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臨床眼科76巻11号

2022年10月発行

文献概要

増刊号 最新臨床研究から探る眼科臨床のギモンQ&A 5 網膜硝子体

糖尿病網膜症に対する抗VEGF薬と網膜光凝固術の使い分けについて教えてください

著者: 加藤喜大1 吉田茂生1 春田雅俊1

所属機関: 1久留米大学医学部眼科学講座

ページ範囲:P.206 - P.209

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治療方針決定には,患者のコンプライアンス,糖尿病黄斑浮腫の種類や網膜の状態を総合的に考慮する必要があります.

参考文献

1)Obeid A et al:Loss to follow-up in patients with proliferative diabetic retinopathy after panretinal photocoagulation or intravitreal anti-VEGF injections. Ophthalmology 125:1386-1392, 2018
2)Klein BE:Overview of epidemiologic studies of diabetic retinopathy. Ophthalmic Epidemiol 14:179-183, 2007
3)Stitt AW et al:The progress in understanding and treatment of diabetic retinopathy. Prog Retin Eye Res 51:156-186, 2016
4)Terasaki H et al:Management of diabetic macular edema in Japan:a review and expert opinion. Jpn J Ophthalmol 62:1-23, 2018
5)Schulman J et al:Large capillary aneurysms secondary to retinal venous obstruction. Br J Ophthalmol 65:36-41, 1981
6)Sivaprasad S et al;CLARITY Study Group:Clinical efficacy of intravitreal aflibercept versus panretinal photocoagulation for best corrected visual acuity in patients with proliferative diabetic retinopathy at 52 weeks(CLARITY):a multicentre, single-blinded, randomised, controlled, phase 2b, non-inferiority trial. Lancet 389:2193-2203, 2017
7)Writing Committee for the Diabetic Retinopathy Clinical Research Network et al:Panretinal photocoagulation vs intravitreous ranibizumab for proliferative diabetic retinopathy:a randomized clinical trial. JAMA 314:2137-2146, 2015
8)The Diabetic Retinopathy Study Research Group:Photocoagulation treatment of proliferative diabetic retinopathy. Clinical application of Diabetic Retinopathy Study(DRS)findings, DRS Report Number 8. Ophthalmology 88:583-600, 1981
9)Early Treatment Diabetic Retinopathy Study Research Group:Early photocoagulation for diabetic retinopathy. ETDRS report number 9. Ophthalmology 98(5 Suppl):766-785, 1991
10)Shimura M et al:Panretinal photocoagulation induces pro-inflammatory cytokines and macular thickening in high-risk proliferative diabetic retinopathy. Grafes Arch Clin Exp Ophthalmol 247:1617-1624, 2009
11)Browning DJ et al;Diabetic Retinopathy Clinical Research Network:Diabetic macular edema:what is focal and what is diffuse? Am J Ophthalmol 146:649-655, 2008
12)Mori K et al:Decrease in the number of microaneurysms in diabetic macular edema after anti-vascular endothelial growth factor therapy:implications for indocyanine green angiography-guided detection of refractory microaneurysms. Graefes Arch Clin Exp Ophthalmol 258:735-741, 2020
13)Allingham MJ et al:A quantitative approach to predict differential effects of anti-VEGF treatment on diffuse and focal leakage in patients with diabetic macular edema:a pilot study. Transl Vis Sci Technol 6:7, 2017
14)Castro Farías D et al:Indocyanine green angiography for indentifying telangiectatic capillaries in diabetic macular oedema. Br J Ophthalmol 104:509-513, 2020
15)Townsend-Pico WA et al:Indocyanine green angiography in the diagnosis of retinal arterial macroaneurysms associated with submacular and preretinal hemorrhages:a case series. Am J Ophthalmol 129:33-37, 2000

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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