The impact of structural optical coherence tomography changes on visual function in retinal vein occlusion.


Journal

Acta ophthalmologica
ISSN: 1755-3768
Titre abrégé: Acta Ophthalmol
Pays: England
ID NLM: 101468102

Informations de publication

Date de publication:
Jun 2021
Historique:
received: 19 11 2019
accepted: 18 08 2020
pubmed: 1 10 2020
medline: 25 11 2021
entrez: 30 9 2020
Statut: ppublish

Résumé

We aimed to determine the correlation between optical coherence tomography (OCT)- and demographic features and baseline best corrected visual acuity (BCVA) in treatment-naïve patients with retinal vein occlusion (RVO). This was a cross-sectional posthoc analysis of OCT images that included RVO patients from two prospective, open-label, multicentre studies. The morphological grading was done manually, in the standardized setting of a reading centre. Main outcome measure was the estimated difference in Early Treatment Diabetic Retinopathy Study letters associated with each individual biomarker. Included were 381/301 treatment-naïve patients with BRVO/CRVO. For BRVO, statistically significant correlations with BCVA were seen for a 100 µm increase in central subfield thickness (CST; -3.1 letters), intraretinal cysts at centre point (CP; +4.1), subretinal fluid (SRF) at CP (+3.0) and hyperreflective foci (HRF) at the central B-scan (-2.2). In CRVO, a 100 µm increase in CST was associated with a loss of -3.4 letters. In the total cohort, 100 µm increase in CST, SRF at CP and HRF at the central B-scan correlated with a difference of -3.2,+3.2 and -2.0 letters. A 10-year increase in age and female gender yielded a -2.0 and -2.5 letter decrease in the total cohort. Adjusted multiple R Of all parameters studied, only CST and age were consistently associated with worse BCVA in treatment-naïve RVO patients. Morphology on OCT explained only a modest part of functional loss in this patient cohort.

Identifiants

pubmed: 32996711
doi: 10.1111/aos.14621
pmc: PMC8359321
doi:

Substances chimiques

Angiogenesis Inhibitors 0
Vascular Endothelial Growth Factor A 0
Ranibizumab ZL1R02VT79

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

418-426

Informations de copyright

© 2020 The Authors. Acta Ophthalmologica published by John Wiley & Sons Ltd on behalf of Acta Ophthalmologica Scandinavica Foundation.

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Auteurs

Martin Michl (M)

Department of Ophthalmology, Vienna Reading Center and OPTIMA Study Group, Medical University of Vienna, Vienna, Austria.

Xuhui Liu (X)

Department of Ophthalmology, Vienna Reading Center and OPTIMA Study Group, Medical University of Vienna, Vienna, Austria.
Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou City, China.

Alexandra Kaider (A)

Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria.

Amir Sadeghipour (A)

Department of Ophthalmology, Vienna Reading Center and OPTIMA Study Group, Medical University of Vienna, Vienna, Austria.

Bianca S Gerendas (BS)

Department of Ophthalmology, Vienna Reading Center and OPTIMA Study Group, Medical University of Vienna, Vienna, Austria.

Ursula Schmidt-Erfurth (U)

Department of Ophthalmology, Vienna Reading Center and OPTIMA Study Group, Medical University of Vienna, Vienna, Austria.

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Classifications MeSH