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Published in: BMC Ophthalmology 1/2017

Open Access 01-12-2017 | Research article

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

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

Published in: BMC Ophthalmology | Issue 1/2017

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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.
Literature
1.
go back to reference Watzke RC, Packer AJ, Folk JC, Benson WE, Burgess D, Ober RR. Punctate inner choroidopathy. Am J Ophthalmol. 1984;98(5):572–84.CrossRefPubMed Watzke RC, Packer AJ, Folk JC, Benson WE, Burgess D, Ober RR. Punctate inner choroidopathy. Am J Ophthalmol. 1984;98(5):572–84.CrossRefPubMed
2.
go back to reference Zhang X, Wen F, Zuo C, Li M, Chen H, Huang S, et al. Clinical features of punctate inner choroidopathy in Chinese patients. Retina. 2011;31(8):1680–91.CrossRefPubMed Zhang X, Wen F, Zuo C, Li M, Chen H, Huang S, et al. Clinical features of punctate inner choroidopathy in Chinese patients. Retina. 2011;31(8):1680–91.CrossRefPubMed
3.
go back to reference Zhang X, Zuo C, Li M, Chen H, Huang S, Wen F. Spectral-domain optical coherence Tomographic findings at each stage of Punctate inner Choroidopathy. Ophthalmol. 2013;120(12):2678–83.CrossRef Zhang X, Zuo C, Li M, Chen H, Huang S, Wen F. Spectral-domain optical coherence Tomographic findings at each stage of Punctate inner Choroidopathy. Ophthalmol. 2013;120(12):2678–83.CrossRef
4.
go back to reference Brown JJ, Folk JC, Reddy CV, Kimura AE. Visual prognosis of multifocal choroiditis, punctate inner choroidopathy, and the diffuse subretinal fibrosis syndrome. Ophthalmol. 1996;103(7):1100–5.CrossRef Brown JJ, Folk JC, Reddy CV, Kimura AE. Visual prognosis of multifocal choroiditis, punctate inner choroidopathy, and the diffuse subretinal fibrosis syndrome. Ophthalmol. 1996;103(7):1100–5.CrossRef
6.
go back to reference Gerstenblith AT, Thorne JE, Sobrin L, Do DV, Shah SM, Foster CS, et al. Punctate inner Choroidopathy. Ophthalmol. 2007;114(6):1201–4.CrossRef Gerstenblith AT, Thorne JE, Sobrin L, Do DV, Shah SM, Foster CS, et al. Punctate inner Choroidopathy. Ophthalmol. 2007;114(6):1201–4.CrossRef
7.
go back to reference Wu K, Zhang X, Su Y, Ji Y, Zuo C, Li M, et al. Clinical characteristics of inflammatory Choroidal Neovascularization in a Chinese population. Ocul Immunol Inflamm. 2016;24(3):261–7.PubMed Wu K, Zhang X, Su Y, Ji Y, Zuo C, Li M, et al. Clinical characteristics of inflammatory Choroidal Neovascularization in a Chinese population. Ocul Immunol Inflamm. 2016;24(3):261–7.PubMed
8.
go back to reference Spiteri Cornish K, Williams GJ, Gavin MP, Imrie FR. Visual and optical coherence tomography outcomes of intravitreal bevacizumab and ranibizumab in inflammatory choroidal neovascularization secondary to punctate inner choroidopathy. Eur J Ophthalmol. 2011;21(4):440–5.CrossRef Spiteri Cornish K, Williams GJ, Gavin MP, Imrie FR. Visual and optical coherence tomography outcomes of intravitreal bevacizumab and ranibizumab in inflammatory choroidal neovascularization secondary to punctate inner choroidopathy. Eur J Ophthalmol. 2011;21(4):440–5.CrossRef
9.
go back to reference Zhang H, Liu Z, Sun P, Gu F. Intravitreal bevacizumab as primary treatment of choroidal neovascularization secondary to punctate inner choroidopathy. Retina. 2012;32(6):1106–13.CrossRefPubMed Zhang H, Liu Z, Sun P, Gu F. Intravitreal bevacizumab as primary treatment of choroidal neovascularization secondary to punctate inner choroidopathy. Retina. 2012;32(6):1106–13.CrossRefPubMed
10.
