台北市中医师公会台北中医医学杂志

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103.6 中医合并Eylea 注射治疗黄斑部病变

中医合并Eylea 注射治疗黄斑部病变

Case Report-Traditional Chinese Medicine Combined with Eylea Injection

in the Treatment of Age-related Macular Degeneration

蔡曜键* 林文郁余佳静

台北市立联合医院林森中医昆明院区，台北，台湾

【摘要】

黄斑部病变，Age-Related Macular Degeneration(AMD)，是导致成年男子丧失视力主要的原因之一，随着年龄的增长罹病的机率增高。在此个案中，60 岁黄先生从民国100 年起发现右眼视直线为扭曲，西医眼科诊断为乾性黄斑部病变，至民国110 年9 月明显恶化，右眼眼睛中央视野出现黑影，无法视物，诊断为老年性渗出性黄斑退化。第一个月单纯以中医加上针灸治疗，患者便觉得病症获得改善，可以模糊视物。第二个月後加上西医Eylea 注射治疗後效果更佳，只注射两剂Eylea 针剂後，湿性黄斑部病变便已痊愈。患者在中央视野完全失明的状况之下，治疗三个月後，不但可以看清字体，就连之前看直线弯曲的情况也有改善，追踪近十个月後，视力稳定改善，没有恶化。

【关键词】黄斑部病变；湿性黄斑部病变；抗血管新生因子；中医；针灸

Yao-Chien Tsai* Wun-Yu Lin Chia-Ching YU

Branch of Linsen, Chinese Medicine, and Kunming, Taipei City Hospital, Taipei, Taiwan.

【Summary】

Age-Related Macular Degeneration (AMD) is one of the main causes of vision loss in adult men, and the probability of developing the disease increases with age. In this case, the 60-year-old Mr. Huang discovered that the straight line of vision in his right eye was distorted in 2011. The ophthalmologist diagnosed it as dry AMD. By September 2022, it had deteriorated significantly. A dark shadow appeared in the central visual field of the right eye and he could not see. A diagnosis of wet AMD was made. In the first month of treatment with Chinese herbal medicine plus acupuncture, the patient felt that his symptoms had improved and his vision could be blurred. After the second month of treatment, combined with western medicine Eylea injections, the effect is better. After only two injections of Eylea injections, the wet AMD has been cured. Before the treatment, the patient was completely blind in the central visual field. After three months of treatment, not only could the font be seen clearly, but also the bending of the straight lines had improved. After nearly ten months of follow-up, the vision has improved steadily without deterioration.

【Keywords】Age-related Macular Degeneration(AMD), Wet AMD, anti–vascular endothelial growth factor (anti-VEGF), Traditional Chinese Medicine, Acupuncture

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