黄斑部病变疗法-EYLEA眼内注射

Eylea (aflibercept)眼内注射治疔 (Intravitreal Injection IVI)

-----视网膜静脉阻塞所引起的黄斑部水肿点击链接影片 (3:47)

一位60多岁的女性，因为视力模糊到诊所求诊，之前至别家诊所求诊，起初以为只是白内障的问题，于是想来萧医师诊所开白内障手术，后来经萧医师建议做进一步视网膜检查时发现，除了白内障以外，尚有视网膜静脉血管阻塞合并黄斑部水肿的问题，所以视力不良不单单只是白内障所造成。

经过三个月的点消水肿药物治疗 (Nevanac)，视力及视网膜黄斑部水肿状况皆无改善，于是在第三个月左右决定为患者注射Eylea (aflibercept)。

Eylea (aflibercept)是一种新型药物，有2种接受器 (anti-VEGF ＆ anti-PIGF)

注射前 2015/01/24 OS

左眼视网膜静脉血管阻塞合并黄斑部水肿

视力严重下降至0.05

左眼最佳矫正视力0.05

黄斑部水肿高度519um

注射Eylea一周後 2015/06/05 OS

左眼最佳矫正视力0.4

黄斑部水肿高度215um

视力及黄斑部水肿状况明显改善许多

注射Eylea一个月後 2015/06/26 OS

左眼最佳矫正视力维持在0.4

黄斑部水肿高度207um

相信在白内障手术後，视力一定会更加进步。

使用Eylea (aflibercept)注射後注意事项：

在手术中可能生成之并发症并不常见，但下列情况可于手术时或手术後发生：

眼压增高(青光眼)、或眼压过低、白内障、飞蚊症、眼球内出血、眼球内发炎、感染或化脓、视网膜裂孔或剥离、未能治愈原视中心点病变，有部分病人手术後黄斑部水肿会持续，及需要多次注射或其他治疔……等。

针对此项治疔，由于诊所单位，健保给付申请不易，因此需自行负担医疔费用，收费如下~

单次注射 NT 45000
半年疗程 NT 120000(含3次眼内注射，最多3次视网膜辅助雷射)

另有LUCENTIS(Ranibizumab)注射疗程

单次注射 NT 35000
半年疗程 NT 100000(含3次眼内注射，最多3次视网膜辅助雷射)

Information for Patients With Macular Edema Following CRVO
If you or a loved one has been diagnosed with Macular Edema following Central Retinal Vein Occlusion (CRVO) or Branch Retinal Vein Occlusion (BRVO) , you are not alone.

Each year, there are approximately 2,000 new cases of Central Retinal Vein Occlusion (CRVO) or Branch Retinal Vein Occlusion (BRVO) in Taiwan.

IMPORTANT PRESCRIBING INFORMATION FOR EYLEA^® (aflibercept) INJECTION

EYLEA^® (aflibercept) Injection is a prescription medicine approved for the treatment of patients with Macular Edema following CRVO or BRVO. The recommended dose for EYLEA is 2 mg administered by injection in the eye monthly (every 4 weeks).

IMPORTANT SAFETY INFORMATION FOR EYLEA^® (aflibercept) INJECTION

The most common side effects reported in patients receiving EYLEA are increased redness in the eye, eye pain, cataract, moving spots in the field of vision, increased pressure in the eye, and vitreous (gel-like substance) detachment.

Serious side effects related to the injection procedure are rare but can occur including infection inside the eye, retinal detachment, cataract, increased pressure in the eye, and vitreous detachment.

参考资料：

Eylea官网 http://www.eylea.us/