Predictive Factors in OCT Analysis for Visual Outcome in Exudative AMD

Gamulescu, Maria-Andreea and Panagakis, Georgios and Theek, Carmen and Helbig, Horst (2012) Predictive Factors in OCT Analysis for Visual Outcome in Exudative AMD. JOURNAL OF OPHTHALMOLOGY: 851648. ISSN 2090-004X, 2090-0058

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Abstract

Background. Reliable predictive factors for therapy outcome may enable treating physicians to counsel their patients more efficiently concerning probability of improvement or time point of discontinuation of a certain therapy. Methods. This is a retrospective analysis of 87 patients with exudative age-related macular degeneration who received three monthly intravitreal ranibizumab injections. Visual acuity before initiation of intravitreal therapy and 4-6 weeks after last intravitreal injection was compared and related to the preoperative visualisation of continuity of the outer retinal layers as assessed by OCT: external limiting membrane (ELM), inner photoreceptor segments (IPS), junction between inner and outer segments (IS/OS), and outer photoreceptor segments (OPS). Results. Visual acuity increased in 40 of 87 (46.0%) patients, it remained stable in 25 (28.7%), and 22 (25.3%) patients had decreased visual acuity four to six weeks after triple intravitreal ranibizumab injections. No statistically significant predictive value could be demonstrated for grade of continuity of outer retinal layers concerning visual acuity development. Conclusions. In our series of AMD patients, grade of continuity of outer retinal layers was not a significant predictive value for visual acuity development after triple ranibizumab injections.

Item Type: Article
Uncontrolled Keywords: OPTICAL COHERENCE TOMOGRAPHY; DIABETIC MACULAR EDEMA; TRIAMCINOLONE ACETONIDE; RESOLUTION; INTEGRITY; INJECTION; ACUITY;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Augenheilkunde
Depositing User: Dr. Gernot Deinzer
Date Deposited: 25 May 2020 11:05
Last Modified: 25 May 2020 11:05
URI: https://pred.uni-regensburg.de/id/eprint/19458

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