Interferon Alpha-2a Treatment for Post-Uveitic Refractory Macular Edema

被引:15
|
作者
De Simone, L. [1 ]
Sangiovanni, A. [1 ]
Aldigeri, R. [2 ]
Mastrofilippo, V. [1 ,3 ]
Bolletta, E. [1 ]
Invernizzi, A. [4 ,5 ]
Fares, L. [6 ]
Pipitone, N. [7 ]
Fontana, L. [3 ]
Salvarani, C. [7 ,8 ]
Cimino, L. [1 ]
机构
[1] Azienda USL IRCCS, Ocular Immunol Unit, Reggio Emilia, Italy
[2] Univ Parma, Med & Surg Dept, Parma, Italy
[3] Azienda USL IRCCS, Ophthalmol Dept, Reggio Emilia, Italy
[4] Univ Milan, Luigi Sacco Hosp, Dept Biomed & Clin Sci Luigi Sacco, Eye Clin, Milan, Italy
[5] Univ Sydney, Save Sight Inst, Sydney, NSW, Australia
[6] Azienda USL IRCCS, Pharm Dept, Reggio Emilia, Italy
[7] Azienda USL IRCCS, Div Rheumatol, Reggio Emilia, Italy
[8] Univ Modena & Reggio Emilia, Rheumatol Unit, Modena, Italy
关键词
IFN; Interferon alpha-2a; macular edema; post-uveitic; uveitis; LONG-TERM EFFICACY; THERAPY;
D O I
10.1080/09273948.2019.1589526
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To assess the efficacy of interferon (IFN) alpha-2a in the treatment of post-uveitic refractory macular edema (ME). Methods: Retrospective cohort of patients with post-uveitic refractory ME, who received subcutaneous IFN alpha-2a injections for at least 3 months. Baseline central macular thickness (CMT) and best-corrected visual acuity (BCVA) were compared with those at follow-up visits up to 12 months. Results: Thirty-seven patients were included. Treatment duration (median [interquartile range]) was 14[8-24] months with a follow-up of 17[10-38] months. CMT (mean [standard deviation]) decreased from 438[140] to 335[119] mu m after 1 month (p < 0.0001) and remained significantly lower up to 12 months (286[98] mu m, p = 0.001). BCVA (0.48[0.33] logMAR at baseline) improved by 0.26[0.33] logMAR (p = 0.001) at 12 months. There were 14 recurrences. Seven patients had treatment side effects, without serious adverse events. Conclusions: IFN alpha-2a was effective, safe, and well tolerated in treating post-uveitic refractory ME.
引用
收藏
页码:322 / 328
页数:7
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