The Efficacy of Conbercept in Polypoidal Choroidal Vasculopathy: A Systematic Review

Topic. The aim of this study is to evaluate the efficacy of conbercept in PCV, which will optimize the management for PCV patients. Clinical Relevance. The use of antivascular endothelial growth factor (VEGF) therapy in polypoidal choroidal vasculopathy (PCV), a subtype of neovascular age-related ma...

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Main Authors: Yimin Wang, Mengxi Shen, Jinwei Cheng, Xiaodong Sun, Peter K. Kaiser
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2020/4924053
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author Yimin Wang
Mengxi Shen
Jinwei Cheng
Xiaodong Sun
Peter K. Kaiser
author_facet Yimin Wang
Mengxi Shen
Jinwei Cheng
Xiaodong Sun
Peter K. Kaiser
author_sort Yimin Wang
collection DOAJ
description Topic. The aim of this study is to evaluate the efficacy of conbercept in PCV, which will optimize the management for PCV patients. Clinical Relevance. The use of antivascular endothelial growth factor (VEGF) therapy in polypoidal choroidal vasculopathy (PCV), a subtype of neovascular age-related macular degeneration (nAMD), has been well established in randomized clinical trials. This meta-analysis has evaluated the efficacy of a novel anti-VEGF agent, conbercept, in the management of PCV using ranibizumab and aflibercept as the reference agents. Methods. Thirty studies with 1308 eyes were identified and included in this study. The primary outcome measures were best-corrected visual acuity (BCVA), and secondary outcomes were optical coherence tomography characteristics and polyp regression rates. The pooled results were calculated by the random-effect or fixed-effect model according to the heterogeneity of the data. Results. Despite a large standard deviation in means (SMD) improvement for BCVA and central retinal thickness (CRT) in the conbercept group, there was no statistically significant difference in the other outcomes compared to ranibizumab and aflibercept. However, there was a greater polyp regression rate in the conbercept group at 12 months. Conclusions. This systematic review indicates that conbercept may achieve similar BCVA and CRT improvements as ranibizumab and aflibercept, with a superior rate of polyp regression at 12 months.
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spelling doaj-art-1ad7375c9dad42e0bf470969d7dbde822025-02-03T01:06:23ZengWileyJournal of Ophthalmology2090-004X2090-00582020-01-01202010.1155/2020/49240534924053The Efficacy of Conbercept in Polypoidal Choroidal Vasculopathy: A Systematic ReviewYimin Wang0Mengxi Shen1Jinwei Cheng2Xiaodong Sun3Peter K. Kaiser4Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USADepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaCole Eye Institute, Cleveland, OH, USATopic. The aim of this study is to evaluate the efficacy of conbercept in PCV, which will optimize the management for PCV patients. Clinical Relevance. The use of antivascular endothelial growth factor (VEGF) therapy in polypoidal choroidal vasculopathy (PCV), a subtype of neovascular age-related macular degeneration (nAMD), has been well established in randomized clinical trials. This meta-analysis has evaluated the efficacy of a novel anti-VEGF agent, conbercept, in the management of PCV using ranibizumab and aflibercept as the reference agents. Methods. Thirty studies with 1308 eyes were identified and included in this study. The primary outcome measures were best-corrected visual acuity (BCVA), and secondary outcomes were optical coherence tomography characteristics and polyp regression rates. The pooled results were calculated by the random-effect or fixed-effect model according to the heterogeneity of the data. Results. Despite a large standard deviation in means (SMD) improvement for BCVA and central retinal thickness (CRT) in the conbercept group, there was no statistically significant difference in the other outcomes compared to ranibizumab and aflibercept. However, there was a greater polyp regression rate in the conbercept group at 12 months. Conclusions. This systematic review indicates that conbercept may achieve similar BCVA and CRT improvements as ranibizumab and aflibercept, with a superior rate of polyp regression at 12 months.http://dx.doi.org/10.1155/2020/4924053
spellingShingle Yimin Wang
Mengxi Shen
Jinwei Cheng
Xiaodong Sun
Peter K. Kaiser
The Efficacy of Conbercept in Polypoidal Choroidal Vasculopathy: A Systematic Review
Journal of Ophthalmology
title The Efficacy of Conbercept in Polypoidal Choroidal Vasculopathy: A Systematic Review
title_full The Efficacy of Conbercept in Polypoidal Choroidal Vasculopathy: A Systematic Review
title_fullStr The Efficacy of Conbercept in Polypoidal Choroidal Vasculopathy: A Systematic Review
title_full_unstemmed The Efficacy of Conbercept in Polypoidal Choroidal Vasculopathy: A Systematic Review
title_short The Efficacy of Conbercept in Polypoidal Choroidal Vasculopathy: A Systematic Review
title_sort efficacy of conbercept in polypoidal choroidal vasculopathy a systematic review
url http://dx.doi.org/10.1155/2020/4924053
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