地塞米松玻璃体内植入在黄斑水肿相关眼底疾病中的应用研究

Luyan Zhang, Gang-feng Cui
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引用次数: 0

摘要

玻璃体内地塞米松(DEX)植入物是一种由含有地塞米松成分的可生物降解共聚物制成的药物缓释系统。目前,玻璃体内地塞米松植入物(Ozurdex)在欧洲和美国被批准用于治疗视网膜中央静脉阻塞、视网膜分支静脉阻塞、糖尿病视网膜病变和非感染性葡萄膜炎相关的黄斑水肿。此外,对其他与炎症相关的眼底疾病继发的黄斑水肿的治疗也有报道,如湿性年龄相关性黄斑变性、血管增殖性视网膜肿瘤、Coats病、放射性黄斑病变、视网膜色素变性和玻璃体切割。本文旨在对近年来DEX玻璃体内植入治疗黄斑水肿的研究及应用进行综述,为临床难治性疾病的治疗提供新的选择。关键词:水肿;黄斑;地塞米松;植入,intravitreal
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Research on application of dexamethasone intravitreal implant in ocular fundus diseases related to macular edema
The intravitreal dexamethasone (DEX) implant is a drug sustained-release system formulated in a biodegradable copolymer, which contains the ingredient of dexamethasone.At present, the intravitreal dexamethasone implant (Ozurdex) is approved in Europe and USA for the treatment of macular edema related to central retinal vein occlusion, branch retinal vein occlusion, diabetic retinopathy and non-infectious uveitis.In addition, the treatment of macular edema secondary to other ocular fundus diseases related with inflammation such as wet age-related macular degeneration, vasoproliferative retinal tumors, Coats disease, radiation maculopathy, retinitis pigmentosa, and pars plana vitrectomy has been reported.This paper is aimed to provide a review of the research and application of DEX intravitreal implant in the treatment of macular edema in recent years, and provide a new option for the treatment of these clinical refractory diseases. Key words: Edema, macular; Dexamethasone; Implant, intravitreal
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