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康柏西普和雷珠单抗治疗息肉状脉络膜血管病变的短期疗效。

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

机构信息

Department of Ophthalmology, Wuhan General Hospital of People's Liberation Army, Wuhan, China.

出版信息

Retina. 2019 May;39(5):889-895. doi: 10.1097/IAE.0000000000002035.

Abstract

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 retreatment 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 μm to 230 ± 71 μm in the conbercept group (P < 0.001), and from 394 ± 93 μm to 208 ± 56 μm 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.

摘要

目的

比较康柏西普与雷珠单抗玻璃体腔内注射治疗息肉状脉络膜血管病变(PCV)的 6 个月疗效。

方法

这是一项回顾性病例对照研究,共纳入 77 例 79 只 PCV 眼。PCV 眼分别接受雷珠单抗(n=44)或康柏西普(n=35)玻璃体腔内注射治疗。注射 3 次负荷剂量,根据需要进行后续治疗。治疗 6 个月后评估最佳矫正视力和血管造影特征。

结果

康柏西普组治疗后平均最小分辨角对数视力从基线时的 0.86(Snellen 等价视力,20/145)提高到 6 个月时的 0.70(Snellen 等价视力,20/100)(P<0.001),雷珠单抗组治疗后从基线时的 0.74(Snellen 等价视力,20/110)提高到 6 个月时的 0.63(Snellen 等价视力,20/85)(P=0.032)。康柏西普组中心凹视网膜厚度从 407±146μm 降至 230±71μm(P<0.001),雷珠单抗组从 394±93μm 降至 208±56μm(P<0.001)。康柏西普组 6 个月时 21 只(47.7%)眼的息肉完全消退,显著高于雷珠单抗组的 10 只(28.6%)眼(P=0.029)。

结论

康柏西普和雷珠单抗均能有效提高 PCV 眼视力并消退息肉。6 个月时,PCV 患者的视力改善在康柏西普组和雷珠单抗组之间无显著差异。然而,康柏西普在息肉消退方面优于雷珠单抗单药治疗。

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