Fluorescein Angiographic Findings of Peripheral Retinal Vasculature after Intravitreal Conbercept versus Ranibizumab for Retinopathy of Prematurity

Purpose. To evaluate angiographic findings of peripheral retina vasculature in retinopathy of prematurity (ROP) neonates who received intravitreal conbercept (IVC) or ranibizumab (IVR). Methods. Fluorescein angiography (FA) findings were retrospectively evaluated for ROP neonates who received IVC or...

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Main Authors: Enzhong Jin, Hong Yin, Yufei Gui, Juan Chen, Jian Zhang, Jianhong Liang, Xiao-xin Li, Mingwei Zhao
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2019/3935945
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author Enzhong Jin
Hong Yin
Yufei Gui
Juan Chen
Jian Zhang
Jianhong Liang
Xiao-xin Li
Mingwei Zhao
author_facet Enzhong Jin
Hong Yin
Yufei Gui
Juan Chen
Jian Zhang
Jianhong Liang
Xiao-xin Li
Mingwei Zhao
author_sort Enzhong Jin
collection DOAJ
description Purpose. To evaluate angiographic findings of peripheral retina vasculature in retinopathy of prematurity (ROP) neonates who received intravitreal conbercept (IVC) or ranibizumab (IVR). Methods. Fluorescein angiography (FA) findings were retrospectively evaluated for ROP neonates who received IVC or IVR. Outcome measures included peripheral avascular zone, vascular leakage, vascular blunting, vascular loops, vascular dilatation, arteriovenous shunt, and capillary dropout. Results. Fifty-four eyes (28 patients) with ROP were included. Twenty-nine eyes (15 patients) received IVC, and 25 eyes (13 patients) received IVR. For infants of the IVC group, the mean gestational age, birth weight, and postmenstrual age (PMA) at the initial treatment were 28.96 ± 2.36 weeks, 1168.8 ± 344.5 g, and 41.22 ± 4.39 weeks, respectively. For the IVR group, they were 28.83 ± 2.34 weeks, 1255.0 ± 356.9 g, and 39.42 ± 2.77 weeks, respectively (P=0.817, 0.522, and 0.075). For the IVC group, FA performed at 71.29–115.43 weeks PMA showed 96.55% of eyes had avascular zone; vascular leakage was found in 24.14% eyes; vascular blunting, vascular dilation, vascular loops, arteriovenous shunt, and capillary dropout were found in 96.55%, 72.41%, 79.31%, 48.28%, and 68.97% eyes, respectively. For the IVR group, FA performed at 65.57–133.71 weeks PMA showed 92.0% of eyes had avascular zone; vascular leakage was found in 40.0% eyes; vascular blunting, dilatation, loops, arteriovenous shunt, and capillary dropout were found in 100%, 60.0%, 64.0%, 36.0%, and 68.0% eyes, respectively. Conclusion. No significant difference can be observed between the IVC group and IVR group for peripheral vascular structure anomalies with FA evidence. FA studies should be considered to assess the status of the peripheral retinal vasculature to determine therapeutic outcomes and potential functional outcomes.
