老年性黄斑变性新生血管型的治疗方案。综述。

Q4 Medicine Ceska a Slovenska Oftalmologie Pub Date : 2024-01-01 DOI:10.31348/2024/25
Zlatica Fellner, Nora Majtánová, Petr Kolář, Petra Krišková, Petra Kéri
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引用次数: 0

摘要

本文概述了含有抗血管内皮生长因子的药物治疗老年性黄斑变性新生血管型的治疗方案。目前,含有抗血管内皮生长因子的药物是治疗这种慢性进展性疾病的唯一有效方法。在过去二十年中,这种疾病的治疗方案已从简单的稳定病情转变为最大程度地改善视力并维持视力,同时改善患者的生活质量,尽量减轻患者及其家庭的治疗负担。替代用药方案取代了原来的固定用药方案,其其他目标是提高用药方案的个体化程度,加强患者的合作,节约经济成本,减轻应用中心的负担。老年黄斑变性,无论是干性还是湿性黄斑变性,都是一个严重的健康和社会经济问题,因为在发达的工业化国家,该疾病是导致 50 岁以上人群出现严重且不可逆转的中心视力障碍,甚至单眼或双眼失明的最常见原因之一。最重要的问题是确保这种疾病的早期诊断,然后通过个性化的积极治疗方案进行及时和持续的治疗,以稳定和改善解剖和功能结果。
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Treatment Regimens of Neovascular Form of Age-Related Macular Degeneration. A Review.

This article presents an overview of treatment regimens of drugs containing antivascular endothelial growth factor for the treatment of neovascular form of age-related macular degeneration. Currently, drugs containing antivascular endothelial growth factor are the only effective treatment for this chronic and progressive disease. The treatment regimens for this disease in the last two decades have seen a shift from a simple endeavor to stabilize the disease to achieving maximum improvement of visual acuity and its maintenance, with improvement of the patient's quality of life and a minimal treatment burden on patients and their families. Other goals of the alternative dosing regimens that have replaced the original fixed regimens were greater individualization of the dosing regimen, better patient cooperation, saving financial costs and reducing the burden on application centers. Age-related macular degeneration, whether dry form or wet form, represents a serious health and socioeconomic problem, as the disease is one of the most common causes of severe and irreversible central visual acuity disorders up to the degree of practical blindness of one or both eyes in people over 50 years of age in developed industrialized countries. The most important issue is to ensure early diagnosis of this disease, followed by prompt and continuous treatment with an individualized proactive treatment regimen, with the aim of stabilizing and improving anatomical and functional results.

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Ceska a Slovenska Oftalmologie
Ceska a Slovenska Oftalmologie Medicine-Ophthalmology
CiteScore
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