Predictors of short-term outcomes related to central subfield foveal thickness after intravitreal bevacizumab for macular edema due to central retinal vein occlusion
机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Dept Ophthalmol, Beijing 100050, Peoples R China;首都医科大学附属天坛医院[2]Peking Univ, Hosp 3, Ctr Eye, Key Lab Vis Loss & Restorat,Minist Educ, Beijing 100191, Peoples R China
AIM: To investigate the predictive factors for short-term effects of intravitreal bevacizumab injections on central subfield foveal thickness (CSFT) in patients with macular edema (ME) secondary to central retinal vein occlusion (CRVO). METHODS: This was a retrospective study in 60 eyes treated with intravitreal bevacizumab injections for ME due to CRVO. Follow-up was three months. The Early Treatment Diabetic Retinopathy Study (ETDRS) score and CSFT measured by spectral -domain optical coherence tomography (SD-OCT) were used to observe the changes in best-corrected visual acuity (BCVA). Baseline BCVA, CSFT, age, CRVO duration and the presence of cystoid macular edema (CME) or subretinal fluid (SRF). were analyzed as potential predictive factors of the effects of intravitreal bevacizumab injections. RESULTS: BCVA improved from 0.9 logMAR at baseline to 0.6 logMAR at 3mo, which was associated with a significant reduction in CSFT from 721 pm to 392 pm 3mo after injection. About 50% of CME cases and more than 90% of SRF cases responded to treatment with a complete resolution at 3mo. Age (P=0.036) and low baseline CSFT (P =0.037) were associated with a good 3 -month prognosis. Patients >60 years old achieved better CME resolution (P =0.031) and lower CSFT at 3mo (305 pm vs 474 pm, P =0.003). CONCLUSION: Intravitreal bevacizumab significantly improved visual acuity and CSFT in patients with CRVO after 3mo. Older age and lower baseline CSFT were good predictors of short -term CSFT outcomes. The retinal thickness response to bevacizumab might depend on the resolution of CME rather than SRF.
第一作者机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Dept Ophthalmol, Beijing 100050, Peoples R China;
通讯作者:
通讯机构:[2]Peking Univ, Hosp 3, Ctr Eye, Key Lab Vis Loss & Restorat,Minist Educ, Beijing 100191, Peoples R China
推荐引用方式(GB/T 7714):
Wang Mei-Zi,Feng Kang,Lu Yao,et al.Predictors of short-term outcomes related to central subfield foveal thickness after intravitreal bevacizumab for macular edema due to central retinal vein occlusion[J].INTERNATIONAL JOURNAL OF OPHTHALMOLOGY.2016,9(1):86-92.doi:10.18240/ijo.2016.01.15.
APA:
Wang, Mei-Zi,Feng, Kang,Lu, Yao,Qian, Fang,Lu, Xin-Rong...&Zhao, Lin.(2016).Predictors of short-term outcomes related to central subfield foveal thickness after intravitreal bevacizumab for macular edema due to central retinal vein occlusion.INTERNATIONAL JOURNAL OF OPHTHALMOLOGY,9,(1)
MLA:
Wang, Mei-Zi,et al."Predictors of short-term outcomes related to central subfield foveal thickness after intravitreal bevacizumab for macular edema due to central retinal vein occlusion".INTERNATIONAL JOURNAL OF OPHTHALMOLOGY 9..1(2016):86-92