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Delayed absorption of macular edema accompanying serous retinal detachment after grid laser treatment in patients with branch retinal vein occlusion.
Ophthalmology. 2004 Nov; 111(11):2050-6.O

Abstract

PURPOSE

To study the detailed process of macular edema (ME) absorption after grid laser photocoagulation in patients with branch retinal vein occlusion (BRVO). The influence of pretreatment serous retinal detachment (SRD) at the fovea on patient outcome was also evaluated.

DESIGN

Retrospective, interventional, comparative case series.

PARTICIPANTS

Thirty-seven BRVO patients presenting with severe ME.

METHODS

Patients were treated with grid laser photocoagulation with 6 months of follow-up examinations. Baseline and post-treatment examinations included measurements of visual acuity (VA), fluorescein angiography, and detailed imaging of ME by optical coherence tomography (OCT). Macular thickness was defined as the distance from the inner retinal surface to the outer border of the sensory retina (foveal retinal thickness) and also to the inner border of the retinal pigment epithelium including the SRD (total foveal elevation).

MAIN OUTCOME MEASURES

Post-treatment macular thickness with OCT, VA converted to the logarithm of the minimum angle of resolution, and absorption of SRD, and correlations of macular thickness and VA both before and after treatment.

RESULTS

Total foveal elevation and VA were significantly improved at 1, 3, and 6 months after treatment. There was also a significant correlation between reduction of total foveal elevation and increase in VA. Fourteen eyes (37.8%) displayed SRD, as evidenced by OCT at the baseline. In eyes without SRD, foveal retinal thickness and VA had significantly improved in a time-dependent manner. However, although SRD itself was almost absorbed 6 months after treatment, the improvement of both VA and total foveal elevation in eyes with pretreatment SRD was not significant compared with baseline conditions. Both post-treatment total foveal elevation and VA of eyes with SRD tended to be worse than eyes without SRD.

CONCLUSION

The presence of subfoveal SRD retards the absorption of ME and recovery of VA after grid laser photocoagulation in patients with BRVO.

Authors+Show Affiliations

Department of Ophthalmology and Visual Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15522371

Citation

Ohashi, Hirokazu, et al. "Delayed Absorption of Macular Edema Accompanying Serous Retinal Detachment After Grid Laser Treatment in Patients With Branch Retinal Vein Occlusion." Ophthalmology, vol. 111, no. 11, 2004, pp. 2050-6.
Ohashi H, Oh H, Nishiwaki H, et al. Delayed absorption of macular edema accompanying serous retinal detachment after grid laser treatment in patients with branch retinal vein occlusion. Ophthalmology. 2004;111(11):2050-6.
Ohashi, H., Oh, H., Nishiwaki, H., Nonaka, A., & Takagi, H. (2004). Delayed absorption of macular edema accompanying serous retinal detachment after grid laser treatment in patients with branch retinal vein occlusion. Ophthalmology, 111(11), 2050-6.
Ohashi H, et al. Delayed Absorption of Macular Edema Accompanying Serous Retinal Detachment After Grid Laser Treatment in Patients With Branch Retinal Vein Occlusion. Ophthalmology. 2004;111(11):2050-6. PubMed PMID: 15522371.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Delayed absorption of macular edema accompanying serous retinal detachment after grid laser treatment in patients with branch retinal vein occlusion. AU - Ohashi,Hirokazu, AU - Oh,Hideyasu, AU - Nishiwaki,Hirokazu, AU - Nonaka,Atsushi, AU - Takagi,Hitoshi, PY - 2003/10/01/received PY - 2004/04/21/accepted PY - 2004/11/4/pubmed PY - 2004/12/16/medline PY - 2004/11/4/entrez SP - 2050 EP - 6 JF - Ophthalmology JO - Ophthalmology VL - 111 IS - 11 N2 - PURPOSE: To study the detailed process of macular edema (ME) absorption after grid laser photocoagulation in patients with branch retinal vein occlusion (BRVO). The influence of pretreatment serous retinal detachment (SRD) at the fovea on patient outcome was also evaluated. DESIGN: Retrospective, interventional, comparative case series. PARTICIPANTS: Thirty-seven BRVO patients presenting with severe ME. METHODS: Patients were treated with grid laser photocoagulation with 6 months of follow-up examinations. Baseline and post-treatment examinations included measurements of visual acuity (VA), fluorescein angiography, and detailed imaging of ME by optical coherence tomography (OCT). Macular thickness was defined as the distance from the inner retinal surface to the outer border of the sensory retina (foveal retinal thickness) and also to the inner border of the retinal pigment epithelium including the SRD (total foveal elevation). MAIN OUTCOME MEASURES: Post-treatment macular thickness with OCT, VA converted to the logarithm of the minimum angle of resolution, and absorption of SRD, and correlations of macular thickness and VA both before and after treatment. RESULTS: Total foveal elevation and VA were significantly improved at 1, 3, and 6 months after treatment. There was also a significant correlation between reduction of total foveal elevation and increase in VA. Fourteen eyes (37.8%) displayed SRD, as evidenced by OCT at the baseline. In eyes without SRD, foveal retinal thickness and VA had significantly improved in a time-dependent manner. However, although SRD itself was almost absorbed 6 months after treatment, the improvement of both VA and total foveal elevation in eyes with pretreatment SRD was not significant compared with baseline conditions. Both post-treatment total foveal elevation and VA of eyes with SRD tended to be worse than eyes without SRD. CONCLUSION: The presence of subfoveal SRD retards the absorption of ME and recovery of VA after grid laser photocoagulation in patients with BRVO. SN - 1549-4713 UR - https://www.unboundmedicine.com/medline/citation/15522371/Delayed_absorption_of_macular_edema_accompanying_serous_retinal_detachment_after_grid_laser_treatment_in_patients_with_branch_retinal_vein_occlusion_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0161-6420(04)00829-2 DB - PRIME DP - Unbound Medicine ER -