Interferon Alpha for Refractory Pseudophakic Cystoid Macular Edema (Irvine-Gass Syndrome)

被引:15
作者
Dimopoulos, Spyridon [1 ]
Deuter, Christoph M. E. [1 ]
Blumenstock, Gunnar [2 ]
Zierhut, Manfred [1 ]
Dimopoulou, Anastasia [1 ]
Voykov, Bogomil [1 ]
Bartz-Schmidt, Karl-Ulrich [1 ]
Doycheva, Deshka [1 ]
机构
[1] Univ Hosp Tuebingen, Ctr Ophthalmol, Elfriede Aulhorn Str 7, D-72076 Tubingen, Germany
[2] Eberhard Karls Univ Tuebingen, Inst Clin Epidemiol & Appl Biometry, Tubingen, Germany
关键词
Cataract surgery; interferon alpha; Irvine-Gass syndrome; macular edema; treatment; RISK-FACTORS; SURGERY; PHACOEMULSIFICATION;
D O I
10.1080/09273948.2019.1585883
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To assess the efficacy and safety of systemic interferon alpha-2a (IFN) for refractory pseudophakic cystoid macular edema (PCME). Methods: Retrospective observational study. The primary outcome was the decrease of central retinal thickness (CRT). Secondary endpoints were the improvement of best-corrected visual acuity (BCVA) and the assessment of IFN-related side effects. Results: Twenty-four eyes of 20 patients were included. The median CRT was 513 mu m (range 220-980 mu m) at baseline and decreased to 190 mu m (range 140-520 mu m) at the last follow-up visit (p < 0.001). Reduction of CRT greater than 100 mu m was observed in 22 eyes (92%). The median BCVA (logMAR) increased statistically significant from 0.5 (range 0.2-1.5) at baseline to 0.3 (0-0.8) at the last follow-up (p < 0.001). The BCVA improved in 18 eyes (75%) and remained stable in five eyes (21%). No severe treatment-related side effects occurred. Conclusion: IFN is a very effective agent for treatment of refractory PCME.
引用
收藏
页码:315 / 321
页数:7
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