PMID- 28954271 OWN - NLM STAT- MEDLINE DCOM- 20180202 LR - 20180202 IS - 1423-0267 (Electronic) IS - 0030-3755 (Linking) VI - 239 IP - 1 DP - 2018 TI - Impact of Preinjection Spectral Domain Optical Coherence Tomography Findings in the Use of Intravitreal Ocriplasmin in a Clinical Setting. PG - 11-18 LID - 10.1159/000480406 [doi] AB - PURPOSE: To investigate the impact of spectral domain optical coherence tomography (SD-OCT) morphological predictive markers on visual acuity and outcome using ocriplasmin for macular hole and vitreomacular traction syndrome. METHODS: A series of 40 patients in a retrospective study received intravitreal ocriplasmin. The primary endpoint was defined as morphological resolution of vitreomacular traction or closure of a macular hole. We analyzed the impact of pre- and postinjection SD-OCT findings on the outcome and visual acuity. RESULTS: Thirteen of the 40 patients benefited from treatment. Statistical correlation between baseline characteristics and outcome revealed that higher foveal thickness (p = 0.018) and nontractional epiretinal membranes (p = 0.05) resulted in a worse outcome. In treatment success best corrected visual acuity gained was 9 (SD 12) letters and in failure 1 (SD 9) letter. We could not observe an influence of preinjection SD-OCT findings and other factors on visual outcome. CONCLUSION: We could confirm the therapeutic effect of ocriplasmin injections. SD-OCT morphological factors that influence treatment success and visual acuity were determined. CI - (c) 2017 S. Karger AG, Basel. FAU - Wertheimer, Christian AU - Wertheimer C AD - Department of Ophthalmology, Ludwig-Maximilians-University Munich, Munich, Germany. FAU - Haritoglou, Christos AU - Haritoglou C FAU - Laubichler, Peter AU - Laubichler P FAU - Wolf, Armin AU - Wolf A FAU - Kaessmann, Kathrin AU - Kaessmann K FAU - Schumann, Ricarda G AU - Schumann RG FAU - Priglinger, Siegfried AU - Priglinger S FAU - Mayer, Wolfgang J AU - Mayer WJ LA - eng PT - Journal Article DEP - 20170928 PL - Switzerland TA - Ophthalmologica JT - Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde JID - 0054655 RN - 0 (Peptide Fragments) RN - 7V6HE3DM5A (microplasmin) RN - EC 3.4.21.7 (Fibrinolysin) SB - IM MH - Aged MH - Female MH - Fibrinolysin/*administration & dosage MH - Follow-Up Studies MH - Humans MH - Intravitreal Injections MH - Longitudinal Studies MH - Macula Lutea/drug effects/*pathology MH - Male MH - Peptide Fragments/*administration & dosage MH - Retinal Perforations/diagnosis/*drug therapy MH - Retrospective Studies MH - Tomography, Optical Coherence/*methods MH - Treatment Outcome MH - Visual Acuity MH - Vitreous Body/drug effects/*pathology MH - Vitreous Detachment/diagnosis/*drug therapy OTO - NOTNLM OT - Macular hole OT - Medical retina OT - Optical coherence tomography OT - Pharmacology OT - Vitreomacular diseases EDAT- 2017/09/28 06:00 MHDA- 2018/02/03 06:00 CRDT- 2017/09/28 06:00 PHST- 2017/01/12 00:00 [received] PHST- 2017/08/14 00:00 [accepted] PHST- 2017/09/28 06:00 [pubmed] PHST- 2018/02/03 06:00 [medline] PHST- 2017/09/28 06:00 [entrez] AID - 000480406 [pii] AID - 10.1159/000480406 [doi] PST - ppublish SO - Ophthalmologica. 2018;239(1):11-18. doi: 10.1159/000480406. Epub 2017 Sep 28.