PMID- 31719675 OWN - NLM STAT- MEDLINE DCOM- 20210618 LR - 20210618 IS - 1476-5454 (Electronic) IS - 0950-222X (Print) IS - 0950-222X (Linking) VI - 34 IP - 8 DP - 2020 Aug TI - Longitudinal neovascular changes on optical coherence tomography angiography in proliferative diabetic retinopathy treated with panretinal photocoagulation alone versus with intravitreal conbercept plus panretinal photocoagulation: a pilot study. PG - 1413-1418 LID - 10.1038/s41433-019-0628-3 [doi] AB - PURPOSE: To investigate the longitudinal changes in neovascularization of the retinal elsewhere (NVE) size on optical coherence tomography angiography (OCTA) in proliferative diabetic retinopathy (PDR) treated by panretinal photocoagulation (PRP) alone or by single intravitreal conbercept injection plus PRP. METHODS: A prospective pilot study. Forty-four PDR eyes with NVE confirmed by fundus fluorescein angiography (FFA) and OCTA were included. They were assigned to receive PRP alone (PRP group) or intravitreal conbercept injection plus PRP (combination group). Ophthalmic examinations, including BCVA and OCTA to measure the NVE size, were performed at baseline before each PRP session, and at 1, 3, and 6 months. RESULTS: Twenty-nine eyes were included in the PRP group, and 15 eyes were included in the combination group. There was no significant difference between the two groups with respect to age, BCVA, and NVE area at baseline. In both groups, there was a significant (P < 0.05) NVE size reduction during the majority of study visits, with the reduction observed in the combination group significantly larger than that in the PRP group. No significant BCVA changes were observed in either groups, except that in the PRP group, the BCVA at 3 months was significantly improved (P < 0.05). No deaths or unexpected adverse events (AEs) were reported. CONCLUSIONS: Intravitreal conbercept plus PRP was more effective than PRP monotherapy in NVE regression. Precise quantification of the NVE area by OCTA makes it a useful tool for monitoring the response of retinal neovascular lesions to the therapy. FAU - He, Feng AU - He F AD - Department of Ophthalmology, Peking Union Medical College Hospital, Key Lab of Ocular Fundus Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Yu, Weihong AU - Yu W AD - Department of Ophthalmology, Peking Union Medical College Hospital, Key Lab of Ocular Fundus Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. yuweihongeye@foxmail.com. LA - eng PT - Journal Article DEP - 20191112 PL - England TA - Eye (Lond) JT - Eye (London, England) JID - 8703986 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Recombinant Fusion Proteins) RN - 1P05PW62F3 (KH902 fusion protein) SB - IM MH - Angiogenesis Inhibitors/therapeutic use MH - Combined Modality Therapy MH - *Diabetes Mellitus MH - *Diabetic Retinopathy/drug therapy/surgery MH - Fluorescein Angiography MH - Humans MH - Intravitreal Injections MH - Laser Coagulation MH - Pilot Projects MH - Prospective Studies MH - Recombinant Fusion Proteins MH - Tomography, Optical Coherence MH - Visual Acuity PMC - PMC7376016 COIS- The authors declare that they have no conflict of interest. EDAT- 2019/11/14 06:00 MHDA- 2021/06/22 06:00 PMCR- 2019/11/12 CRDT- 2019/11/14 06:00 PHST- 2019/04/01 00:00 [received] PHST- 2019/09/22 00:00 [accepted] PHST- 2019/08/20 00:00 [revised] PHST- 2019/11/14 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2019/11/14 06:00 [entrez] PHST- 2019/11/12 00:00 [pmc-release] AID - 10.1038/s41433-019-0628-3 [pii] AID - 628 [pii] AID - 10.1038/s41433-019-0628-3 [doi] PST - ppublish SO - Eye (Lond). 2020 Aug;34(8):1413-1418. doi: 10.1038/s41433-019-0628-3. Epub 2019 Nov 12.