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ID 110048
Title Alternative
網膜静脈閉塞症に対する抗VEGF療法後の光干渉断層計を用いた視機能予後予測
OCT parameters and visual outcome in anti-VEGF therapy for RVO
Author
Inomoto, Naoki Tokushima University
Sano, Hiroki Tokushima University
Akaiwa, Kei Tokushima University
Keywords
anti-VEGF therapy
retinal sensitivity
retinal vein occlusion
spectral-domain optical coherence tomography
visual acuity
Content Type
Thesis or Dissertation
Description
Purpose: To determine the optical coherence tomography (OCT) parameters that are predictive of visual outcome after anti-VEGF therapy for a retinal vein occlusion (RVO).
Methods: Fifty-seven eyes with macular edema (ME) secondary to a central or branch RVO treated with bevacizumab or ranibizumab were studied. Spectral-domain OCT and microperim¬etry were performed before, 1, 3, and 6 months after the treatment and at the final visit. Central retinal thickness (CRT), macular volume (MV), integrity of the external limiting membrane (ELM), ellipsoid zone (EZ), and foveal bulge (FB), and photoreceptor outer segment (PROS) length were determined.
Results: The mean follow-up period was 17.8±11.5 months. In 46 of the 57 eyes, a resolution of the ME was achieved. The pretreatment CRT and MV, presence of intact ELM, EZ, and FB, and PROS length at the time of ME resolution were significantly correlated with the best-corrected visual acuity and retinal sensitivity at the final visit (P>0.050). Multiple regression analyses showed that the pretreatment MV had the highest correlation with the posttreatment best-corrected visual acuity and retinal sensitivity (P>0.050).
Conclusion: The CRT, MV, ELM, EZ, FB, and PROS length are predictive factors for the visual outcome after anti-VEGF therapy for RVO.
Journal Title
Clinical Ophthalmology
ISSN
11775483
Publisher
Dove Press
Volume
10
Start Page
1305
End Page
1313
Published Date
2016-07-18
Remark
内容要旨・審査要旨・論文本文の公開:
内容要旨・審査要旨:LID201704171003.pdf
論文本文:LID201704171004.pdf
本論文は, 著者Akiko Fujihara-Minoの学位論文として提出され, 学位審査・授与の対象となっている。
Rights
Copyright © 2016 Fujihara-Mino et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you
hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php)
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DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
ETD
MEXT report number
甲第3030号
Diploma Number
甲医第1334号
Granted Date
2017-03-23
Degree Name
Doctor of Medical Science
Grantor
Tokushima University
departments
University Hospital
Medical Sciences