Smooth borders between inner nuclear layer and outer plexiform layer predict fewer macular edema recurrences in branch retinal vein occlusion

Abstract We hypothesized the smoothness of the border between the inner nuclear layer (INL) and outer plexiform layer (OPL) associates with the frequency of macular edema (ME) recurrences secondary to branch retinal vein occlusion (BRVO). Thirty-seven consecutive eyes with BRVO treated with anti-vas...

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Autores principales: Hirofumi Sasajima, Kotaro Tsuboi, Rokuki Kiyosawa, Akira Fukutomi, Kenta Murotani, Motohiro Kamei
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/6f6dc48bdc1d4a8485fbcb47b1c5b55a
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spelling oai:doaj.org-article:6f6dc48bdc1d4a8485fbcb47b1c5b55a2021-12-02T14:53:43ZSmooth borders between inner nuclear layer and outer plexiform layer predict fewer macular edema recurrences in branch retinal vein occlusion10.1038/s41598-021-95501-w2045-2322https://doaj.org/article/6f6dc48bdc1d4a8485fbcb47b1c5b55a2021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-95501-whttps://doaj.org/toc/2045-2322Abstract We hypothesized the smoothness of the border between the inner nuclear layer (INL) and outer plexiform layer (OPL) associates with the frequency of macular edema (ME) recurrences secondary to branch retinal vein occlusion (BRVO). Thirty-seven consecutive eyes with BRVO treated with anti-vascular endothelial growth factor (VEGF) injections at 1-year follow-up were included. We manually traced the border between the INL and OPL within the 1.5-mm vertical line from the fovea on optical coherence tomography (OCT) images at the initial visit. The jagged ratio (JR), the border length divided by the spline curve length, was calculated. We performed univariate and multivariate regression analyses, including JR, patient characteristics, number of cystoid spaces in the INL, INL area, and outer retina area. Multivariate regression analysis showed JR significantly correlates with the total number of anti-VEGF injections (P < 0.0001). Moreover, the mean JR was significantly lower in the nine eyes receiving two or fewer injections than in the 28 eyes receiving three or more injections (1.02 ± 0.01 vs. 1.13 ± 0.06, P < 0.0001). A smooth border between the INL and the OPL on OCT images at the initial visit may be a biomarker for fewer ME recurrences in eyes with BRVO.Hirofumi SasajimaKotaro TsuboiRokuki KiyosawaAkira FukutomiKenta MurotaniMotohiro KameiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Hirofumi Sasajima
Kotaro Tsuboi
Rokuki Kiyosawa
Akira Fukutomi
Kenta Murotani
Motohiro Kamei
Smooth borders between inner nuclear layer and outer plexiform layer predict fewer macular edema recurrences in branch retinal vein occlusion
description Abstract We hypothesized the smoothness of the border between the inner nuclear layer (INL) and outer plexiform layer (OPL) associates with the frequency of macular edema (ME) recurrences secondary to branch retinal vein occlusion (BRVO). Thirty-seven consecutive eyes with BRVO treated with anti-vascular endothelial growth factor (VEGF) injections at 1-year follow-up were included. We manually traced the border between the INL and OPL within the 1.5-mm vertical line from the fovea on optical coherence tomography (OCT) images at the initial visit. The jagged ratio (JR), the border length divided by the spline curve length, was calculated. We performed univariate and multivariate regression analyses, including JR, patient characteristics, number of cystoid spaces in the INL, INL area, and outer retina area. Multivariate regression analysis showed JR significantly correlates with the total number of anti-VEGF injections (P < 0.0001). Moreover, the mean JR was significantly lower in the nine eyes receiving two or fewer injections than in the 28 eyes receiving three or more injections (1.02 ± 0.01 vs. 1.13 ± 0.06, P < 0.0001). A smooth border between the INL and the OPL on OCT images at the initial visit may be a biomarker for fewer ME recurrences in eyes with BRVO.
format article
author Hirofumi Sasajima
Kotaro Tsuboi
Rokuki Kiyosawa
Akira Fukutomi
Kenta Murotani
Motohiro Kamei
author_facet Hirofumi Sasajima
Kotaro Tsuboi
Rokuki Kiyosawa
Akira Fukutomi
Kenta Murotani
Motohiro Kamei
author_sort Hirofumi Sasajima
title Smooth borders between inner nuclear layer and outer plexiform layer predict fewer macular edema recurrences in branch retinal vein occlusion
title_short Smooth borders between inner nuclear layer and outer plexiform layer predict fewer macular edema recurrences in branch retinal vein occlusion
title_full Smooth borders between inner nuclear layer and outer plexiform layer predict fewer macular edema recurrences in branch retinal vein occlusion
title_fullStr Smooth borders between inner nuclear layer and outer plexiform layer predict fewer macular edema recurrences in branch retinal vein occlusion
title_full_unstemmed Smooth borders between inner nuclear layer and outer plexiform layer predict fewer macular edema recurrences in branch retinal vein occlusion
title_sort smooth borders between inner nuclear layer and outer plexiform layer predict fewer macular edema recurrences in branch retinal vein occlusion
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/6f6dc48bdc1d4a8485fbcb47b1c5b55a
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AT kotarotsuboi smoothbordersbetweeninnernuclearlayerandouterplexiformlayerpredictfewermacularedemarecurrencesinbranchretinalveinocclusion
AT rokukikiyosawa smoothbordersbetweeninnernuclearlayerandouterplexiformlayerpredictfewermacularedemarecurrencesinbranchretinalveinocclusion
AT akirafukutomi smoothbordersbetweeninnernuclearlayerandouterplexiformlayerpredictfewermacularedemarecurrencesinbranchretinalveinocclusion
AT kentamurotani smoothbordersbetweeninnernuclearlayerandouterplexiformlayerpredictfewermacularedemarecurrencesinbranchretinalveinocclusion
AT motohirokamei smoothbordersbetweeninnernuclearlayerandouterplexiformlayerpredictfewermacularedemarecurrencesinbranchretinalveinocclusion
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