Optical coherence tomography parameters predictive of visual outcome after anti-VEGF therapy for retinal vein occlusion

Akiko Fujihara-Mino, Yoshinori Mitamura, Naoki Inomoto, Hiroki Sano, Kei Akaiwa, Kentaro Semba Department of Ophthalmology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan Purpose: To determine the optical coherence tomography (OCT) parameters that are pred...

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Autores principales: Fujihara-Mino A, Mitamura Y, Inomoto N, Sano H, Akaiwa K, Semba K
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Publicado: Dove Medical Press 2016
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spelling oai:doaj.org-article:f0a2d23f434c436bb0ae91ca162d610b2021-12-02T02:03:02ZOptical coherence tomography parameters predictive of visual outcome after anti-VEGF therapy for retinal vein occlusion1177-5483https://doaj.org/article/f0a2d23f434c436bb0ae91ca162d610b2016-07-01T00:00:00Zhttps://www.dovepress.com/optical-coherence-tomography--parameters-predictive-of-visual-outcome--peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Akiko Fujihara-Mino, Yoshinori Mitamura, Naoki Inomoto, Hiroki Sano, Kei Akaiwa, Kentaro Semba Department of Ophthalmology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan Purpose: To determine the optical coherence tomography (OCT) parameters that are predictive of visual outcome after anti-VEGF therapy for a retinal vein occlusion (RVO). Methods: Fifty-seven eyes with macular edema (ME) secondary to a central or branch RVO treated with bevacizumab or ranibizumab were studied. Spectral-domain OCT and microperimetry were performed before, 1, 3, and 6 months after the treatment and at the final visit. Central retinal thickness (CRT), macular volume (MV), integrity of the external limiting membrane (ELM), ellipsoid zone (EZ), and foveal bulge (FB), and photoreceptor outer segment (PROS) length were determined. Results: The mean follow-up period was 17.8±11.5 months. In 46 of the 57 eyes, a resolution of the ME was achieved. The pretreatment CRT and MV, presence of intact ELM, EZ, and FB, and PROS length at the time of ME resolution were significantly correlated with the best-corrected visual acuity and retinal sensitivity at the final visit (P<0.050). Multiple regression analyses showed that the pretreatment MV had the highest correlation with the posttreatment best-corrected visual acuity and retinal sensitivity (P<0.050). Conclusion: The CRT, MV, ELM, EZ, FB, and PROS length are predictive factors for the visual outcome after anti-VEGF therapy for RVO. Keywords: anti-VEGF therapy, retinal sensitivity, retinal vein occlusion, spectral-domain optical coherence tomography, visual acuityFujihara-Mino AMitamura YInomoto NSano HAkaiwa KSemba KDove Medical Pressarticleanti-vascular endothelial growth factor therapyretinal sensitivityretinal vein occlusionspectral-domain optical coherence tomographyvisual acuityOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 1305-1313 (2016)
institution DOAJ
collection DOAJ
language EN
topic anti-vascular endothelial growth factor therapy
retinal sensitivity
retinal vein occlusion
spectral-domain optical coherence tomography
visual acuity
Ophthalmology
RE1-994
spellingShingle anti-vascular endothelial growth factor therapy
retinal sensitivity
retinal vein occlusion
spectral-domain optical coherence tomography
visual acuity
Ophthalmology
RE1-994
Fujihara-Mino A
Mitamura Y
Inomoto N
Sano H
Akaiwa K
Semba K
Optical coherence tomography parameters predictive of visual outcome after anti-VEGF therapy for retinal vein occlusion
description Akiko Fujihara-Mino, Yoshinori Mitamura, Naoki Inomoto, Hiroki Sano, Kei Akaiwa, Kentaro Semba Department of Ophthalmology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan Purpose: To determine the optical coherence tomography (OCT) parameters that are predictive of visual outcome after anti-VEGF therapy for a retinal vein occlusion (RVO). Methods: Fifty-seven eyes with macular edema (ME) secondary to a central or branch RVO treated with bevacizumab or ranibizumab were studied. Spectral-domain OCT and microperimetry were performed before, 1, 3, and 6 months after the treatment and at the final visit. Central retinal thickness (CRT), macular volume (MV), integrity of the external limiting membrane (ELM), ellipsoid zone (EZ), and foveal bulge (FB), and photoreceptor outer segment (PROS) length were determined. Results: The mean follow-up period was 17.8±11.5 months. In 46 of the 57 eyes, a resolution of the ME was achieved. The pretreatment CRT and MV, presence of intact ELM, EZ, and FB, and PROS length at the time of ME resolution were significantly correlated with the best-corrected visual acuity and retinal sensitivity at the final visit (P<0.050). Multiple regression analyses showed that the pretreatment MV had the highest correlation with the posttreatment best-corrected visual acuity and retinal sensitivity (P<0.050). Conclusion: The CRT, MV, ELM, EZ, FB, and PROS length are predictive factors for the visual outcome after anti-VEGF therapy for RVO. Keywords: anti-VEGF therapy, retinal sensitivity, retinal vein occlusion, spectral-domain optical coherence tomography, visual acuity
format article
author Fujihara-Mino A
Mitamura Y
Inomoto N
Sano H
Akaiwa K
Semba K
author_facet Fujihara-Mino A
Mitamura Y
Inomoto N
Sano H
Akaiwa K
Semba K
author_sort Fujihara-Mino A
title Optical coherence tomography parameters predictive of visual outcome after anti-VEGF therapy for retinal vein occlusion
title_short Optical coherence tomography parameters predictive of visual outcome after anti-VEGF therapy for retinal vein occlusion
title_full Optical coherence tomography parameters predictive of visual outcome after anti-VEGF therapy for retinal vein occlusion
title_fullStr Optical coherence tomography parameters predictive of visual outcome after anti-VEGF therapy for retinal vein occlusion
title_full_unstemmed Optical coherence tomography parameters predictive of visual outcome after anti-VEGF therapy for retinal vein occlusion
title_sort optical coherence tomography parameters predictive of visual outcome after anti-vegf therapy for retinal vein occlusion
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/f0a2d23f434c436bb0ae91ca162d610b
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