SHORT-TERM EFFICACY OF CONBERCEPT AND RANIBIZUMAB FOR POLYPOIDAL CHOROIDAL VASCULOPATHY

被引:29
作者
Huang, Zhen [1 ]
Ding, Qin [1 ]
Yan, Min [1 ]
Lian, Haiyan [1 ]
Chen, Zhongshan [1 ]
Chen, Xiao [1 ]
Song, Yanping [1 ]
机构
[1] Wuhan Gen Hosp Peoples Liberat Army, Dept Ophthalmol, 627,Wuluo Rd, Wuhan 430070, Hubei, Peoples R China
来源
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES | 2019年 / 39卷 / 05期
关键词
antibody; angiogenesis inhibitors; Asian continental ancestry group; best-corrected visual acuity; central foveal thickness conbercept; indocyanine green angiography; intravitreal injections; optical coherence tomography; polypoidal choroidal vasculopathy; polypoidal lesion; ranibizumab; treatment outcome; INDOCYANINE GREEN ANGIOGRAPHY; OPTICAL COHERENCE TOMOGRAPHY; INTRAVITREAL AFLIBERCEPT; PHOTODYNAMIC THERAPY; VERTEPORFIN; INJECTIONS; MONOTHERAPY; THICKNESS; DIAGNOSIS; EVEREST;
D O I
10.1097/IAE.0000000000002035
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To compare the 6-month efficacy of the intravitreal injection of conbercept or ranibizumab for patients with polypoidal choroidal vasculopathy (PCV). Methods: This is a retrospective case-control study involved 79 PCV eyes of 77 patients. The PCV eyes were treated with an intravitreal injection of either ranibizumab (n = 44) or conbercept (n = 35). Three monthly loading doses were injected and followed by re-treatment as needed. The best-corrected visual acuity and angiographic characteristics were evaluated after 6 months. Results: The mean logarithm of the minimum angle of resolution best-corrected visual acuity had improved from 0.86 (Snellen equivalent, 20/145) at baseline to 0.70 (Snellen ;equivalent, 20/100) at 6 months in the conbercept group (P < 0.001), and from 0.74 (Snellen equivalent, 20/110) at baseline to 0.63 (Snellen equivalent, 20/85) at 6 months in the ranibizumab group (P = 0.032), respectively. The central foveal thickness was decreased from 407 +/- 146 mm to 230 +/- 71 mm in the conbercept group (P, 0.001), and from 394 +/- 93 mm to 208 +/- 56 mm in the ranibizumab group (P, 0.001). Polyps were completely regressed and in 21 (47.7%) eyes in the conbercept group at 6 months, significant higher than in 10 (28.6%) eyes in the ranibizumab group (P = 0.029). Conclusion: Both conbercept and ranibizumab effectively increased the visual acuity and regressed the polyps of PCV eyes. No significant difference was found in the visual acuity improvement of the patients with PCV between the conbercept group and ranibizumab group at 6 months. However, conbercept was superior to ranibizumab monotherapy in the regression of polyps.
引用
收藏
页码:889 / 895
页数:7
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