Effect of intravitreal injection of anti-vascular endothelial growth factor agents on systemic concentration of vascular endothelial growth factor
10.3980/j.issn.1672-5123.2023.4.12
- VernacularTitle:玻璃体注射抗VEGF药物对全身VEGF浓度的影响
- Author:
Mei WANG
1
;
Hong-Tao YANG
1
;
Yuan-Yuan WANG
1
;
Li-Hong YU
1
;
Zhi-Chao WANG
1
;
Cun-Wen PEI
1
Author Information
1. Chengde Medical University, Chengde 067000, Hebei Province, China
- Publication Type:Journal Article
- Keywords:
vascular endothelial growth factor(VEGF);
adverse reactions;
vitreous body;
plasma
- From:
International Eye Science
2023;23(4):592-596
- CountryChina
- Language:Chinese
-
Abstract:
Chorioretinal disease has become a significant problem affecting human vision. Abnormal expression of vascular endothelial growth factor(VEGF)leads to increased fundus permeability and neovascularization. Vitreous injection of anti-VEGF agents can rapidly inhibit the level of VEGF in the eye and effectively control the development of the disease. At present, anti-VEGF agents are widely administered in ophthalmology. However, studies have shown that intravitreal anti-VEGF agents can reduce plasma VEGF concentration after entering the circulatory system, and the pointless off-target effects of drugs may lead to systemic adverse reactions. For elderly patients, patients with serious comorbidities, lactating women, premature infants and other special populations, attention should be paid to systemic VEGF inhibition after multiple injections. In this paper, in order to provide reference for clinical anti-VEGF therapy, the pharmacokinetics therapy, systemic adverse reactions, contralateral eye effects, and effects of anti-VEGF on breast milk and preterm infants were discussed, and the systemic effects of vitreous injection of anti-VEGF agents were reviewed.
