摘要
背景:角膜新生血管(CN)是眼部不同病理条件的一个线索特征,可导致角膜水肿和混浊,进而导致视力丧失。血管内皮生长因子(VEGF)在新血管的形成、增殖和迁移中起关键作用,在这些条件下被发现上调。如今,使用不同途径的抗VEGF药物可以下调血管生成过程。 目的:评价抗VEGF药物治疗不同病因的CNV的疗效、安全性和可能的未来发展方向。 方法: 结果:使用抗VEGF治疗CN可降低病理性血管密度,且无明显副作用。各种给药途径,如局部给药、结膜下给药和星状细胞内给药,其选择取决于病人和疾病的特点。如果在成熟和牢固的船只出现之前进行早期管理,会取得更大的效果。对于新生血管复发风险较高的病例,如缺血性和炎症刺激不能完全逆转的慢性长期疾病,应采用包括抗vegf制剂在内的多种药物的联合治疗。 结论:抗VEGF药物的有效性和安全性支持它们被应用到CN的日常临床实践中。
关键词: 抗VEGF ,新生血管,角膜,贝伐珠单抗,安维汀,雷尼珠单抗,角膜新生血管形成,血管内皮生长因子
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