Spectral domain optical coherence tomography predictors of visual outcome in diabetic cystoid macular edema after bevacizumab injection

Purpose: To study prognostic spectral domain optical coherence tomography parameters in diabetic cystoid macular edema after anti–vascular endothelial growth factor therapy. Methods: Retrospective cohort study included 49 eyes with the new onset diabetic cystoid macular edema that had to have a macu...

Full description

Saved in:
Bibliographic Details
Main Author: Al Faran, Abdulrahman (author)
Other Authors: Mousa, Ahmad (author), Al Shamsi, Hanan (author), Al Gaeed, Abdulrahman (author), Ghazi, Nicola G. (author)
Format: article
Published: 2014
Online Access:http://hdl.handle.net/10725/10811
https://doi.org/10.1097/IAE.0000000000000059
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://oce.ovid.com/article/00006982-201406000-00024/HTML
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1864513487460368384
author Al Faran, Abdulrahman
author2 Mousa, Ahmad
Al Shamsi, Hanan
Al Gaeed, Abdulrahman
Ghazi, Nicola G.
author2_role author
author
author
author
author_facet Al Faran, Abdulrahman
Mousa, Ahmad
Al Shamsi, Hanan
Al Gaeed, Abdulrahman
Ghazi, Nicola G.
author_role author
dc.creator.none.fl_str_mv Al Faran, Abdulrahman
Mousa, Ahmad
Al Shamsi, Hanan
Al Gaeed, Abdulrahman
Ghazi, Nicola G.
dc.date.none.fl_str_mv 2014
2019-06-14T06:39:47Z
2019-06-14T06:39:47Z
2019-06-14
dc.identifier.none.fl_str_mv 1539-2864
http://hdl.handle.net/10725/10811
https://doi.org/10.1097/IAE.0000000000000059
Al Faran, A., Mousa, A., Al Shamsi, H., Al Gaeed, A., & Ghazi, N. G. (2014). Spectral domain optical coherence tomography predictors of visual outcome in diabetic cystoid macular edema after bevacizumab injection. Retina, 34(6), 1208-1215.
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://oce.ovid.com/article/00006982-201406000-00024/HTML
dc.language.none.fl_str_mv en
dc.relation.none.fl_str_mv Retina
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv Spectral domain optical coherence tomography predictors of visual outcome in diabetic cystoid macular edema after bevacizumab injection
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description Purpose: To study prognostic spectral domain optical coherence tomography parameters in diabetic cystoid macular edema after anti–vascular endothelial growth factor therapy. Methods: Retrospective cohort study included 49 eyes with the new onset diabetic cystoid macular edema that had to have a macular spectral domain optical coherence tomography and fluorescein angiography at presentation. The baseline optical coherence tomography scans were analyzed for variables indicative of the extent of retinal involvement by the cystoid change and its location about the center. Univariate and multivariate analyses were performed comparing the optical coherence tomography findings between the two groups of eyes: the “No improvement” and the “Improvement” groups, based on at least two Snellen lines improvement after treatment. Results: There were 30 and 19 eyes in the No improvement and Improvement groups, respectively. In the univariate analysis, the baseline optical coherence tomography parameters associated with visual improvement included the photoreceptor inner segments thickness centrally (P = 0.009) and within the central 1-mm subfield (P < 0.0001), and the presence of bridging retinal processes centrally (P = 0.004). Multivariate analysis showed both presence and central location of bridging retinal processes within the central 1-mm subfield to be significantly associated with visual improvement (P = 0.041 and 0.005, respectively), with an odds ratio of 13.4 (95% confidence interval, 1.336–636.18; P = 0.010) for their central location. Conclusion: In diabetic cystoid macular edema, visual improvement after anti–vascular endothelial growth factor therapy is more likely to occur in eyes with residual central retinal processes on baseline macular spectral domain optical coherence tomography. This finding may be helpful in patient counseling, case selection, and clinical trial planning.
eu_rights_str_mv openAccess
format article
id LAURepo_8b8f211e8bb9fab4ec0ee546c1cc0a44
identifier_str_mv 1539-2864
Al Faran, A., Mousa, A., Al Shamsi, H., Al Gaeed, A., & Ghazi, N. G. (2014). Spectral domain optical coherence tomography predictors of visual outcome in diabetic cystoid macular edema after bevacizumab injection. Retina, 34(6), 1208-1215.
