两例慢性中心性浆液性脉络膜视网膜病变患者成功接受系统性α干扰素治疗

IF 2.6 4区 医学 Q2 OPHTHALMOLOGY Ocular Immunology and Inflammation Pub Date : 2024-09-01 Epub Date: 2023-07-14 DOI:10.1080/09273948.2023.2226206
Lingling Huang, Christina Flaxel, Eric Suhler, Phoebe Lin
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引用次数: 0

摘要

慢性中心性浆液性脉络膜视网膜病变(CSCR)是一种威胁视力的疾病,可导致法定失明。Verteporfin光动力疗法是治疗慢性中心性浆液性脉络膜视网膜病变的主要方法,然而,Verteporfin在全球范围内严重短缺。人们还尝试了其他医疗方法,但疗效不一。干扰素对治疗葡萄膜炎和相关黄斑水肿有一定疗效。我们报告了 2 例难治性慢性 CSCR 病例,通过皮下注射α干扰素,患者的解剖学和功能均得到了显著改善。据我们所知,这是第一份观察全身性α干扰素治疗慢性 CSCR 的潜力的报告。大型随机对照临床试验将有助于更好地评估全身性 PEG-IFNα2a 治疗慢性 CSCR 的安全性和有效性,并进一步确定最佳剂量、治疗间隔和持续时间。
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Two Cases of Chronic Central Serous Chorioretinopathy Successfully Treated with Systemic Interferon Alpha.

Chronic central serous chorioretinopathy (CSCR) is a sight threatening disease that can lead to legal blindness. Verteporfin photodynamic therapy is the main treatment for chronic CSCR, however, there has been a critical worldwide shortage of verteporfin. Other medical treatments have been attempted with variable efficacy. Interferons have shown efficacy in treating uveitis and associated macular edema. We report 2 cases of treatment refractory chronic CSCR successfully treated with subcutaneous injection of interferon alpha with significant anatomical and functional improvement. To our knowledge, this is the first report observing the therapeutic potential of systemic interferon alpha in the treatment of chronic CSCR. A large randomized controlled clinical trial would help to better evaluate the safety and efficacy of systemic PEG-IFNα2a in treating chronic CSCR, and further define the optimal dose, treatment interval and duration.

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来源期刊
CiteScore
6.20
自引率
15.20%
发文量
285
审稿时长
6-12 weeks
期刊介绍: Ocular Immunology & Inflammation ranks 18 out of 59 in the Ophthalmology Category.Ocular Immunology and Inflammation is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and vision scientists. Published bimonthly, the journal provides an international medium for basic and clinical research reports on the ocular inflammatory response and its control by the immune system. The journal publishes original research papers, case reports, reviews, letters to the editor, meeting abstracts, and invited editorials.
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