The usefulness of the retinal sensitivity measurement with a microperimetry for predicting the visual prognosis of branch retinal vein occlusion with macular edema

Purpose To evaluate the usefulness of the retinal sensitivity in branch retinal vein occlusion (BVO) with macular edema (ME) following the anti-vascular endothelial growth factor (anti-VEGF) treatment. Methods Best-corrected visual acuity (BCVA), microperimetry, and optical coherence tomography (OCT...

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Veröffentlicht in:Graefe's archive for clinical and experimental ophthalmology 2020-09, Vol.258 (9), p.1949-1958
Hauptverfasser: Fujino, Ryosuke, Asaoka, Ryo, Aoki, Shuichiro, Sugiura, Aya, Kusakabe, Mari, Asano-Shimizu, Kimiko, Nomura, Yoko, Aoki, Aya, Hashimoto, Yohei, Azuma, Keiko, Inoue, Tatsuya, Obata, Ryo
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container_end_page 1958
container_issue 9
container_start_page 1949
container_title Graefe's archive for clinical and experimental ophthalmology
container_volume 258
creator Fujino, Ryosuke
Asaoka, Ryo
Aoki, Shuichiro
Sugiura, Aya
Kusakabe, Mari
Asano-Shimizu, Kimiko
Nomura, Yoko
Aoki, Aya
Hashimoto, Yohei
Azuma, Keiko
Inoue, Tatsuya
Obata, Ryo
description Purpose To evaluate the usefulness of the retinal sensitivity in branch retinal vein occlusion (BVO) with macular edema (ME) following the anti-vascular endothelial growth factor (anti-VEGF) treatment. Methods Best-corrected visual acuity (BCVA), microperimetry, and optical coherence tomography (OCT) measurements were carried out in 20 patients with BVO with ME, at baseline and 1 month after the anti-VEGF treatment. The relationships among BCVA, mean retinal sensitivity (MS), macular volume (MV), central retinal thickness (CRT), integrity of ellipsoid zone (EZ), mean retinal sensitivity in the most affected quadrant (qMS), and macular volume in the most affected quadrant (qMV) were investigated. In addition, the relationships among the change in BCVA at 1 month (ΔBCVA1m), mean sensitivity in the most affected quadrant at 1 month (ΔqMS1m), MV in the most affected quadrant at 1 month (ΔqMV1m), and CRT at 1 month (ΔCRT1m) were analyzed. The optimal model for BCVA at 3 months after the treatment (BCVA3m) was identified. Results There was not a significant difference in BCVA (paired Wilcoxon test, p  = 0.058) between at baseline and after the treatment, but there were significant differences in MS, MV, CRT, qMS, and qMV ( p  
doi_str_mv 10.1007/s00417-020-04759-9
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Methods Best-corrected visual acuity (BCVA), microperimetry, and optical coherence tomography (OCT) measurements were carried out in 20 patients with BVO with ME, at baseline and 1 month after the anti-VEGF treatment. The relationships among BCVA, mean retinal sensitivity (MS), macular volume (MV), central retinal thickness (CRT), integrity of ellipsoid zone (EZ), mean retinal sensitivity in the most affected quadrant (qMS), and macular volume in the most affected quadrant (qMV) were investigated. In addition, the relationships among the change in BCVA at 1 month (ΔBCVA1m), mean sensitivity in the most affected quadrant at 1 month (ΔqMS1m), MV in the most affected quadrant at 1 month (ΔqMV1m), and CRT at 1 month (ΔCRT1m) were analyzed. The optimal model for BCVA at 3 months after the treatment (BCVA3m) was identified. Results There was not a significant difference in BCVA (paired Wilcoxon test, p  = 0.058) between at baseline and after the treatment, but there were significant differences in MS, MV, CRT, qMS, and qMV ( p  &lt; 0.05). There was a significant relationship between ΔqMS1m and ΔMV1m, ΔCRT1m, and ΔqMV1m, respectively. ΔMS1m or ΔqMS1m and BCVA at baseline and ΔBCVA1m were selected as explanatory variables in the optimal model for BCVA3m. Conclusion Retinal sensitivity was related to retinal structure, whereas this was not the case with BCVA. In addition, retinal sensitivity was useful to predict BCVA after anti-VEGF therapy.</description><identifier>ISSN: 0721-832X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-020-04759-9</identifier><identifier>PMID: 32458100</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Acuity ; Edema ; Life Sciences &amp; Biomedicine ; Medicine ; Medicine &amp; Public Health ; Occlusion ; Ophthalmology ; Retina ; Retinal Disorders ; Science &amp; Technology ; Vascular endothelial growth factor</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2020-09, Vol.258 (9), p.1949-1958</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>11</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000553569300001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c474t-a94b6de5d4dd02bf250ae73213a257a461c3a53f90f47735ea0ec2e59565a62a3</citedby><cites>FETCH-LOGICAL-c474t-a94b6de5d4dd02bf250ae73213a257a461c3a53f90f47735ea0ec2e59565a62a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00417-020-04759-9$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00417-020-04759-9$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32458100$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fujino, Ryosuke</creatorcontrib><creatorcontrib>Asaoka, Ryo</creatorcontrib><creatorcontrib>Aoki, Shuichiro</creatorcontrib><creatorcontrib>Sugiura, Aya</creatorcontrib><creatorcontrib>Kusakabe, Mari</creatorcontrib><creatorcontrib>Asano-Shimizu, Kimiko</creatorcontrib><creatorcontrib>Nomura, Yoko</creatorcontrib><creatorcontrib>Aoki, Aya</creatorcontrib><creatorcontrib>Hashimoto, Yohei</creatorcontrib><creatorcontrib>Azuma, Keiko</creatorcontrib><creatorcontrib>Inoue, Tatsuya</creatorcontrib><creatorcontrib>Obata, Ryo</creatorcontrib><title>The usefulness of the retinal sensitivity measurement with a microperimetry for predicting the visual prognosis of branch retinal vein occlusion with macular edema</title><title>Graefe's archive for clinical and experimental ophthalmology</title><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><addtitle>GRAEF ARCH CLIN EXP</addtitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><description>Purpose To evaluate the usefulness of the retinal sensitivity in branch retinal vein occlusion (BVO) with macular edema (ME) following the anti-vascular endothelial growth factor (anti-VEGF) treatment. Methods Best-corrected visual acuity (BCVA), microperimetry, and optical coherence tomography (OCT) measurements were carried out in 20 patients with BVO with ME, at baseline and 1 month after the anti-VEGF treatment. The relationships among BCVA, mean retinal sensitivity (MS), macular volume (MV), central retinal thickness (CRT), integrity of ellipsoid zone (EZ), mean retinal sensitivity in the most affected quadrant (qMS), and macular volume in the most affected quadrant (qMV) were investigated. In addition, the relationships among the change in BCVA at 1 month (ΔBCVA1m), mean sensitivity in the most affected quadrant at 1 month (ΔqMS1m), MV in the most affected quadrant at 1 month (ΔqMV1m), and CRT at 1 month (ΔCRT1m) were analyzed. The optimal model for BCVA at 3 months after the treatment (BCVA3m) was identified. Results There was not a significant difference in BCVA (paired Wilcoxon test, p  = 0.058) between at baseline and after the treatment, but there were significant differences in MS, MV, CRT, qMS, and qMV ( p  &lt; 0.05). There was a significant relationship between ΔqMS1m and ΔMV1m, ΔCRT1m, and ΔqMV1m, respectively. ΔMS1m or ΔqMS1m and BCVA at baseline and ΔBCVA1m were selected as explanatory variables in the optimal model for BCVA3m. Conclusion Retinal sensitivity was related to retinal structure, whereas this was not the case with BCVA. 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Methods Best-corrected visual acuity (BCVA), microperimetry, and optical coherence tomography (OCT) measurements were carried out in 20 patients with BVO with ME, at baseline and 1 month after the anti-VEGF treatment. The relationships among BCVA, mean retinal sensitivity (MS), macular volume (MV), central retinal thickness (CRT), integrity of ellipsoid zone (EZ), mean retinal sensitivity in the most affected quadrant (qMS), and macular volume in the most affected quadrant (qMV) were investigated. In addition, the relationships among the change in BCVA at 1 month (ΔBCVA1m), mean sensitivity in the most affected quadrant at 1 month (ΔqMS1m), MV in the most affected quadrant at 1 month (ΔqMV1m), and CRT at 1 month (ΔCRT1m) were analyzed. The optimal model for BCVA at 3 months after the treatment (BCVA3m) was identified. Results There was not a significant difference in BCVA (paired Wilcoxon test, p  = 0.058) between at baseline and after the treatment, but there were significant differences in MS, MV, CRT, qMS, and qMV ( p  &lt; 0.05). There was a significant relationship between ΔqMS1m and ΔMV1m, ΔCRT1m, and ΔqMV1m, respectively. ΔMS1m or ΔqMS1m and BCVA at baseline and ΔBCVA1m were selected as explanatory variables in the optimal model for BCVA3m. Conclusion Retinal sensitivity was related to retinal structure, whereas this was not the case with BCVA. In addition, retinal sensitivity was useful to predict BCVA after anti-VEGF therapy.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32458100</pmid><doi>10.1007/s00417-020-04759-9</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Acuity
Edema
Life Sciences & Biomedicine
Medicine
Medicine & Public Health
Occlusion
Ophthalmology
Retina
Retinal Disorders
Science & Technology
Vascular endothelial growth factor
title The usefulness of the retinal sensitivity measurement with a microperimetry for predicting the visual prognosis of branch retinal vein occlusion with macular edema
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