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spelling doaj-art-4be096e332ad4e4592eb792ecb2cbece2025-02-03T01:33:16ZengWileyJournal of Ophthalmology2090-004X2090-00582019-01-01201910.1155/2019/39359453935945Fluorescein Angiographic Findings of Peripheral Retinal Vasculature after Intravitreal Conbercept versus Ranibizumab for Retinopathy of PrematurityEnzhong Jin0Hong Yin1Yufei Gui2Juan Chen3Jian Zhang4Jianhong Liang5Xiao-xin Li6Mingwei Zhao7Department of Ophthalmology, Ophthalmology & Optometry Center, Peking University People’s Hospital, Beijing, ChinaDepartment of Ophthalmology, Ophthalmology & Optometry Center, Peking University People’s Hospital, Beijing, ChinaDepartment of Ophthalmology, Ophthalmology & Optometry Center, Peking University People’s Hospital, Beijing, ChinaDepartment of Ophthalmology, Beijing Jingmei Group General Hospital, Beijing, ChinaDepartment of Ophthalmology, Ophthalmology & Optometry Center, Peking University People’s Hospital, Beijing, ChinaDepartment of Ophthalmology, Ophthalmology & Optometry Center, Peking University People’s Hospital, Beijing, ChinaDepartment of Ophthalmology, Ophthalmology & Optometry Center, Peking University People’s Hospital, Beijing, ChinaDepartment of Ophthalmology, Ophthalmology & Optometry Center, Peking University People’s Hospital, Beijing, ChinaPurpose. To evaluate angiographic findings of peripheral retina vasculature in retinopathy of prematurity (ROP) neonates who received intravitreal conbercept (IVC) or ranibizumab (IVR). Methods. Fluorescein angiography (FA) findings were retrospectively evaluated for ROP neonates who received IVC or IVR. Outcome measures included peripheral avascular zone, vascular leakage, vascular blunting, vascular loops, vascular dilatation, arteriovenous shunt, and capillary dropout. Results. Fifty-four eyes (28 patients) with ROP were included. Twenty-nine eyes (15 patients) received IVC, and 25 eyes (13 patients) received IVR. For infants of the IVC group, the mean gestational age, birth weight, and postmenstrual age (PMA) at the initial treatment were 28.96 ± 2.36 weeks, 1168.8 ± 344.5 g, and 41.22 ± 4.39 weeks, respectively. For the IVR group, they were 28.83 ± 2.34 weeks, 1255.0 ± 356.9 g, and 39.42 ± 2.77 weeks, respectively (P=0.817, 0.522, and 0.075). For the IVC group, FA performed at 71.29–115.43 weeks PMA showed 96.55% of eyes had avascular zone; vascular leakage was found in 24.14% eyes; vascular blunting, vascular dilation, vascular loops, arteriovenous shunt, and capillary dropout were found in 96.55%, 72.41%, 79.31%, 48.28%, and 68.97% eyes, respectively. For the IVR group, FA performed at 65.57–133.71 weeks PMA showed 92.0% of eyes had avascular zone; vascular leakage was found in 40.0% eyes; vascular blunting, dilatation, loops, arteriovenous shunt, and capillary dropout were found in 100%, 60.0%, 64.0%, 36.0%, and 68.0% eyes, respectively. Conclusion. No significant difference can be observed between the IVC group and IVR group for peripheral vascular structure anomalies with FA evidence. FA studies should be considered to assess the status of the peripheral retinal vasculature to determine therapeutic outcomes and potential functional outcomes.http://dx.doi.org/10.1155/2019/3935945
spellingShingle Enzhong Jin
Hong Yin
Yufei Gui
Juan Chen
Jian Zhang
Jianhong Liang
Xiao-xin Li
Mingwei Zhao
Fluorescein Angiographic Findings of Peripheral Retinal Vasculature after Intravitreal Conbercept versus Ranibizumab for Retinopathy of Prematurity
Journal of Ophthalmology
title Fluorescein Angiographic Findings of Peripheral Retinal Vasculature after Intravitreal Conbercept versus Ranibizumab for Retinopathy of Prematurity
title_full Fluorescein Angiographic Findings of Peripheral Retinal Vasculature after Intravitreal Conbercept versus Ranibizumab for Retinopathy of Prematurity
title_fullStr Fluorescein Angiographic Findings of Peripheral Retinal Vasculature after Intravitreal Conbercept versus Ranibizumab for Retinopathy of Prematurity
title_full_unstemmed Fluorescein Angiographic Findings of Peripheral Retinal Vasculature after Intravitreal Conbercept versus Ranibizumab for Retinopathy of Prematurity
title_short Fluorescein Angiographic Findings of Peripheral Retinal Vasculature after Intravitreal Conbercept versus Ranibizumab for Retinopathy of Prematurity
title_sort fluorescein angiographic findings of peripheral retinal vasculature after intravitreal conbercept versus ranibizumab for retinopathy of prematurity
url http://dx.doi.org/10.1155/2019/3935945
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