PMID- 30046605 OWN - NLM STAT- MEDLINE DCOM- 20190114 LR - 20220331 IS - 2314-6141 (Electronic) IS - 2314-6133 (Print) VI - 2018 DP - 2018 TI - Morphological Predictive Features on Spectral-Domain Optical Coherence Tomography for Visual Outcomes in Neovascular Age-Related Macular Degeneration Treated with Ranibizumab. PG - 7438083 LID - 10.1155/2018/7438083 [doi] LID - 7438083 AB - PURPOSE: To identify spectral-domain optical coherence tomography (SD-OCT) predictive morphological features for the outcome of Ranibizumab therapy for neovascular age-related macular degeneration (AMD). METHODS: This is a retrospective multicentric study that involved 64 eyes with naive AMD. Patients who received three monthly intravitreal injections of Ranibizumab were stratified into (1) "responders" [>/= 5 letters gain on Early Treatment Diabetic Retinopathy Study (ETDRS) scale] and (2) "nonresponders" (< 5 letters gain). Best-corrected visual acuity (BCVA) and SD-OCT morphological features were compared at baseline and one month after three consecutive injections of Ranibizumab. Univariate and multivariate analyses were carried out to correlate these morphological features with the change in BCVA. RESULTS: Among the 64 patients enrolled, 40 (62.5%) were "responders" and 24 (37.5%) "nonresponders". Age, sex, and BCVA were comparable between both groups. A multivariate correlational analysis found that subfoveal choroidal thickness (SFCT) and the presence of pigment epithelial detachment (PED) > 250 mum at baseline were two independent prognostic indicators of final BCVA. No other SD-OCT morphological studied features seem to affect final BCVA after Ranibizumab treatment. CONCLUSION: SFCT and the presence of PED > 250 mum are two significant biomarkers that may predict improvement after Ranibizumab therapy for AMD. These markers may guide ophthalmologists' treatment decision under financial constraints and limited time. FAU - Azar, Georges AU - Azar G AUID- ORCID: 0000-0002-9808-5545 AD - Eye & Ear Hospital International, Beirut, Lebanon. AD - Holy Spirit University of Kaslik (USEK), Faculty of Medicine, Kaslik, Lebanon. AD - Saint Joseph University (USJ), Faculty of Medicine, Beirut, Lebanon. FAU - Wolff, Benjamin AU - Wolff B AUID- ORCID: 0000-0003-4709-692X AD - Rothschild Ophthalmological Foundation, 25 rue Manin, 75940 Paris Cedex 19, France. FAU - De Bats, Flore AU - De Bats F AUID- ORCID: 0000-0002-8916-7784 AD - Pole Vision Center, Clinique du Val-d'Ouest, 39 chemin de la Vernique, 69130 Ecully, France. FAU - Halfon, Jeremie AU - Halfon J AD - Halles de Tours Ophthalmological Center, 13 place Gaston-Paillhou, 37000 Tours, France. FAU - Streho, Mate AU - Streho M AD - Explore Vision Center, 2 rue Grandes-Terres, 92500 Rueil-Malmaison, France. FAU - Tick, Sarah AU - Tick S AD - Quinze-Vingts Ophthalmology National Center, 28 rue de Charenton, 75571 Paris Cedex, France. FAU - Castelnovo, Laurent AU - Castelnovo L AD - Maison Rouge Ophthalmological Center, 6 rue de l'Eglise, 67000 Strasbourg, France. FAU - Michel, Guillaume AU - Michel G AD - Maison Rouge Ophthalmological Center, 6 rue de l'Eglise, 67000 Strasbourg, France. FAU - Masse, Helene AU - Masse H AD - Nantes University Hospital Center, 8 quai Moncousu, 44000 Nantes, France. FAU - Vasseur, Vivien AU - Vasseur V AD - Rothschild Ophthalmological Foundation, 25 rue Manin, 75940 Paris Cedex 19, France. FAU - Sahyoun, Marwan AU - Sahyoun M AD - Eye & Ear Hospital International, Beirut, Lebanon. AD - Holy Spirit University of Kaslik (USEK), Faculty of Medicine, Kaslik, Lebanon. AD - Saint Joseph University (USJ), Faculty of Medicine, Beirut, Lebanon. FAU - Mauget-Faysse, Martine AU - Mauget-Faysse M AD - Rothschild Ophthalmological Foundation, 25 rue Manin, 75940 Paris Cedex 19, France. LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study DEP - 20180626 PL - United States TA - Biomed Res Int JT - BioMed research international JID - 101600173 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Antibodies, Monoclonal, Humanized) RN - ZL1R02VT79 (Ranibizumab) SB - IM MH - Aged MH - Aged, 80 and over MH - Angiogenesis Inhibitors/*therapeutic use MH - Antibodies, Monoclonal, Humanized MH - Female MH - France MH - Humans MH - Intravitreal Injections MH - Male MH - Ranibizumab/*therapeutic use MH - Retrospective Studies MH - *Tomography, Optical Coherence MH - Treatment Outcome MH - Visual Acuity MH - Wet Macular Degeneration/diagnostic imaging/*drug therapy PMC - PMC6038676 EDAT- 2018/07/27 06:00 MHDA- 2019/01/15 06:00 PMCR- 2018/06/26 CRDT- 2018/07/27 06:00 PHST- 2018/01/21 00:00 [received] PHST- 2018/05/06 00:00 [accepted] PHST- 2018/07/27 06:00 [entrez] PHST- 2018/07/27 06:00 [pubmed] PHST- 2019/01/15 06:00 [medline] PHST- 2018/06/26 00:00 [pmc-release] AID - 10.1155/2018/7438083 [doi] PST - epublish SO - Biomed Res Int. 2018 Jun 26;2018:7438083. doi: 10.1155/2018/7438083. eCollection 2018.