId=cc2c10320807d, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Tue Feb 26 00:53:00 CST 2019, time=2019-02-26, status=1, ipAttribution=)]
  5. [GetPortalCommentsPageByObjectIdResponse(id=1801540, encodeId=b5bc18015407d, content=<a href='/topic/show?id=89ac90e38c9' target=_blank style='color:#2F92EE;'>#视网膜中央静脉阻塞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90738, encryptionId=89ac90e38c9, topicName=视网膜中央静脉阻塞)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Mon Jun 17 02:53:00 CST 2019, time=2019-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1697861, encodeId=d4b6169e861df, content=<a href='/topic/show?id=f2399910109' target=_blank style='color:#2F92EE;'>#静脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99101, encryptionId=f2399910109, topicName=静脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0bc129907796, createdName=fusion, createdTime=Wed Jul 31 23:53:00 CST 2019, time=2019-07-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1696874, encodeId=d13116968e438, content=<a href='/topic/show?id=d2e99e651e4' target=_blank style='color:#2F92EE;'>#阻塞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97651, encryptionId=d2e99e651e4, topicName=阻塞)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a23129903429, createdName=tomyang96, createdTime=Sun Apr 07 07:53:00 CST 2019, time=2019-04-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1894102, encodeId=fc4c189410273, content=<a href='/topic/show?id=5e456463eee' target=_blank style='color:#2F92EE;'>#治疗效果#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, 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objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=64238, encryptionId=4ce26423802, topicName=水肿)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKCRibWHQArPHdSkqP90U1HwwqlGeU7BUgzY240D3v2ibBDJ09ybkGkwOjxz7qRmngZaGlK1taX6hfA/132, createdBy=2e772500094, createdName=小华子, createdTime=Wed Feb 27 12:53:00 CST 2019, time=2019-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1441502, encodeId=f1a01441502d9, content=<a href='/topic/show?id=cbad9e850a6' target=_blank style='color:#2F92EE;'>#阿柏西普#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97850, encryptionId=cbad9e850a6, topicName=阿柏西普)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=aceb4855063, createdName=ms8888626721583891, createdTime=Wed Feb 27 12:53:00 CST 2019, time=2019-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1510917, encodeId=08d2151091ef2, content=<a href='/topic/show?id=abd8103141b8' target=_blank style='color:#2F92EE;'>#黄斑水肿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103141, encryptionId=abd8103141b8, topicName=黄斑水肿)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8b9a10269982, createdName=xiay994456, createdTime=Wed Feb 27 12:53:00 CST 2019, time=2019-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1525156, encodeId=66cc1525156a5, content=<a href='/topic/show?id=65e91031337f' target=_blank style='color:#2F92EE;'>#黄斑#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103133, encryptionId=65e91031337f, topicName=黄斑)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=638b11619344, createdName=muzishouyi, createdTime=Wed Feb 27 12:53:00 CST 2019, time=2019-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032080, encodeId=cc2c10320807d, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Tue Feb 26 00:53:00 CST 2019, time=2019-02-26, status=1, ipAttribution=)]
    2019-02-27 zutt
  6. [GetPortalCommentsPageByObjectIdResponse(id=1801540, encodeId=b5bc18015407d, content=<a href='/topic/show?id=89ac90e38c9' target=_blank style='color:#2F92EE;'>#视网膜中央静脉阻塞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90738, encryptionId=89ac90e38c9, topicName=视网膜中央静脉阻塞)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Mon Jun 17 02:53:00 CST 2019, time=2019-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1697861, encodeId=d4b6169e861df, content=<a href='/topic/show?id=f2399910109' target=_blank style='color:#2F92EE;'>#静脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99101, encryptionId=f2399910109, topicName=静脉)], attachment=null, authenticateStatus=null, createdAvatar=null, 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12:53:00 CST 2019, time=2019-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1510917, encodeId=08d2151091ef2, content=<a href='/topic/show?id=abd8103141b8' target=_blank style='color:#2F92EE;'>#黄斑水肿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103141, encryptionId=abd8103141b8, topicName=黄斑水肿)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8b9a10269982, createdName=xiay994456, createdTime=Wed Feb 27 12:53:00 CST 2019, time=2019-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1525156, encodeId=66cc1525156a5, content=<a href='/topic/show?id=65e91031337f' target=_blank style='color:#2F92EE;'>#黄斑#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103133, encryptionId=65e91031337f, topicName=黄斑)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=638b11619344, createdName=muzishouyi, createdTime=Wed Feb 27 12:53:00 CST 2019, time=2019-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032080, encodeId=cc2c10320807d, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Tue Feb 26 00:53:00 CST 2019, time=2019-02-26, status=1, ipAttribution=)]
    2019-02-27 小华子
  7. [GetPortalCommentsPageByObjectIdResponse(id=1801540, encodeId=b5bc18015407d, content=<a href='/topic/show?id=89ac90e38c9' target=_blank style='color:#2F92EE;'>#视网膜中央静脉阻塞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90738, encryptionId=89ac90e38c9, topicName=视网膜中央静脉阻塞)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Mon Jun 17 02:53:00 CST 2019, time=2019-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1697861, encodeId=d4b6169e861df, content=<a href='/topic/show?id=f2399910109' target=_blank style='color:#2F92EE;'>#静脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99101, encryptionId=f2399910109, topicName=静脉)], attachment=null, authenticateStatus=null, createdAvatar=null, 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12:53:00 CST 2019, time=2019-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1510917, encodeId=08d2151091ef2, content=<a href='/topic/show?id=abd8103141b8' target=_blank style='color:#2F92EE;'>#黄斑水肿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103141, encryptionId=abd8103141b8, topicName=黄斑水肿)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8b9a10269982, createdName=xiay994456, createdTime=Wed Feb 27 12:53:00 CST 2019, time=2019-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1525156, encodeId=66cc1525156a5, content=<a href='/topic/show?id=65e91031337f' target=_blank style='color:#2F92EE;'>#黄斑#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103133, encryptionId=65e91031337f, topicName=黄斑)], 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  8. 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  9. [GetPortalCommentsPageByObjectIdResponse(id=1801540, encodeId=b5bc18015407d, content=<a href='/topic/show?id=89ac90e38c9' target=_blank style='color:#2F92EE;'>#视网膜中央静脉阻塞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90738, encryptionId=89ac90e38c9, topicName=视网膜中央静脉阻塞)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Mon Jun 17 02:53:00 CST 2019, time=2019-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1697861, encodeId=d4b6169e861df, content=<a href='/topic/show?id=f2399910109' target=_blank style='color:#2F92EE;'>#静脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99101, encryptionId=f2399910109, topicName=静脉)], attachment=null, authenticateStatus=null, createdAvatar=null, 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12:53:00 CST 2019, time=2019-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1510917, encodeId=08d2151091ef2, content=<a href='/topic/show?id=abd8103141b8' target=_blank style='color:#2F92EE;'>#黄斑水肿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103141, encryptionId=abd8103141b8, topicName=黄斑水肿)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8b9a10269982, createdName=xiay994456, createdTime=Wed Feb 27 12:53:00 CST 2019, time=2019-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1525156, encodeId=66cc1525156a5, content=<a href='/topic/show?id=65e91031337f' target=_blank style='color:#2F92EE;'>#黄斑#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=103133, encryptionId=65e91031337f, topicName=黄斑)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=638b11619344, createdName=muzishouyi, createdTime=Wed Feb 27 12:53:00 CST 2019, time=2019-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032080, encodeId=cc2c10320807d, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Tue Feb 26 00:53:00 CST 2019, time=2019-02-26, status=1, ipAttribution=)]
    2019-02-27 muzishouyi
  10. 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attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=638b11619344, createdName=muzishouyi, createdTime=Wed Feb 27 12:53:00 CST 2019, time=2019-02-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1032080, encodeId=cc2c10320807d, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Tue Feb 26 00:53:00 CST 2019, time=2019-02-26, status=1, ipAttribution=)]
    2019-02-26 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

