PMID- 26066478 OWN - NLM STAT- MEDLINE DCOM- 20160513 LR - 20150916 IS - 1423-0267 (Electronic) IS - 0030-3755 (Linking) VI - 234 IP - 2 DP - 2015 TI - Optical Coherence Tomographic Features and Visual Prognosis after Treatment for Idiopathic Choroidal Neovascularization. PG - 67-72 LID - 10.1159/000430104 [doi] AB - BACKGROUND: The aim of this study was to determine whether pretreatment spectral-domain optical coherence tomographic (SD-OCT) features are associated with visual prognosis after treatment for idiopathic subfoveal choroidal neovascularization (ISCNV) with intravitreal ranibizumab. METHODS: We retrospectively evaluated SD-OCT images of eyes with ISCNV undergoing treatment with intravitreal ranibizumab with a mean follow-up of 7 months. RESULTS: This study included 22 patients (22 eyes) with a mean age of 32.7 +/- 8.1 years. In univariate analysis, better final visual acuity expressed in logMAR units was significantly associated with a lower amount of pretreatment ellipsoid zone defects (p = 0.03; standardized correlation coefficient beta = 0.46) and a lower amount of pretreatment external limiting membrane (ELM) damage (p = 0.007; beta = 0.56). All other SD-OCT parameters were not significantly associated with final visual acuity. A higher improvement in visual acuity was marginally significantly associated with larger pretreatment ellipsoid zone defects (p = 0.049; beta = -0.43). CONCLUSIONS: The integrity of the outer retinal layers at baseline, in particular of the ELM, is of importance in predicting the final visual outcome in patients undergoing intravitreal medical therapy for ISCNV. CI - (c) 2015 S. Karger AG, Basel. FAU - Cao, Xu-Sheng AU - Cao XS AD - Department of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing , China. FAU - Peng, Xiao-Yan AU - Peng XY FAU - You, Qi-Sheng AU - You QS FAU - Zhang, Yong-Peng AU - Zhang YP FAU - Jonas, Jost B AU - Jonas JB LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150610 PL - Switzerland TA - Ophthalmologica JT - Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde JID - 0054655 RN - 0 (Angiogenesis Inhibitors) RN - 0 (VEGFA protein, human) RN - 0 (Vascular Endothelial Growth Factor A) RN - ZL1R02VT79 (Ranibizumab) SB - IM MH - Adolescent MH - Adult MH - Angiogenesis Inhibitors/*therapeutic use MH - Choroidal Neovascularization/*diagnosis/*drug therapy/physiopathology MH - Female MH - Fluorescein Angiography MH - Humans MH - Intravitreal Injections MH - Male MH - Middle Aged MH - Prognosis MH - Ranibizumab/*therapeutic use MH - Retrospective Studies MH - Tomography, Optical Coherence MH - Vascular Endothelial Growth Factor A/antagonists & inhibitors MH - Visual Acuity/*physiology MH - Young Adult EDAT- 2015/06/13 06:00 MHDA- 2016/05/14 06:00 CRDT- 2015/06/13 06:00 PHST- 2014/12/18 00:00 [received] PHST- 2015/04/09 00:00 [accepted] PHST- 2015/06/13 06:00 [entrez] PHST- 2015/06/13 06:00 [pubmed] PHST- 2016/05/14 06:00 [medline] AID - 000430104 [pii] AID - 10.1159/000430104 [doi] PST - ppublish SO - Ophthalmologica. 2015;234(2):67-72. doi: 10.1159/000430104. Epub 2015 Jun 10.