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Vitreomacular traction quantitative cutoffs for the assessment of resolution after ocriplasmin intravitreal treatment.
- Source :
-
Scientific reports [Sci Rep] 2020 Oct 16; Vol. 10 (1), pp. 17583. Date of Electronic Publication: 2020 Oct 16. - Publication Year :
- 2020
-
Abstract
- This study aimed to assess optical coherence tomography (OCT) parameters associated with vitreomacular traction (VMT) resolution after ocriplasmin intravitreal injection and also associated with the development of vitreomacular complications. Study designed was a retrospective case series. Structural OCT images were acquired at baseline and over the follow-up after treatment. We developed a mathematical model to provide quantitative parameters associated with VMT resolution. Moreover, we adopted the same model to assess the quantitative parameters associated with development of further vitreomacular complications or with the worsening of the coexisting condition. Main outcome measures were BCVA, central macular thickness (CMT), VMT reflectivity, VMT size, VMT resolution, epiretinal membrane (ERM), macular holes. 73 eyes of 73 VMT patients (mean age 73 ± 9 years) were recruited. The mean follow-up duration was 2.6 ± 1.1 years. Mean baseline BCVA was 0.38 ± 0.18 LogMAR, improving to 0.26 ± 0.20 at the end of the follow-up (p < 0.01). Baseline CMT was 431 ± 118 µm, improving to 393 ± 122 µm at the end of the follow-up (p < 0.01). 38/73 eyes (52%) showed only VMT, whereas 35/73 eyes (48%) also showed coexisting alterations at baseline. VMT resolved in 40/73 eyes (55% of cases). Our model disclosed VMT reflectivity as the most involved parameter in VMT resolution. VMT size showed less influence on the success of ocriplasmin treatment. ERM was negatively associated with VMT resolution. Moreover, VMT reflectivity values and ERM represented the most important parameters for the onset of vitreomacular complications.
- Subjects :
- Aged
Aged, 80 and over
Female
Fibrinolysin pharmacology
Humans
Intravitreal Injections methods
Male
Middle Aged
Models, Theoretical
Peptide Fragments pharmacology
Retina pathology
Retina surgery
Retinal Perforations surgery
Retrospective Studies
Tomography, Optical Coherence methods
Treatment Outcome
Vision Disorders
Visual Acuity
Vitreous Body metabolism
Vitrectomy methods
Vitreous Detachment diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 2045-2322
- Volume :
- 10
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Scientific reports
- Publication Type :
- Academic Journal
- Accession number :
- 33067537
- Full Text :
- https://doi.org/10.1038/s41598-020-74472-4