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雑誌文献

臨床眼科65巻9号

2011年09月発行

文献概要

特集 第64回日本臨床眼科学会講演集(7) 原著

滲出型加齢黄斑変性に対するラニビズマブ硝子体内投与の成績

著者: 池森左也佳1 加藤亜紀1 安川力1 森田裕1 芦苅正幸1 高瀬綾恵1 吉田宗徳1 小椋祐一郎1

所属機関: 1名古屋市立大学大学院医学研究科視覚科学

ページ範囲:P.1407 - P.1411

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要約 目的:滲出型加齢黄斑変性(AMD)に対するラニビズマブ硝子体内投与の治療成績の報告。対象と方法:過去12か月間にラニビズマブ硝子体内投与を行った94例97眼を対象とした。平均年齢は74.9±9.3歳で,典型的AMDが68眼,ポリープ状脈絡膜血管症が21眼,網膜血管腫状増殖が8眼であった。視力はlogMARで評価し,0.3以上の変化を改善または悪化とした。全例で6か月以上の経過を追った。結果:術前平均視力は0.68±0.40,術後の最高平均視力は0.41±0.40で,有意差があった(p<0.05)。光干渉断層計で測定した中心窩網膜厚は有意に減少した(p<0.05)。経過中に光線力学的療法を14眼に行った。結論:AMDに対するラニビズマブ硝子体内投与後6か月間に,平均視力が有意に改善し,中心窩網膜厚が有意に減少した。

参考文献

1)Yasuda M, Kiyohara Y, Hata Y et al:Nine-year incidence and risk factors for age-related macular degeneration in a defined Japanese population:the Hisayama study. Ophthalmology 116:2135-2140, 2009
2)Kawasaki R, Wang JJ, Ji G et al:Prevalence and risk factors for age-related macular degeneration in an adult Japanese population:The Funagata Study. Ophthalmology 115:1376-1381, 2008
3)Japanese Age-Related Macular Degeneration Trial(JAT)Study Group:Japanese age-related macular degeneration trial:1-year results of photodynamic therapy with verteporfin in Japanese patients with subfoveal choroidal neovascularization secondary to age-related macular degeneration. Am J Ophthalmol 136:1049-1061, 2003
4)Presta LG, Chen H, O'Connor SJ et al:Humanization of an anti-vascular endothelial growth factor monoclonal antibody for the therapy of solid tumors and other disorders. Cancer Res 57:4593-4599, 1997
5)Muller YA, Chen Y, Christinger HW et al:VEGF and the Fab fragment of a humanized neutralizing antibody:crystal structure of the complex at 2.4 A resolution and mutational analysis of the interface. Structure 6:1153-1167, 1998
6)Chen Y, Wiesmann C, Fuh G et al:Selection and analysis of an optimized anti-VEGF antibody:crystal structure of an affinity-matured Fab in complex with antigen. J Mol Biol 293:865-881, 1999
7)Rosenfeld PJ, Brown DM, Heier JS et al:MARINA Study Group:Ranibizumab for neovascular age-related macular degeneration. N Engl J Med 355:1419-1431, 2006
8)Brown DM, Kaiser PK, Michels M et al:ANCHOR Study Group:Ranibizumab versus verteporfin for neovascular age-related macular degeneration. N Engl J Med 355:1432-1444, 2006
9)Regillo CD, Brown DM, Abraham P et al:Randomized, double-masked, sham-controlled trial of ranibizumab for neovascular age-related macular degeneration:PIER Study year 1. Am J Ophthalmol 145:239-248, 2008
10)Mitchell P, Korobelnik J, Lanzetta P et al:Ranibizumab(Lucentis)in neovascular age-related macular degeneration:evidence from clinical trials. Br J Ophthalmol 94:2-13, 2010
11)Lalwani GA, Rosenfeld PJ, Fung AE et al:A variable-dosing regimen with intravitreal ranibizumab for neovascular age-related macular degeneration:year 2 of the PrONTO Study. Am J Ophthalmol 148:43-58, 2009
12)Honda S, Kurimoto Y, Kagotani Y et al:Photodynamic therapy for typical age-related macular degeneration and polypoidal choroidal vasculopathy:a 30-month multicenter study in Hyogo, Japan. Jpn J Ophthalmol 53:593-597, 2009
13)Sho K, Takahashi K, Yamada H et al:Polypoidal choroidal vasculopathy:incidence, demographic features, and clinical characteristics. Arch Ophthalmol 121:1392-1396, 2003
14)吉村長久:ポリープ状脈絡膜血管症の診断と治療.臨眼 58:655-661,2004
15)Williams MA, Moutray TN, Jackson AJ:Uniformity of visual acuity measures in published studies. Invest Ophthalmol Vis Sci 49:4231-4237, 2008
16)Bolz M, Simader C, Ritter M et al:Morphological and functional analysis of the loading regimen with intravitreal ranibizumab in neovascular age-related macular degeneration. Br J Ophthalmol 94:185-189, 2010
17)Gupta B, Adewoyin T, Patel S et al:Comparison of two intravitreal ranibizumab treatment schedules for neovascular age-related macular degeneration. Br J Ophthalmol 95:386-390, 2011

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1308

印刷版ISSN:0370-5579

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