Comparison of observation, intravitreal bevacizumab, or pars plana vitrectomy for non-proliferative type 2 idiopathic macular telangiectasia.
Identifieur interne : 002900 ( Main/Corpus ); précédent : 002899; suivant : 002901Comparison of observation, intravitreal bevacizumab, or pars plana vitrectomy for non-proliferative type 2 idiopathic macular telangiectasia.
Auteurs : Eric J. Sigler ; John C. Randolph ; Jorge I. Calzada ; Steve CharlesSource :
- Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie [ 1435-702X ] ; 2013.
English descriptors
- KwdEn :
- Aged (MeSH), Angiogenesis Inhibitors (therapeutic use), Antibodies, Monoclonal, Humanized (therapeutic use), Basement Membrane (surgery), Bevacizumab (MeSH), Female (MeSH), Fluorescein Angiography (MeSH), Follow-Up Studies (MeSH), Humans (MeSH), Intravitreal Injections (MeSH), Male (MeSH), Observation (MeSH), Retinal Telangiectasis (drug therapy), Retinal Telangiectasis (physiopathology), Retinal Telangiectasis (surgery), Retinal Telangiectasis (therapy), Retrospective Studies (MeSH), Tomography, Optical Coherence (MeSH), Treatment Outcome (MeSH), Vascular Endothelial Growth Factor A (antagonists & inhibitors), Visual Acuity (physiology), Vitrectomy (MeSH).
- MESH :
- chemical , antagonists & inhibitors : Vascular Endothelial Growth Factor A.
- chemical , therapeutic use : Angiogenesis Inhibitors, Antibodies, Monoclonal, Humanized.
- drug therapy : Retinal Telangiectasis.
- physiology : Visual Acuity.
- physiopathology : Retinal Telangiectasis.
- surgery : Basement Membrane, Retinal Telangiectasis.
- therapy : Retinal Telangiectasis.
- Aged, Bevacizumab, Female, Fluorescein Angiography, Follow-Up Studies, Humans, Intravitreal Injections, Male, Observation, Retrospective Studies, Tomography, Optical Coherence, Treatment Outcome, Vitrectomy.
Abstract
PURPOSE
To compare visual and anatomic outcomes in eyes with type 2 idiopathic macular telangiectasia (Mactel) treated with either intravitreal bevacizumab (IVB), observation, or pars plana vitrectomy (PPV) with internal limiting membrane removal.
METHODS
Retrospective, consecutive, interventional case series of phakic patients with Mactel. Best-corrected Snellen visual acuity (BCVA) and complete ophthalmic exam was obtained prior to treatment and at subsequent 3-month intervals for a minimum of 6 months. Fluorescein angiographic and spectral-domain optical coherence tomography features were examined, and compared to BCVA at treatment initiation and follow-up.
RESULTS
Fifty-six eyes of 28 patients were evaluated. Mean age was 65 ± 12 years, and mean follow-up was 24 ± 13 months. Patients were treated with either observation (n = 33), IVB (n = 15), or PPV (n = 8). Mean number of treatments for the IVB group was 2.5 ± 3.5 intravitreal injections. No significant differences in BCVA change were observed between treatment groups via one-way ANOVA (p = 0.49). Presence of inner retinal cysts was not correlated to BCVA (p > 0.05). Discontinuous outer nuclear layer was significantly related to worse initial and final vision, but not to BCVA change.
CONCLUSION
IVB and PPV with ILM removal appear ineffective in improving visual outcome in eyes with non-proliferative Mactel. SD-OCT evidence of disrupted foveal outer nuclear layer is related to decreased BCVA, but not related to BCVA change following treatment.
DOI: 10.1007/s00417-012-2150-1
PubMed: 22948950
Links to Exploration step
pubmed:22948950Le document en format XML
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<author><name sortKey="Randolph, John C" sort="Randolph, John C" uniqKey="Randolph J" first="John C" last="Randolph">John C. Randolph</name>
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<author><name sortKey="Calzada, Jorge I" sort="Calzada, Jorge I" uniqKey="Calzada J" first="Jorge I" last="Calzada">Jorge I. Calzada</name>
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<term>Angiogenesis Inhibitors (therapeutic use)</term>
<term>Antibodies, Monoclonal, Humanized (therapeutic use)</term>
<term>Basement Membrane (surgery)</term>
<term>Bevacizumab (MeSH)</term>
<term>Female (MeSH)</term>
<term>Fluorescein Angiography (MeSH)</term>
<term>Follow-Up Studies (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Intravitreal Injections (MeSH)</term>
<term>Male (MeSH)</term>
<term>Observation (MeSH)</term>
<term>Retinal Telangiectasis (drug therapy)</term>
<term>Retinal Telangiectasis (physiopathology)</term>
<term>Retinal Telangiectasis (surgery)</term>
<term>Retinal Telangiectasis (therapy)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Tomography, Optical Coherence (MeSH)</term>
<term>Treatment Outcome (MeSH)</term>
<term>Vascular Endothelial Growth Factor A (antagonists & inhibitors)</term>
<term>Visual Acuity (physiology)</term>
<term>Vitrectomy (MeSH)</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Angiogenesis Inhibitors</term>
<term>Antibodies, Monoclonal, Humanized</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Retinal Telangiectasis</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Retinal Telangiectasis</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Basement Membrane</term>
<term>Retinal Telangiectasis</term>
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<term>Female</term>
<term>Fluorescein Angiography</term>
<term>Follow-Up Studies</term>
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<term>Intravitreal Injections</term>
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<front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b>
</p>
<p>To compare visual and anatomic outcomes in eyes with type 2 idiopathic macular telangiectasia (Mactel) treated with either intravitreal bevacizumab (IVB), observation, or pars plana vitrectomy (PPV) with internal limiting membrane removal.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>Retrospective, consecutive, interventional case series of phakic patients with Mactel. Best-corrected Snellen visual acuity (BCVA) and complete ophthalmic exam was obtained prior to treatment and at subsequent 3-month intervals for a minimum of 6 months. Fluorescein angiographic and spectral-domain optical coherence tomography features were examined, and compared to BCVA at treatment initiation and follow-up.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Fifty-six eyes of 28 patients were evaluated. Mean age was 65 ± 12 years, and mean follow-up was 24 ± 13 months. Patients were treated with either observation (n = 33), IVB (n = 15), or PPV (n = 8). Mean number of treatments for the IVB group was 2.5 ± 3.5 intravitreal injections. No significant differences in BCVA change were observed between treatment groups via one-way ANOVA (p = 0.49). Presence of inner retinal cysts was not correlated to BCVA (p > 0.05). Discontinuous outer nuclear layer was significantly related to worse initial and final vision, but not to BCVA change.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>IVB and PPV with ILM removal appear ineffective in improving visual outcome in eyes with non-proliferative Mactel. SD-OCT evidence of disrupted foveal outer nuclear layer is related to decreased BCVA, but not related to BCVA change following treatment.</p>
</div>
</front>
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<AbstractText Label="METHODS" NlmCategory="METHODS">Retrospective, consecutive, interventional case series of phakic patients with Mactel. Best-corrected Snellen visual acuity (BCVA) and complete ophthalmic exam was obtained prior to treatment and at subsequent 3-month intervals for a minimum of 6 months. Fluorescein angiographic and spectral-domain optical coherence tomography features were examined, and compared to BCVA at treatment initiation and follow-up.</AbstractText>
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