Prevalence of vitreomacular adhesion: an optical coherence tomography analysis in the retina clinic setting

Elias Reichel,1 Glenn J Jaffe,2 Srinivas R Sadda,3 Stefanie Schuman,2 Amir H Hariri,3 Keegan Skidmore,1 Jake Duker1 1Department of Ophthalmology, New England Eye Center, Tufts Medical Center, Tufts University School of Medicine, Boston, MA, 2Duke Eye Center, Duke Reading Center, Durham, NC, 3Depart...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Reichel E, Jaffe GJ, Sadda SR, Schuman S, Hariri AH, Skidmore K, Duker J
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	VMA OCT macular hole vitreomacular traction retina Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/ae84114f43a94a8fb5f56626966bf6fb
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:ae84114f43a94a8fb5f56626966bf6fb
record_format	dspace
spelling	oai:doaj.org-article:ae84114f43a94a8fb5f56626966bf6fb2021-12-02T00:30:49ZPrevalence of vitreomacular adhesion: an optical coherence tomography analysis in the retina clinic setting1177-5483https://doaj.org/article/ae84114f43a94a8fb5f56626966bf6fb2016-04-01T00:00:00Zhttps://www.dovepress.com/prevalence-of-vitreomacular-adhesion-an-optical-coherence-tomography-a-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Elias Reichel,1 Glenn J Jaffe,2 Srinivas R Sadda,3 Stefanie Schuman,2 Amir H Hariri,3 Keegan Skidmore,1 Jake Duker1 1Department of Ophthalmology, New England Eye Center, Tufts Medical Center, Tufts University School of Medicine, Boston, MA, 2Duke Eye Center, Duke Reading Center, Durham, NC, 3Department of Ophthalmology, Doheny Eye Centers, University of California, Los Angeles, CA, USA Purpose: The aims of this study were to determine the prevalence of vitreomacular adhesion (VMA) in a random sample of clinical patients at three US retina clinics and to assess comorbid retinal conditions, ocular diseases, prior treatment history, and other medical histories. Patients and methods: This observational, retrospective cohort study was based on patients from the Doheny Eye Centers, Duke Eye Center, and Tufts Medical Center who received a bilateral spectral domain optical coherence tomography (SD-OCT) scan (one scan/eye) for clinical evaluation with available medical records. The study had three phases: 1) collection of retrospective patient data; 2) review of OCT scans at a reading center to assess VMA and associated conditions; and 3) analyses and reporting of data on the prevalence of VMA, patient demographics, and comorbid conditions. Data were obtained from electronic health records and OCT grading forms. Outcome measures from bilateral SD-OCT scans and medical records included OCT evaluation of VMA and retinal comorbid conditions. Results: In 719 patients with 1,483 reviewable OCT scans, the prevalence of VMA was estimated at 14.74% (90% CI, 12.58%–16.92%). The prevalence of unilateral VMA was estimated at 12.39%, while bilateral VMA was 2.36%. In patients with VMA, 34 out of 123 eyes with VMA (27.64%) also had fovea deformed by vitreomacular traction. Macular hole (MH) was significantly more prevalent in VMA-diagnosed eyes versus non-VMA-diagnosed eyes (6.5% versus 1.9%; P=0.02). There was a significantly higher incidence of full-thickness MH (P=0.008), operculum/flaps (P<0.0001), and lamellar or pseudo-holes (P=0.048) in VMA-diagnosed versus non-VMA-diagnosed eyes. Age, MH as a comorbid condition, full-thickness MH, lamellar or pseudo-holes, and operculum were predictive of a VMA diagnosis. Conclusion: The prevalence of VMA was estimated at 14.74% in a random sample of patients from three retina clinics. VMA diagnosis can be predicted by factors, including age, MH as a comorbid condition, and lamellar or pseudo-holes. Keywords: VMA, OCT, macular hole, vitreomacular traction, comorbid conditions, operculum/flaps, lamellar or pseudo-holesReichel EJaffe GJSadda SRSchuman SHariri AHSkidmore KDuker JDove Medical PressarticleVMAOCTmacular holevitreomacular tractionretinaOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 627-633 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	VMA OCT macular hole vitreomacular traction retina Ophthalmology RE1-994
spellingShingle	VMA OCT macular hole vitreomacular traction retina Ophthalmology RE1-994 Reichel E Jaffe GJ Sadda SR Schuman S Hariri AH Skidmore K Duker J Prevalence of vitreomacular adhesion: an optical coherence tomography analysis in the retina clinic setting
