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Incidence and multimodal imaging characteristics of macular neovascularisation subtypes in Chinese neovascular age-related macular degeneration patients
  1. Yining Zhang,
  2. Yuhong Gan,
  3. Yunkao Zeng,
  4. Xuenan Zhuang,
  5. Xiongze Zhang,
  6. Yuying Ji,
  7. Yongyue Su,
  8. Feng Wen
  1. Department of Ophthalmology, Sun Yat-Sen University Zhongshan Ophthalmic Center State Key Laboratory of Ophthalmology, Guangzhou, Guangdong, China
  1. Correspondence to Professor Feng Wen, Department of opthalmology,Xianlienanlu, Yuexiu district, Sun Yat-Sen University Zhongshan Ophthalmic Center State Key Laboratory of Ophthalmology, Guangzhou, Guangdong, China; wenfeng208{at}foxmail.com

Abstract

Aims To investigate the incidence of macular neovascularisation (MNV) subtypes of neovascular age-related macular degeneration (nAMD) and summarise these subtypes’ clinical features in the Chinese population using multimodal imaging.

Methods We retrospectively analysed 506 consecutive treatment-naïve nAMD patients (582 eyes). Incidence of MNV subtypes and clinical features were recorded based on their multimodal images. The classification of MNV subtypes in nAMD patients were referred to Consensus on Neovascular Age-related Macular Degeneration Nonmenclature (CONAN) study group classifications.

Results 460 eyes of 389 nAMD patients were included in our study. 68.5% (315/460) of nAMD eyes were from male. According to CONAN, we identified type 1 macular neovascularisation (MNV) in 61.1% of eyes (281/460), type 2 MNV in 16.3% of eyes (75/460), type 3 MNV in 2.0% of eyes (9/460), mixed type 1 and type 2 MNV in 20.6% of eyes (95/460). 58% of eyes (267/460) were diagnosed as polypoidal choroidal vasculopathy lesions (PCV). 45.2% of eyes (208/460) with PCV lesions were type 1 MNV and 12.8% of eyes (59/460) with PCV lesions were co-occurred with type 2 MNV.

Conclusion Based on the consensus anatomical classification system developed by the CONAN Study Group, we updated the incidence of MNV subtypes and found that PCV was the most common subtype and type 3 MNV was the least common subtype among Chinese nAMD patients. In addition, the co-occurrence of PCV and type 2 MNV was typically observed, and its frequency was reported in our study.

  • Neovascularisation
  • Imaging
  • Macula
  • Retina
  • Choroid

Data availability statement

Data are available on reasonable request. Data are accessible on reasonable request.

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Data availability statement

Data are available on reasonable request. Data are accessible on reasonable request.

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Footnotes

  • Contributors FW and YiZ conceived and designed the study. YuZ, XiZ, YS, XuZ and YJ contributed to data collection and analysis. YiZ wrote the manuscript. FW, YG and YuZ reviewed and edited the manuscript. FW is the guarantor. All authors read and approved the manuscript.

  • Funding This work was supported by the National Nature Science Foundation of China (grant numbers 82070970).

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.