Nonresponse and Recurrence of Retinopathy of Prematurity After Intravitreal Ranibizumab Treatment

被引:9
作者
Chuluunbat, Tsengelmaa [1 ]
Chan, R. V. Paul [2 ]
Wang, Nan-Kai [3 ,4 ]
Lien, Reyin [4 ,5 ]
Chen, Yen-Po [3 ,4 ]
Chao, An-Ning [3 ,4 ]
Chen, Kuan-Jen [3 ,4 ]
Chen, Tun-Lu [3 ,4 ]
Hwang, Yih-Shiou [3 ,4 ]
Lai, Chi-Chun [3 ,4 ]
Wu, Wei-Chi [3 ,4 ]
机构
[1] Natl Ctr Maternal & Child Hlth, Dept Ophthalmol, Ulaanbaatar, Mongolia
[2] Univ Illinois, Dept Ophthalmol & Visual Sci, Illinois Eye & Ear Infirm, Chicago, IL USA
[3] Chang Gung Mem Hosp, Dept Ophthalmol, Taoyuan 333, Taiwan
[4] Chang Gung Univ, Coll Med, Taoyuan, Taiwan
[5] Chang Gung Mem Hosp, Dept Pediat, Taoyuan, Taiwan
关键词
ENDOTHELIAL GROWTH-FACTOR; BEVACIZUMAB MONOTHERAPY; LASER TREATMENT; PRETHRESHOLD; CRYOTHERAPY; THRESHOLD; INJECTION; THERAPY;
D O I
10.3928/23258160-20161130-03
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
BACKGROUND AND OBJECTIVE: To evaluate the surgical outcome of type 1 retinopathy of prematurity (ROP) after intravitreal ranibizumab (IVR) (Lucentis; Genentech, South San Francisco, CA) treatment. PATIENTS AND METHODS: This was a prospective case series. Premature infants with treatment-requiring ROP who received IVR injections from 2013 to 2015 were included. RESULTS: Twenty-two eyes of 12 children were included in the study. Complete resolution of ROP after a single IVR was noted in 73% of eyes. Retreatment was needed in 27% of eyes due to nonresponse to IVR (18%) or recurrence of ROP (9%). After that, all treated eyes (100%) demonstrated regressed ROP with attached retina. The median visual acuity was 0.3 LogMAR (range: 0 LogMAR to 0.8 LogMAR) with a mean follow-up of 25.2 months +/- 6.8 months. CONCLUSIONS: IVR is effective and well-tolerated for patients with treatment-requiring ROP. However, nonresponse to IVR or recurrence of ROP after IVR was noted in 27% of treated eyes and required additional treatment.
引用
收藏
页码:1095 / 1105
页数:11
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