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- Title
Vitreoretinal Interface Changes After Anti-vascular Endothelial Growth Factor Treatment in Highly Myopic Eyes: A Real-World Study.
- Authors
Tsui, Mei-Chi; Hsieh, Yi-Ting; Lai, Tso-Ting; Hsia, Yun; Wang, Shih-Wen; Ma, I-Hsin; Hung, Kuo-Chi; Lin, Chang-Pin; Yang, Chang-Hao; Yang, Chung-May; Ho, Tzyy-Chang
- Abstract
Introduction: To investigate changes in the vitreoretinal interface after anti-vascular endothelial growth factor (anti-VEGF) treatment in highly myopic eyes. Methods: Eyes with myopic choroidal neovascularization (mCNV) treated with intravitreal injection of anti-VEGF in a single-center were retrospectively reviewed. Fundus abnormalities and features of optical computed tomography were studied. Results: A total of 295 eyes from 254 patients were recruited to the study. Prevalence of myopic macular retinoschisis (MRS) was 25.4%, and the rates of progression and onset of MRS were 75.9% and 16.2%, respectively. Outer retinal schisis (β = 8.586, p = 0.003) and lamellar macular hole (LMH) (β = 5.015, p = 0.043) at baseline were identified risk factors for progression and onset of MRS, whereas male sex (β = 9.000, p = 0.039) and outer retinal schisis at baseline (β = 5.250, p = 0.010) were risk factors for MRS progression. Progression of MRS was first detected in outer retinal layers in 48.3% of eyes. Thirteen eyes required surgical intervention. Spontaneous improvements of MRS were observed in five eyes (6.3%). Conclusion: Changes in the vitreoretinal interface, such as progression, onset, and improvement of MRS, were observed after anti-VEGF treatment. Outer retinal schisis and LMH were risk factors of progression and onset of MRS after anti-VEGF treatment. Intravitreal injection of ranibizumab and retinal hemorrhage were protective factors for surgical intervention for vision-threatening MRS.
- Subjects
ENDOTHELIAL growth factors; OPTICAL tomography; INTRAVITREAL injections; COMPUTED tomography
- Publication
Ophthalmology & Therapy, 2023, Vol 12, Issue 3, p1693
- ISSN
2193-8245
- Publication type
Article
- DOI
10.1007/s40123-023-00701-4