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2015年7月,英国国家卫生与临床优化研究所 (NICE)发布了阿柏西普治疗糖尿病性黄斑水肿的第346好技术评估指南。全文获取:下载地址:指南下载 (需要扣积分2分, 梅斯医学APP免积分下载) 

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新生血管性年龄相关性黄斑变性是一种急性发作的慢性渐进性眼疾病,主要影响中心视力。本文主要针对临床应用阿柏西普治疗提出指导建议。

较高的BMI和地图状萎缩可预示患者对阿柏西普反应差

老年性黄斑变性是与年龄相关的致盲的重要眼病之一。在我国,由于人口趋于老龄化,其他致盲原因得到或加强了控制,老年性黄斑变性亦日益成为重要的致盲性眼病。 有研究表明,先前使用兰尼单抗或贝伐单抗治疗的老年性黄斑变性(AMD)患者,较高的BMI、地图状萎缩,可能预示患者对阿柏西普反应差有关。该回顾性研究纳入46例在使用Eylea (阿柏西普, Regeneron)以前使用Lucentis(兰尼单抗,Gen

JAMA:视网膜中央静脉阻塞黄斑水肿贝伐单抗vs阿柏西普

贝伐单抗对继发视网膜中央静脉阻塞黄斑水肿的治疗不逊于阿柏西普

JAMA Ophthalmol:糖尿病性黄斑水肿选择什么药更划算?

据糖尿病视网膜病变的临床研究网络协议T试验数据分析显示,治疗糖尿病性黄斑水肿时,阿柏西普和兰尼单抗没有贝伐单抗划算。这项研究的作者说:“这些结果突出了医生、患者和决策者在考虑安全性和有效性时所面临的成本效益的挑战。”该研究纳入了624名患者,随机分为Eylea (aflibercept, Regeneron)、Avastin (bevacizumab, Genentech)或Lucentis (r

Ophthalmologica:日本患者多发性脉络膜血管病变的玻璃体注射阿柏西普治疗一年后的结果:APOLLO研究

日本福冈九州大学医学科学研究科眼科系 Ishibashi T.的团队近日在Ophthalmologica发表了他们最近的一项工作,他们对日本息肉状脉络膜血管病(PCV)患者中的玻璃体内注射阿柏西普(IVA)1年后的状况进行了调查。

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