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Anti-VEGF Agents for Ocular Angiogenesis and Vascular Permeability英文文献资料
HindawiPublishingCorporation
JournalofOphthalmology
Volume2012,ArticleID852183,11pages
doi:10.1155/2012/852183
ReviewArticle
Anti-VEGFAgentsforOcularAngiogenesisand
VascularPermeability
KenichiKimotoandToshiakiKubota
DepartmentofOphthalmology,OitaUniversity,FacultyofMedicine,Hasama-machi,Yufu-shi,Oita879-5593,Japan
CorrespondenceshouldbeaddressedtoToshiakiKubota,tkubota@oita-u.ac.jp
Received5August2011;Accepted31August2011
AcademicEditor:YoshiakiKiuchi
Copyright?2012K.KimotoandT.Kubota.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttribution
License,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperly
cited.
Wereviewarticlesdescribingintravitrealinjectionofanti-VEGFdrugtrials,whilediscussingthemechanismsoftheactionofanti-
VEGFantibodies,andalsoevaluatingtheiroutcomes.Intraocularinjectionsofanti-VEGFdrugareconsideredtobeane?ective
treatmentformacularedemaafterretinalveinocclusion,however,recurrent/persistentedemaiscommon.Therecentreports
mayleadtoashiftintreatmentparadigmforDME,fromlaserphotocoagulation,tonewerapproachesusinganti-VEGFdrugs.
Therehavebeenseveralwell-publicizedprospective,randomizedstudiesthatdemonstratedthee?cacyofintravitrealinjectionof
anti-VEGFdrugsforpatientswithAMD.AdjuvantbevacizumabforneovascularglaucomamaypreventfurtherPASformation,
anditislikelytoopenupatherapeuticwindowforapanretinalphotocoagulationandtrabeculectomy.Intravitrealinjectionof
bevacizumab(IVB)resultsinasubstantialdecreaseinbleedingfromtheretinalvesselsornewvesselsduringastandardvitrectomy.
IVBhasalsobeenreportedtobee?ectiveforinducingtheregressionofnewvesselsinproliferativediabeticretinopathy.Theuse
ofbevacizumabinstage4or5retinopahtyofpermaturity(ROP)istoreducetheplussigntohelpreducehemorrhageduringthe
subsequentvitrectomy.Someauthorsreportedcasesofresolutionofstage4AROPafterbevacizumabinjection.
1.Introduction
moieties, was developed to bind and block the activity of
extracellularVEGF,speci?callythe165aminoacidis
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