7展望
目前临床上常用的PDT和TTT等疗法,主要针对的是CNV晚期的并发病变. 而基于对CNV生成机制的研究,寻找针对CNV病因、抑制新生血管生成的有效疗法,将为未来从根本上治愈CNV相关疾病提供可能.
新生血管生长是一个较为长期的过程,采用新生血管抑制因子治疗CNV需要寻找更为有效的方式. 随着材料科学的发展,基于大分子多聚体材料的眼内缓释、靶向给药系统表现出极大的应用潜力. 通过眼内注射或手术植入眼内,在病灶局部实现直接释药,拓展了眼内用药范围[29]. 另外,基因疗法也为新生血管抑制因子治疗CNV提供了手段. 采用基因转染方法,调控血管生成因子和抑制因子在局部组织的表达水平,可避免反复眼内注射给药的风险. 尽管目前在CNV治疗中还存在着许多问题,但相信,随着科学技术的进步,通过有效抑制CNV,从而防治这一类与CNV相关的严重致盲性眼病将成为可能.
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