Plasmapheresis in Ophthalmology

V. Voinov, K. Karchevscy, Isaulov Ov
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Abstract

Loss of sight is one of the most severe disabling factors in human. The total number of such people is known to account for millions worldwide. In North America alone more than 1 million are completely blind and about 14 million have some degree of sight loss. There are many different diseases that lead to sight loss such as diabetic retinopathy, senile macular degeneration, various types of autoimmune retinopathy, optic nerves damage and many others. As a rule, they cannot be corrected with glasses, and not always amenable to drug therapy. Often the cause of these diseases is accumulation of various autoantibodies and other metabolites, the molecules large size of which does not allow them to be excreted by the kidneys and the fact of their accumulation indicates impossibility of their removal with help of drug therapy. It makes us resort to such method of their direct removal from the body as plasmapheresis and the aim of this study is to justify its use in ophthalmology.
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血浆置换在眼科中的应用
失明是人类最严重的致残因素之一。据了解,全世界这类人的总数达数百万人。仅在北美,就有100多万人完全失明,约1400万人有一定程度的视力丧失。有许多不同的疾病会导致视力丧失,如糖尿病视网膜病变、老年性黄斑变性、各种类型的自身免疫性视网膜病变、视神经损伤等。通常,它们不能用眼镜矫正,也不总是适合药物治疗。这些疾病的原因通常是各种自身抗体和其他代谢物的积累,这些分子的大尺寸不允许它们被肾脏排出,它们的积累表明它们不可能在药物治疗的帮助下被清除。这使得我们不得不求助于血浆置换这种直接从体内移除它们的方法,本研究的目的是证明其在眼科中的应用是合理的。
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Plasmapheresis in Ophthalmology
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