Association between CFH single nucleotide polymorphisms and response to photodynamic therapy in patients with central serous chorioretinopathy

Int Ophthalmol. 2020 Apr;40(4):951-956. doi: 10.1007/s10792-019-01261-y. Epub 2020 Jan 10.

Abstract

Purpose: To evaluate the association between single nucleotide polymorphisms (SNPs) in the complement factor H (CFH) gene and response to PDT in patients with CSC.

Methods: 103 eyes from 93 patients with CSC were enrolled from Department of Ophthalmology of the People's Hospital Peking University. Genotyping for selected SNPs in the CFH gene was performed, and multivariate linear analysis was used to identify factors influencing PDT treatment outcomes. Genetics associations between SNPs in the CFH gene and response to PDT in patients with CSC were analyzed.

Results: None of the seven SNPs examined in this study (rs800292, rs1061170, rs3753394, rs3753396, rs2284664, rs1329428, and rs1065489) showed significant associations with 1-month outcomes after PDT in patients with CSC (P > 0.05). Baseline BCVA changed at 1 month after PDT (P < 0.001), and baseline retinal thickness was associated with changes in retinal thickness at 1 month after PDT (P < 0.001). Age was significantly associated with resolution of SRF at 1 month after PDT (P = 0.004).

Conclusions: There were no significant associations between SNPs in the CFH gene and 1-month outcomes after PDT in patients with CSC. However, baseline BCVA, baseline retinal thickness, and age were significantly associated with response to PDT in patients with CSC. Larger studies with more power are necessary to further determine whether an association exists between SNPs in the CFH gene and PDT in patients with CSC.

Keywords: Central serous chorioretinopathy; Complement factor H; Single nucleotide polymorphisms; Verteporfin photodynamic therapy.

MeSH terms

  • Central Serous Chorioretinopathy / drug therapy
  • Central Serous Chorioretinopathy / genetics*
  • Central Serous Chorioretinopathy / metabolism
  • Complement Factor H / genetics*
  • Complement Factor H / metabolism
  • DNA / genetics
  • Female
  • Fluorescein Angiography
  • Follow-Up Studies
  • Fundus Oculi
  • Humans
  • Male
  • Middle Aged
  • Photochemotherapy
  • Photosensitizing Agents / therapeutic use
  • Polymorphism, Single Nucleotide*
  • Retrospective Studies
  • Tomography, Optical Coherence
  • Verteporfin / therapeutic use*
  • Visual Acuity*

Substances

  • Photosensitizing Agents
  • Verteporfin
  • Complement Factor H
  • DNA