PMID- 27779169 OWN - NLM STAT- MEDLINE DCOM- 20170313 LR - 20220311 IS - 2542-5641 (Electronic) IS - 0366-6999 (Print) IS - 0366-6999 (Linking) VI - 129 IP - 21 DP - 2016 Nov 5 TI - Comparison of the 1-year Outcomes of Conbercept Therapy between Two Different Angiographic Subtypes of Polypoidal Choroidal Vasculopathy. PG - 2610-2616 LID - 10.4103/0366-6999.192779 [doi] AB - BACKGROUND: Polypoidal choroidal vasculopathy (PCV) is characterized by the presence of polyps with or without a branching vascular network and more prevalent among Asians. The aim of this study was to compare the outcomes of conbercept therapy between two different angiographic subtypes of PCV. METHODS: Fifty-eight patients of PCV were classified into two phenotypes according to indocyanine green angiography (ICGA). In Type 1, both feeder and draining vessels are visible on ICGA and network vessels are numerous. In Type 2, neither feeder nor draining vessels are detectable, and the number of network vessels is small. The patients were treated with intravitreal conbercept (IVC) for 3 months. Additional IVC was given at subsequent monthly visits, if needed. The patients were followed up for 12 months, and changes in mean best-corrected visual acuity (BCVA), central retinal thickness (CRT), subretinal fluid (SRF) thickness, pigmented epithelial detachment (PED), hemorrhage, and number of polypoidal lesions were evaluated. RESULTS: The mean BCVA in Type 2 PCV (15.92 +/- 9.76 letters) achieved a significantly greater improvement than that in the Type 1 (14.10 +/- 9.07 letters) at month 12 (t = 2.37, P< 0.01). Moreover, the mean CRT decrease was numerically greater in Type 2 (120.44 +/- 73.81 mum) compared with Type 1 (106.48 +/- 72.33 mum) at month 6 (t = 4.31, P< 0.01), and greater in Type 2 (130.21 +/- 76.28 mum) compared with Type 1 (111.67 +/- 79.57 mum) at month 9 (t = 1.87, P< 0.01). There was no significant difference between the two types for the decrease in SRF thickness, PED height, and regression of polyps from month 3 to 12 (t = 2.97, P > 0.05). CONCLUSION: Classification systems for PCV will show differences in presentation, natural history, or response to anti-vascular endothelial growth factor treatment and might, therefore, provide a new key to the choice of treatment for the disease. FAU - Cheng, Yong AU - Cheng Y AD - Department of Ophthalmology, Peking University People's Hospital, Beijing 100044; Key Laboratory of Vision Loss and Restoration, Ministry of Education, Beijing 100044; Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, Beijing 100044, China. FAU - Shi, Xuan AU - Shi X AD - Department of Ophthalmology, Peking University People's Hospital, Beijing 100044; Key Laboratory of Vision Loss and Restoration, Ministry of Education, Beijing 100044; Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, Beijing 100044, China. FAU - Qu, Jin-Feng AU - Qu JF AD - Department of Ophthalmology, Peking University People's Hospital, Beijing 100044; Key Laboratory of Vision Loss and Restoration, Ministry of Education, Beijing 100044; Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, Beijing 100044, China. FAU - Zhao, Ming-Wei AU - Zhao MW AD - Department of Ophthalmology, Peking University People's Hospital, Beijing 100044; Key Laboratory of Vision Loss and Restoration, Ministry of Education, Beijing 100044; Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, Beijing 100044, China. FAU - Li, Xiao-Xin AU - Li XX AD - Department of Ophthalmology, Peking University People's Hospital, Beijing 100044; Key Laboratory of Vision Loss and Restoration, Ministry of Education, Beijing 100044; Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, Beijing 100044, China. LA - eng PT - Journal Article PL - China TA - Chin Med J (Engl) JT - Chinese medical journal JID - 7513795 SB - IM MH - Aged MH - Choroid/physiopathology/*surgery MH - Choroidal Neovascularization/physiopathology/*surgery MH - Female MH - Humans MH - Male MH - Middle Aged MH - Postoperative Care MH - Retrospective Studies MH - Treatment Outcome MH - Visual Acuity/physiology PMC - PMC5125341 EDAT- 2016/10/26 06:00 MHDA- 2017/03/14 06:00 PMCR- 2016/11/05 CRDT- 2016/10/26 06:00 PHST- 2016/10/26 06:00 [pubmed] PHST- 2017/03/14 06:00 [medline] PHST- 2016/10/26 06:00 [entrez] PHST- 2016/11/05 00:00 [pmc-release] AID - ChinMedJ_2016_129_21_2610_192779 [pii] AID - CMJ-129-2610 [pii] AID - 10.4103/0366-6999.192779 [doi] PST - ppublish SO - Chin Med J (Engl). 2016 Nov 5;129(21):2610-2616. doi: 10.4103/0366-6999.192779.