Wu Bing-Hui, Wang Bing, Wu Hui-Qin, Chang Qin, Lu Hui-Qin
Department of Ophthalmology, Xi'an No.1 Hospital, Xi'an 710001, Shaanxi Province, China.
Int J Ophthalmol. 2019 Feb 18;12(2):252-257. doi: 10.18240/ijo.2019.02.11. eCollection 2019.
To evaluate the efficacy and safety of intravitreal injection of conbercept in patients with neovascular age-related macular degeneration (AMD).
Retrospective review of 66 eyes of 63 patients with neovascular AMD. All patients received 0.5 mg intravitreal injections of conbercept monthly for 3 consecutive months, and then treatment was performed. The changes of best-corrected visual acuity (BCVA) and central macular thickness (CMT) were observed before and after treatments. Minimum follow-up time was 12mo. SPSS 22.0 statistical software was used for statistical analysis.
The mean BCVA and CMT of 66 eyes (63 patients) were 1.11±0.60, 533.20±219.95 µm at baseline, and were 0.68±0.38, 310.28±125.60 µm at 3mo. No subjects were lost during the first three months, the improvements were all significantly (<0.05). During the whole follow-up time of 12mo, 15 subjects (18 eyes) were lost. The mean BCVA and CMT of the rest 48 eyes with the follow-up time at least 1y were 0.83±0.46 and 547.59±196.77 µm at baseline, after 3mo and 12mo of conbercept injections became 0.55±0.41, 318.24±141.29 µm and 0.55±0.51, 333.87±173.25 µm. The differences were significant (<0.05). No serious complications were observed.
Intravitreal injection of conbercept appears to significantly improve visual acuity and anatomical outcomes in patients with neovascular AMD, no serious adverse reactions and complications are observed.
评估玻璃体内注射康柏西普治疗新生血管性年龄相关性黄斑变性(AMD)患者的疗效和安全性。
回顾性分析63例新生血管性AMD患者的66只眼。所有患者每月接受0.5mg玻璃体内注射康柏西普,连续3个月,然后进行治疗。观察治疗前后最佳矫正视力(BCVA)和中心黄斑厚度(CMT)的变化。最短随访时间为12个月。采用SPSS 22.0统计软件进行统计分析。
66只眼(63例患者)基线时的平均BCVA和CMT分别为1.11±0.60、533.20±219.95μm,3个月时分别为0.68±0.38、310.28±125.60μm。前三个月无受试者失访,改善均有显著性差异(<0.05)。在12个月的整个随访期间,15例受试者(18只眼)失访。其余48只随访时间至少1年的眼,基线时平均BCVA和CMT分别为0.83±0.46和547.59±196.77μm,康柏西普注射3个月和12个月后分别变为0.55±0.41、318.24±141.29μm和0.55±0.51、333.87±173.25μm。差异有显著性(<0.05)。未观察到严重并发症。
玻璃体内注射康柏西普似乎能显著改善新生血管性AMD患者的视力和解剖学结果,未观察到严重不良反应和并发症。