دورية أكاديمية
Effectiveness of photodynamic therapy with verteporfin combined with intrastromal bevacizumab for corneal neovascularization in Stevens-Johnson syndrome
| العنوان: | Effectiveness of photodynamic therapy with verteporfin combined with intrastromal bevacizumab for corneal neovascularization in Stevens-Johnson syndrome |
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| المساهمون: | Hyeon Jeong Yoon, Mee Kum Kim, Kyung Yul Seo, Mayumi Ueta, Kyung Chul Yoon, Seo, Kyuong Yul |
| بيانات النشر: | INTERNATIONAL OPHTHALMOLOGY |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Aged, Angiogenesis Inhibitors/administration & dosage, Bevacizumab/administration & dosage, Corneal Neovascularization/diagnosis, Corneal Neovascularization/drug therapy, Corneal Neovascularization/etiology, Corneal Stroma, Dose-Response Relationship, Drug, Drug Therapy, Combination, Female, Follow-Up Studies, Humans, Injections, Male, Middle Aged, Photochemotherapy/methods, Photosensitizing Agents/administration & dosage, Slit Lamp Microscopy, Stevens-Johnson Syndrome/complications, Stevens-Johnson Syndrome/diagnosis, Stevens-Johnson Syndrome/drug therapy, Treatment Outcome, Verteporfin/administration & dosage, Visual Acuity, Corneal neovascularization, Intrastromal injection of bevacizumab, Photodynamic therapy |
| الوصف: | PURPOSE: To investigate the effectiveness of combined photodynamic therapy with verteporfin and intrastromal injection of bevacizumab for the treatment of corneal neovascularization in patients with Stevens-Johnson syndrome (SJS). METHODS: Eight eyes of eight patients with SJS having corneal neovascularization who were refractory to 1% prednisolone instillation received photodynamic therapy with verteporfin (6 mg/m2) combined with intrastromal bevacizumab injection (2.5 mg/0.1 mL). Best-corrected visual acuity and intraocular pressure were assessed, and slit-lamp biomicroscopic examination was performed before treatment and at 1 week and every month. A chronic ocular manifestation score was assigned based on the involvement area or the severity before treatment. The cumulative length of corneal blood vessels and area of corneal neovascularization were measured by anterior segment photographs before and after treatment. RESULTS: At 3 and 6 months after treatment, all eyes showed regression of corneal neovascularization. Complete regression was achieved in five eyes (62.5%) and partial regression in three eyes (37.5%). Among five patients who were followed up for more than 1 year, two eyes maintained complete regression and one eye maintained partial regression at 1 year. However, two eyes with severe chronic ocular manifestation showed revascularization. CONCLUSIONS: Combined photodynamic therapy with intrastromal bevacizumab injection can effectively inhibit corneal neovascularization in patients with SJS. However, patients with severe chronic ocular manifestation may exhibit revascularization. ; restriction |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | unknown |
| تدمد: | 0165-5701 |
| العلاقة: | INTERNATIONAL OPHTHALMOLOGY; J03616; OAK-2019-01790; https://ir.ymlib.yonsei.ac.kr/handle/22282913/170063Test; https://link.springer.com/article/10.1007%2Fs10792-017-0786-xTest; T201901754; INTERNATIONAL OPHTHALMOLOGY , Vol.39(1) : 55-62, 2019; 62834 |
| DOI: | 10.1007/s10792-017-0786-x |
| الإتاحة: | https://doi.org/10.1007/s10792-017-0786-xTest https://ir.ymlib.yonsei.ac.kr/handle/22282913/170063Test |
| حقوق: | CC BY-NC-ND 2.0 KR ; https://creativecommons.org/licenses/by-nc-nd/2.0/krTest/ |
| رقم الانضمام: | edsbas.85E60704 |
| قاعدة البيانات: | BASE |
| تدمد: | 01655701 |
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| DOI: | 10.1007/s10792-017-0786-x |