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康柏西普作为点状内层脉络膜病变继发脉络膜新生血管主要治疗方法的疗效和安全性。

Efficacy and safety of conbercept as a primary treatment for choroidal neovascularization secondary to punctate inner choroidopathy.

作者信息

Peng Yuting, Zhang Xiongze, Mi Lan, Liu Bing, Zuo Chengguo, Li Miaoling, Wen Feng

机构信息

State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, 54 South Xianlie Road, Guangzhou, 510060, China.

出版信息

BMC Ophthalmol. 2017 Jun 12;17(1):87. doi: 10.1186/s12886-017-0481-8.

Abstract

BACKGROUND

To evaluate the efficacy and safety of intravitreal conbercept (KH902) as the primary treatment of choroidal neovascularization secondary to punctate inner choroidopathy.

METHODS

This study was a retrospective, consecutive, observational case series. We reviewed medical records of 16 eyes (16 patients) with naive subfoveal or juxtafoveal choroidal neovascularization secondary to punctuate inner choroidopathy that were treated with intravitreal conbercept injections. All patients completed at least six months of follow-up. Best-corrected visual acuity (BCVA) was measured, and anatomical features were assessed with fluorescein angiography, indocyanine green angiography, and optical coherence tomography.

RESULTS

At the month-6 follow-up visit, best-corrected visual acuity improved from 0.70 ± 0.36 (with approximate Snellen equivalent of 20/100) to 0.44 ± 0.25 (20/50 in Snellen) logarithm of the minimum angle of resolution (logMAR) (P = 0.003). Mean improvement of vision was 2.6 lines, with 50% treated eyes (8 eyes of 16) showing an improvement of ≥3 lines and 62.5% (10 eyes of 16), obtaining an improvement of ≥2 lines; all 16 eyes had stable or improved vision. Mean central retinal thickness decreased from 294.94 ± 102.68 μm to 206.56 ± 61.71 μm (P = 0.005). Fifteen eyes (93.75%) showed absence of CNV leakage at the end of the study period. No conbercrept-related systemic or ocular adverse events were observed.

CONCLUSION

Intravitreal injection of conbercept significantly improved visual and anatomical outcomes in choroidal neovascularization secondary to punctate inner choroidopathy over a 6-month follow-up period.

TRIAL REGISTRATION

ISRCTN85678307 , retrospectively registered on May 11, 2017.

摘要

背景

评估玻璃体内注射康柏西普(KH902)作为点状内层脉络膜病变继发脉络膜新生血管主要治疗方法的疗效和安全性。

方法

本研究为一项回顾性、连续性观察病例系列研究。我们回顾了16例(16只眼)初次接受玻璃体内注射康柏西普治疗的点状内层脉络膜病变继发黄斑中心凹下或黄斑中心凹旁脉络膜新生血管患者的病历。所有患者均完成了至少6个月的随访。测量最佳矫正视力(BCVA),并通过荧光素血管造影、吲哚菁绿血管造影和光学相干断层扫描评估解剖学特征。

结果

在6个月随访时,最佳矫正视力从0.70±0.36(约相当于Snellen视力表的20/100)提高到0.44±0.25(Snellen视力表的20/50),最小分辨角对数(logMAR)(P = 0.003)。平均视力改善2.6行,50%的治疗眼(16只眼中的8只)视力改善≥3行,62.5%(16只眼中的10只)视力改善≥2行;所有16只眼的视力均稳定或提高。平均中心视网膜厚度从294.94±102.68μm降至206.56±61.71μm(P = 0.005)。15只眼(93.75%)在研究期末显示无脉络膜新生血管渗漏。未观察到与康柏西普相关的全身或眼部不良事件。

结论

在6个月的随访期内,玻璃体内注射康柏西普显著改善了点状内层脉络膜病变继发脉络膜新生血管的视力和解剖学结果。

试验注册

ISRCTN85678307,于2017年5月11日进行回顾性注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c24f/5468989/19f6d727efc1/12886_2017_481_Fig1_HTML.jpg

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