外用溴芬酸治疗中心性浆液性脉络膜视网膜病变的一年临床疗效

Mi Sun Kwon, Yu Min Kim, Jin Young Kim, J. R. Do, Yong Koo Kang, Dong Ho Park
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引用次数: 0

摘要

目的:评估溴芬酸外用药治疗中心性浆液性脉络膜视网膜病变(CSC)1 年的疗效:对随访超过 1 年的 57 名 CSC 患者(57 只眼)进行回顾性分析。患者被分为两组:每天滴两次溴芬酸眼药水治疗组(29 眼)和对照组(28 眼)。对两组患者的最佳矫正视力(BCVA)、黄斑中心厚度(CMT)和视网膜下积液(SRF)高度进行测量和比较,并比较慢性病例的比例:结果:在随访期间,两组患者的黄斑中心厚度(CMT)和视网膜下积液高度均有显著改善。与对照组相比,溴芬酸钠组在 6、9 和 12 个月时的 CMT 显著降低(p = 0.045、0.042 和 0.023,分别为 0.045、0.042 和 0.023),SRF 高度显著降低(p = 0.037、0.048 和 0.046,分别为 0.037、0.048 和 0.046)。与对照组(42.9%,p = 0.035)相比,溴芬酸组的慢性病例比例(17.2%)明显降低:结论:局部使用溴芬酸可降低慢性 CSC 的进展率,6 个月后在解剖学上也有明显改善,这表明溴芬酸有可能成为一种有效的治疗方案。
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One-year Clinical Outcome of Topical Bromfenac in Central Serous Chorioretinopathy
Purpose: To evaluate the efficacy of topical bromfenac in treating central serous chorioretinopathy (CSC) over a 1-year period.Methods: A retrospective analysis was conducted on 57 patients (57 eyes) with CSC followed for > 1 year. Patients were divided into two groups: those treated with bromfenac eye drops twice daily (29 eyes) and a control group (28 eyes). Best-corrected visual acuity (BCVA), central macular thickness (CMT), and subretinal fluid (SRF) height were measured and compared between the two groups as was the proportion of chronic cases.Results: Significant improvements in CMT and SRF height were noted in both groups over the follow-up period. The bromfenac group demonstrated significantly lower CMT at 6, 9, and 12 months (p = 0.045, 0.042, and 0.023, respectively) and lower SRF height (p = 0.037, 0.048, and 0.046, respectively) compared to the control group. The proportion of chronic cases was significantly lower in the bromfenac group (17.2%) compared to the control group (42.9%, p = 0.035).Conclusions: Topical bromfenac reduced the rate of progression to chronic CSC and showed significant anatomical improvements after 6 months, suggesting its potential as an effective treatment option.
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