description	Elias Reichel,1 Glenn J Jaffe,2 Srinivas R Sadda,3 Stefanie Schuman,2 Amir H Hariri,3 Keegan Skidmore,1 Jake Duker1 1Department of Ophthalmology, New England Eye Center, Tufts Medical Center, Tufts University School of Medicine, Boston, MA, 2Duke Eye Center, Duke Reading Center, Durham, NC, 3Department of Ophthalmology, Doheny Eye Centers, University of California, Los Angeles, CA, USA Purpose: The aims of this study were to determine the prevalence of vitreomacular adhesion (VMA) in a random sample of clinical patients at three US retina clinics and to assess comorbid retinal conditions, ocular diseases, prior treatment history, and other medical histories. Patients and methods: This observational, retrospective cohort study was based on patients from the Doheny Eye Centers, Duke Eye Center, and Tufts Medical Center who received a bilateral spectral domain optical coherence tomography (SD-OCT) scan (one scan/eye) for clinical evaluation with available medical records. The study had three phases: 1) collection of retrospective patient data; 2) review of OCT scans at a reading center to assess VMA and associated conditions; and 3) analyses and reporting of data on the prevalence of VMA, patient demographics, and comorbid conditions. Data were obtained from electronic health records and OCT grading forms. Outcome measures from bilateral SD-OCT scans and medical records included OCT evaluation of VMA and retinal comorbid conditions. Results: In 719 patients with 1,483 reviewable OCT scans, the prevalence of VMA was estimated at 14.74% (90% CI, 12.58%–16.92%). The prevalence of unilateral VMA was estimated at 12.39%, while bilateral VMA was 2.36%. In patients with VMA, 34 out of 123 eyes with VMA (27.64%) also had fovea deformed by vitreomacular traction. Macular hole (MH) was significantly more prevalent in VMA-diagnosed eyes versus non-VMA-diagnosed eyes (6.5% versus 1.9%; P=0.02). There was a significantly higher incidence of full-thickness MH (P=0.008), operculum/flaps (P<0.0001), and lamellar or pseudo-holes (P=0.048) in VMA-diagnosed versus non-VMA-diagnosed eyes. Age, MH as a comorbid condition, full-thickness MH, lamellar or pseudo-holes, and operculum were predictive of a VMA diagnosis. Conclusion: The prevalence of VMA was estimated at 14.74% in a random sample of patients from three retina clinics. VMA diagnosis can be predicted by factors, including age, MH as a comorbid condition, and lamellar or pseudo-holes. Keywords: VMA, OCT, macular hole, vitreomacular traction, comorbid conditions, operculum/flaps, lamellar or pseudo-holes
format	article
author	Reichel E Jaffe GJ Sadda SR Schuman S Hariri AH Skidmore K Duker J
author_facet	Reichel E Jaffe GJ Sadda SR Schuman S Hariri AH Skidmore K Duker J
author_sort	Reichel E
title	Prevalence of vitreomacular adhesion: an optical coherence tomography analysis in the retina clinic setting
title_short	Prevalence of vitreomacular adhesion: an optical coherence tomography analysis in the retina clinic setting
title_full	Prevalence of vitreomacular adhesion: an optical coherence tomography analysis in the retina clinic setting
title_fullStr	Prevalence of vitreomacular adhesion: an optical coherence tomography analysis in the retina clinic setting
title_full_unstemmed	Prevalence of vitreomacular adhesion: an optical coherence tomography analysis in the retina clinic setting
title_sort	prevalence of vitreomacular adhesion: an optical coherence tomography analysis in the retina clinic setting
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/ae84114f43a94a8fb5f56626966bf6fb
work_keys_str_mv	AT reichele prevalenceofvitreomacularadhesionanopticalcoherencetomographyanalysisintheretinaclinicsetting AT jaffegj prevalenceofvitreomacularadhesionanopticalcoherencetomographyanalysisintheretinaclinicsetting AT saddasr prevalenceofvitreomacularadhesionanopticalcoherencetomographyanalysisintheretinaclinicsetting AT schumans prevalenceofvitreomacularadhesionanopticalcoherencetomographyanalysisintheretinaclinicsetting AT haririah prevalenceofvitreomacularadhesionanopticalcoherencetomographyanalysisintheretinaclinicsetting AT skidmorek prevalenceofvitreomacularadhesionanopticalcoherencetomographyanalysisintheretinaclinicsetting AT dukerj prevalenceofvitreomacularadhesionanopticalcoherencetomographyanalysisintheretinaclinicsetting
_version_	1718403700407402496

Prevalence of vitreomacular adhesion: an optical coherence tomography analysis in the retina clinic setting

Ejemplares similares