在标准治疗与皮质类固醇治疗视网膜静脉闭塞(SCORE)研究中,与视网膜分支静脉闭塞或视网膜中央静脉闭塞相比,半视网膜闭塞患者的基线特征和治疗反应:SCORE研究报告14。

Ingrid U Scott, Paul C Vanveldhuisen, Neal L Oden, Michael S Ip, Amitha Domalpally, Bernard H Doft, Michael J Elman, Barbara A Blodi
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引用次数: 24

摘要

目的:在标准治疗与皮质类固醇治疗视网膜静脉闭塞(SCORE)研究中,比较半视网膜静脉闭塞(HRVO)患者与视网膜分支静脉闭塞(BRVO)或视网膜中央静脉闭塞(CRVO)患者的基线特征和治疗反应。方法:将眼睛随机分为标准治疗组,1 mg醋酸曲安奈德玻璃体内注射组,或4 mg醋酸曲安奈德玻璃体内注射组。SCORE-CRVO试验的标准护理是观察,SCORE-BRVO试验的标准护理是网格光凝。HRVO眼睛被纳入SCORE-BRVO试验。比较HRVO、BRVO和CRVO参与者的基线特征、视力和中心点厚度的变化、安全性结果和治疗次数。结果:基线时,HRVO眼的视网膜增厚面积、荧光素渗漏面积、视力和中心点厚度介于BRVO和CRVO眼之间。HRVO和BRVO的标准护理组从基线到1年的视力变化没有差异。在曲安奈德治疗的眼睛中,HRVO眼睛的视力变化与BRVO眼睛没有差异,但HRVO眼睛的视力变化优于CRVO眼睛。HRVO和BRVO标准护理组之间的中心点厚度变化没有差异,曲安奈德治疗的3种疾病实体之间也没有差异。在方案治疗和不良事件的频率上没有差异。结论:HRVO参与者在大多数人口统计学特征上与BRVO和CRVO参与者相似,眼底发现介于BRVO和CRVO之间。在SCORE研究中,HRVO被视为BRVO;HRVO眼对治疗的反应与BRVO眼相似,三种疾病实体在方案治疗频率和不良事件方面没有差异。试验注册:clinicaltrials.gov标识符:NCT00105027。
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Baseline characteristics and response to treatment of participants with hemiretinal compared with branch retinal or central retinal vein occlusion in the standard care vs corticosteroid for retinal vein occlusion (SCORE) study: SCORE study report 14.

Objective: To compare baseline characteristics and treatment response of participants with hemiretinal vein occlusion (HRVO) with those of participants with branch retinal vein occlusion (BRVO) or central retinal vein occlusion (CRVO) in the Standard Care vs COrticosteroid for REtinal Vein Occlusion (SCORE) Study.

Methods: Eyes were randomized to standard care, 1 mg intravitreal triamcinolone acetonide, or 4 mg intravitreal triamcinolone acetonide. Standard care was observation in the SCORE-CRVO trial and grid photocoagulation in the SCORE-BRVO trial. The HRVO eyes were enrolled in the SCORE-BRVO trial. Baseline characteristics, changes in visual acuity and center point thickness, safety outcomes, and number of treatments were compared among HRVO, BRVO, and CRVO participants.

Results: At baseline, HRVO eyes were intermediate between BRVO and CRVO eyes in area of retinal thickening, area of fluorescein leakage, visual acuity, and center point thickness. No differences in visual acuity change from baseline to 1 year were noted between standard care groups for HRVO and BRVO. Within triamcinolone-treated eyes, HRVO eyes did not differ from BRVO eyes in visual acuity change, but HRVO eyes fared better than CRVO eyes. There were no differences in center point thickness change between standard care groups for HRVO and BRVO, nor were there differences across the 3 disease entities for triamcinolone-treated eyes. There were no differences in frequency of protocol treatments and adverse events.

Conclusions: The HRVO participants were similar to BRVO and CRVO participants regarding most demographic characteristics, with fundus findings intermediate between BRVO and CRVO. In the SCORE Study, HRVO was treated as BRVO; HRVO eyes responded to treatment similarly to BRVO eyes, and there was no difference among the 3 disease entities in frequency of protocol treatments and adverse events.

Trial registration: clinicaltrials.gov Identifier: NCT00105027.

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Archives of ophthalmology
Archives of ophthalmology 医学-眼科学
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