go back to reference Mangat SS, Ramasamy B, Prasad S, Walters G, Mohammed M, Mckibbin M. Resolution of Choroidal Neovascularization secondary to Punctate inner Choroidopathy (PIC) with Intravitreal anti-VEGF agents: a case series. Semin Ophthalmol. 2011;26(1):1–3.CrossRefPubMed Mangat SS, Ramasamy B, Prasad S, Walters G, Mohammed M, Mckibbin M. Resolution of Choroidal Neovascularization secondary to Punctate inner Choroidopathy (PIC) with Intravitreal anti-VEGF agents: a case series. Semin Ophthalmol. 2011;26(1):1–3.CrossRefPubMed
11.
go back to reference Leung AK, Weisbrod DJ, Schwartz C. Intravitreal ranibizumab in the treatment of choroidal neovascular membrane secondary to punctate inner choroidopathy. Can J Ophthalmol. 2010;45(3):300–1.CrossRefPubMed Leung AK, Weisbrod DJ, Schwartz C. Intravitreal ranibizumab in the treatment of choroidal neovascular membrane secondary to punctate inner choroidopathy. Can J Ophthalmol. 2010;45(3):300–1.CrossRefPubMed
12.
go back to reference Menezo V, Cuthbertson F, Downes SM. Positive response to intravitreal ranibizumab in the treatment of choroidal neovascularization secondary to punctate inner choroidopathy. Retina. 2010;30(9):1400–4.CrossRefPubMed Menezo V, Cuthbertson F, Downes SM. Positive response to intravitreal ranibizumab in the treatment of choroidal neovascularization secondary to punctate inner choroidopathy. Retina. 2010;30(9):1400–4.CrossRefPubMed
13.
go back to reference Rouvas A, Petrou P, Douvali M, Ntouraki A, Vergados I, Georgalas I, et al. Intravitreal ranibizumab for the treatment of inflammatory choroidal neovascularization. Retina. 2011;31(5):871–9.CrossRefPubMed Rouvas A, Petrou P, Douvali M, Ntouraki A, Vergados I, Georgalas I, et al. Intravitreal ranibizumab for the treatment of inflammatory choroidal neovascularization. Retina. 2011;31(5):871–9.CrossRefPubMed
14.
go back to reference Campos J, Campos A, Beselga D, Mendes S, Neves A, Sousa JPC. Punctate inner choroidopathy:a clinical case report. Case Reports in Ophthalmology. 2013;4(3):155–9.CrossRefPubMedPubMedCentral Campos J, Campos A, Beselga D, Mendes S, Neves A, Sousa JPC. Punctate inner choroidopathy:a clinical case report. Case Reports in Ophthalmology. 2013;4(3):155–9.CrossRefPubMedPubMedCentral
15.
go back to reference Jimenez B, Pinilla I, Cristobal JA, Minguez E, Perez D, Cruz N, et al. Intravitreal ranibizumab in the treatment of subretinal neovascularization in a case of punctate inner choroidopathy. Arch Soc Esp Oftalmol. 2014;89(3):130–2.CrossRefPubMed Jimenez B, Pinilla I, Cristobal JA, Minguez E, Perez D, Cruz N, et al. Intravitreal ranibizumab in the treatment of subretinal neovascularization in a case of punctate inner choroidopathy. Arch Soc Esp Oftalmol. 2014;89(3):130–2.CrossRefPubMed
16.
go back to reference Koizumi H, Kano M, Yamamoto A, Saito M, Maruko I, Sekiryu T, et al. Aflibercept therapy for polypoidal choroidal vasculopathy: short-term results of a multicentre study. Br J Ophthalmol. 2015;99(9):1284–8.CrossRefPubMed Koizumi H, Kano M, Yamamoto A, Saito M, Maruko I, Sekiryu T, et al. Aflibercept therapy for polypoidal choroidal vasculopathy: short-term results of a multicentre study. Br J Ophthalmol. 2015;99(9):1284–8.CrossRefPubMed
17.