language_invalid_str_mv en
network_acronym_str LAURepo
network_name_str Lebanese American University repository
oai_identifier_str oai:laur.lau.edu.lb:10725/10811
publishDate 2014
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
spelling Spectral domain optical coherence tomography predictors of visual outcome in diabetic cystoid macular edema after bevacizumab injectionAl Faran, AbdulrahmanMousa, AhmadAl Shamsi, HananAl Gaeed, AbdulrahmanGhazi, Nicola G.Purpose: To study prognostic spectral domain optical coherence tomography parameters in diabetic cystoid macular edema after anti–vascular endothelial growth factor therapy. Methods: Retrospective cohort study included 49 eyes with the new onset diabetic cystoid macular edema that had to have a macular spectral domain optical coherence tomography and fluorescein angiography at presentation. The baseline optical coherence tomography scans were analyzed for variables indicative of the extent of retinal involvement by the cystoid change and its location about the center. Univariate and multivariate analyses were performed comparing the optical coherence tomography findings between the two groups of eyes: the “No improvement” and the “Improvement” groups, based on at least two Snellen lines improvement after treatment. Results: There were 30 and 19 eyes in the No improvement and Improvement groups, respectively. In the univariate analysis, the baseline optical coherence tomography parameters associated with visual improvement included the photoreceptor inner segments thickness centrally (P = 0.009) and within the central 1-mm subfield (P < 0.0001), and the presence of bridging retinal processes centrally (P = 0.004). Multivariate analysis showed both presence and central location of bridging retinal processes within the central 1-mm subfield to be significantly associated with visual improvement (P = 0.041 and 0.005, respectively), with an odds ratio of 13.4 (95% confidence interval, 1.336–636.18; P = 0.010) for their central location. Conclusion: In diabetic cystoid macular edema, visual improvement after anti–vascular endothelial growth factor therapy is more likely to occur in eyes with residual central retinal processes on baseline macular spectral domain optical coherence tomography. This finding may be helpful in patient counseling, case selection, and clinical trial planning.PublishedN/A2019-06-14T06:39:47Z2019-06-14T06:39:47Z20142019-06-14Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1539-2864http://hdl.handle.net/10725/10811https://doi.org/10.1097/IAE.0000000000000059Al Faran, A., Mousa, A., Al Shamsi, H., Al Gaeed, A., & Ghazi, N. G. (2014). Spectral domain optical coherence tomography predictors of visual outcome in diabetic cystoid macular edema after bevacizumab injection. Retina, 34(6), 1208-1215.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://oce.ovid.com/article/00006982-201406000-00024/HTMLenRetinainfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/108112021-03-19T10:45:17Z
spellingShingle Spectral domain optical coherence tomography predictors of visual outcome in diabetic cystoid macular edema after bevacizumab injection
Al Faran, Abdulrahman
status_str publishedVersion
title Spectral domain optical coherence tomography predictors of visual outcome in diabetic cystoid macular edema after bevacizumab injection
title_full Spectral domain optical coherence tomography predictors of visual outcome in diabetic cystoid macular edema after bevacizumab injection
title_fullStr Spectral domain optical coherence tomography predictors of visual outcome in diabetic cystoid macular edema after bevacizumab injection
title_full_unstemmed Spectral domain optical coherence tomography predictors of visual outcome in diabetic cystoid macular edema after bevacizumab injection
title_short Spectral domain optical coherence tomography predictors of visual outcome in diabetic cystoid macular edema after bevacizumab injection
title_sort Spectral domain optical coherence tomography predictors of visual outcome in diabetic cystoid macular edema after bevacizumab injection
url http://hdl.handle.net/10725/10811
https://doi.org/10.1097/IAE.0000000000000059
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://oce.ovid.com/article/00006982-201406000-00024/HTML