PMID- 25103650 OWN - NLM STAT- MEDLINE DCOM- 20150204 LR - 20161013 IS - 1715-3360 (Electronic) IS - 0008-4182 (Linking) VI - 49 IP - 4 DP - 2014 Aug TI - Spectral-domain optical coherence tomography features preceding new-onset neovascular membrane formation. PG - 339-44 LID - S0008-4182(14)00167-7 [pii] LID - 10.1016/j.jcjo.2014.04.018 [doi] AB - OBJECTIVE: To determine the frequency and characteristic spectral-domain optical coherence tomography (SD-OCT) features preceding new-onset choroidal neovascularization (CNV) in the fellow eye of neovascular age-related macular degeneration (AMD) with SD-OCT. DESIGN: A prospective, observational study. PARTICIPANTS: Sixty-eight fellow eyes of patients with unilateral CNV. METHODS: SD-OCT was performed at baseline and then monthly. The main outcome measure is the description of retinal morphology 1 month before new onset of neovascularization. RESULTS: During the 48-month observation period, new-onset CNV was observed in 27 fellow eyes. Several morphologic features characterized SD-OCT images >/=1 months before new onset of CNV. These included new retinal pigment epithelium defects (2 eyes), new photoreceptor defects (7 eyes), drusen touching the photoreceptor layer and the external limiting membrane (13 eyes), and new drusen (4 eyes) hyperreflective spots probably representing new growing vessels (5 eyes). CONCLUSIONS: Monthly SD-OCT screening of fellow eyes of patients treated with anti-vascular endothelial growth factor enables identification of morphologic changes that may predispose or precede CNV formation. Rapid identification of CNV formation enhances treatment immediacy. CI - Copyright (c) 2014 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved. FAU - Michalewski, Janusz AU - Michalewski J AD - Ophthalmic Clinic "Jasne Blonia" Rojna 90, 91-162 Lodz, Poland. FAU - Nawrocki, Jerzy AU - Nawrocki J AD - Ophthalmic Clinic "Jasne Blonia" Rojna 90, 91-162 Lodz, Poland. FAU - Trebinska, Magdalena AU - Trebinska M AD - III Municipal Hospital, K. Jonscher, Milionowa 14 Lodz, Poland. FAU - Michalewska, Zofia AU - Michalewska Z AD - Ophthalmic Clinic "Jasne Blonia" Rojna 90, 91-162 Lodz, Poland. Electronic address: zosia_n@yahoo.com. LA - eng PT - Journal Article PT - Observational Study PL - England TA - Can J Ophthalmol JT - Canadian journal of ophthalmology. Journal canadien d'ophtalmologie JID - 0045312 RN - 0 (Angiogenesis Inhibitors) RN - 0 (VEGFA protein, human) RN - 0 (Vascular Endothelial Growth Factor A) SB - IM MH - Aged MH - Aged, 80 and over MH - Angiogenesis Inhibitors/therapeutic use MH - Basement Membrane/pathology MH - Choroidal Neovascularization/*diagnosis/drug therapy MH - Female MH - Fluorescein Angiography MH - Humans MH - Male MH - Middle Aged MH - Photoreceptor Cells, Vertebrate/pathology MH - Prospective Studies MH - Retinal Drusen/pathology MH - Retinal Pigment Epithelium/pathology MH - *Tomography, Optical Coherence MH - Vascular Endothelial Growth Factor A/antagonists & inhibitors MH - Wet Macular Degeneration/*diagnosis/drug therapy EDAT- 2014/08/12 06:00 MHDA- 2015/02/05 06:00 CRDT- 2014/08/09 06:00 PHST- 2013/12/12 00:00 [received] PHST- 2014/04/05 00:00 [revised] PHST- 2014/05/06 00:00 [accepted] PHST- 2014/08/09 06:00 [entrez] PHST- 2014/08/12 06:00 [pubmed] PHST- 2015/02/05 06:00 [medline] AID - S0008-4182(14)00167-7 [pii] AID - 10.1016/j.jcjo.2014.04.018 [doi] PST - ppublish SO - Can J Ophthalmol. 2014 Aug;49(4):339-44. doi: 10.1016/j.jcjo.2014.04.018.