go back to reference Wang Q, Li T, Wu Z, Wu Q, Ke X, Luo D, et al. Novel VEGF decoy receptor fusion protein conbercept targeting multiple VEGF isoforms provide remarkable anti-angiogenesis effect in vivo. PLoS One. 2013;8(8):e70544.CrossRefPubMedPubMedCentral Wang Q, Li T, Wu Z, Wu Q, Ke X, Luo D, et al. Novel VEGF decoy receptor fusion protein conbercept targeting multiple VEGF isoforms provide remarkable anti-angiogenesis effect in vivo. PLoS One. 2013;8(8):e70544.CrossRefPubMedPubMedCentral
18.
go back to reference Zhang M, Zhang J, Yan M, Luo D, Zhu W, Kaiser PK, et al. A phase 1 study of KH902, a vascular endothelial growth factor receptor decoy, for Exudative age-related macular degeneration. Ophthalmol. 2011;118(4):672–8.CrossRef Zhang M, Zhang J, Yan M, Luo D, Zhu W, Kaiser PK, et al. A phase 1 study of KH902, a vascular endothelial growth factor receptor decoy, for Exudative age-related macular degeneration. Ophthalmol. 2011;118(4):672–8.CrossRef
19.
go back to reference Qu J, Cheng Y, Li X, Yu L, Ke X. Efficacy of intravitreal injection of conbercept in polypoidal choroidal vasculopathy. Retina. 2016;36(5):926–37.CrossRefPubMed Qu J, Cheng Y, Li X, Yu L, Ke X. Efficacy of intravitreal injection of conbercept in polypoidal choroidal vasculopathy. Retina. 2016;36(5):926–37.CrossRefPubMed
20.
go back to reference Li X, Xu G, Wang Y, Xu X, Liu X, Tang S, et al. Safety and efficacy of Conbercept in Neovascular age-related macular degeneration. Ophthalmol. 2014;121(9):1740–7.CrossRef Li X, Xu G, Wang Y, Xu X, Liu X, Tang S, et al. Safety and efficacy of Conbercept in Neovascular age-related macular degeneration. Ophthalmol. 2014;121(9):1740–7.CrossRef
21.
go back to reference Patel KH, Birnbaum AD, Tessler HH, Goldstein DA. Presentation and outcome of patients with punctate inner choroidopathy at a tertiary referral center. Retina. 2011;31(7):1387–91.CrossRefPubMed Patel KH, Birnbaum AD, Tessler HH, Goldstein DA. Presentation and outcome of patients with punctate inner choroidopathy at a tertiary referral center. Retina. 2011;31(7):1387–91.CrossRefPubMed
22.
go back to reference Nagai N, Lundh Von Leithner P, Izumi-Nagai K, Hosking B, Chang B, Hurd R, et al. Spontaneous CNV in a novel mutant mouse is associated with Early VEGF-A–driven angiogenesis and late-stage focal edema, neural cell loss, and dysfunction. Invest Ophth VIS SCI. 2014;55(6):3709.CrossRef Nagai N, Lundh Von Leithner P, Izumi-Nagai K, Hosking B, Chang B, Hurd R, et al. Spontaneous CNV in a novel mutant mouse is associated with Early VEGF-A–driven angiogenesis and late-stage focal edema, neural cell loss, and dysfunction. Invest Ophth VIS SCI. 2014;55(6):3709.CrossRef
23.
go back to reference Julien S, Kreppel F, Beck S, Heiduschka P, Brito V, Schnichels S, et al. A reproducible and quantifiable model of choroidal neovascularization induced by VEGF A165 after subretinal adenoviral gene transfer in the rabbit. Mol Vis. 2008;14:1358–72.PubMedPubMedCentral Julien S, Kreppel F, Beck S, Heiduschka P, Brito V, Schnichels S, et al. A reproducible and quantifiable model of choroidal neovascularization induced by VEGF A165 after subretinal adenoviral gene transfer in the rabbit. Mol Vis. 2008;14:1358–72.PubMedPubMedCentral
24.
go back to reference Ruiz-Moreno JM, Montero JA, Araiz J, Arias L, García-Layana A, Carneiro A, et al. Intravitreal anti-vascular endothelial growth factor therapy for choroidal neovascularization secondary to pathologic myopia. Retina. 2015;35(12):2450–6.CrossRefPubMed Ruiz-Moreno JM, Montero JA, Araiz J, Arias L, García-Layana A, Carneiro A, et al. Intravitreal anti-vascular endothelial growth factor therapy for choroidal neovascularization secondary to pathologic myopia. Retina. 2015;35(12):2450–6.CrossRefPubMed
25.
go back to reference Wang E, Chen Y. Intravitreal anti-vascular endothelial growth factor for choroidal neovascularization secondary to pathologic myopia. Retina. 2013;33(7):1375–92.CrossRefPubMed Wang E, Chen Y. Intravitreal anti-vascular endothelial growth factor for choroidal neovascularization secondary to pathologic myopia. Retina. 2013;33(7):1375–92.CrossRefPubMed
26.
go back to reference Holz FG, Tadayoni R, Beatty S, Berger AR, Cereda MG, Hykin P, et al. Determinants of visual acuity outcomes in eyes with neovascular AMD treated with anti-VEGF agents: an instrumental variable analysis of the AURA study. Eye. 2016;30(8):1063–71.CrossRefPubMedPubMedCentral Holz FG, Tadayoni R, Beatty S, Berger AR, Cereda MG, Hykin P, et al. Determinants of visual acuity outcomes in eyes with neovascular AMD treated with anti-VEGF agents: an instrumental variable analysis of the AURA study. Eye. 2016;30(8):1063–71.CrossRefPubMedPubMedCentral
27.
go back to reference Kramer M, Axer-Siegel R, Jaouni T, Reich E, Hemo I, Priel E, et al. Bevacizumab for choroidal neovascularization related to inflammatory diseases. Retina. 2010;30(6):938–44.CrossRefPubMed Kramer M, Axer-Siegel R, Jaouni T, Reich E, Hemo I, Priel E, et al. Bevacizumab for choroidal neovascularization related to inflammatory diseases. Retina. 2010;30(6):938–44.CrossRefPubMed
28.
go back to reference Chan W, Lai TYY, Liu DTL, Lam DSC. Intravitreal bevacizumab (avastin) for choroidal neovascularization secondary to central serous chorioretinopathy, secondary to punctate inner choroidopathy, or of idiopathic origin. Am J Ophthalmol. 2007;143(6):977–83.CrossRefPubMed Chan W, Lai TYY, Liu DTL, Lam DSC. Intravitreal bevacizumab (avastin) for choroidal neovascularization secondary to central serous chorioretinopathy, secondary to punctate inner choroidopathy, or of idiopathic origin. Am J Ophthalmol. 2007;143(6):977–83.CrossRefPubMed
29.
go back to reference Mansour AM, Mackensen F, Arevalo JF, Ziemssen F, Mahendradas P, Mehio-Sibai A, et al. Intravitreal bevacizumab in inflammatory ocular neovascularization. Am J Ophthalmol. 2008;146(3):410–6.CrossRefPubMed Mansour AM, Mackensen F, Arevalo JF, Ziemssen F, Mahendradas P, Mehio-Sibai A, et al. Intravitreal bevacizumab in inflammatory ocular neovascularization. Am J Ophthalmol. 2008;146(3):410–6.CrossRefPubMed
Metadata
Title
Efficacy and safety of conbercept as a primary treatment for choroidal neovascularization secondary to punctate inner choroidopathy
Authors
Yuting Peng
Xiongze Zhang
Lan Mi
Bing Liu
Chengguo Zuo
Miaoling Li
Feng Wen
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2017
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-017-0481-8

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