PMID- 30154642 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220321 IS - 1177-5467 (Print) IS - 1177-5483 (Electronic) IS - 1177-5467 (Linking) VI - 12 DP - 2018 TI - Effect of intravitreal ranibizumab on serous retinal detachment in branch retinal vein occlusion. PG - 1465-1470 LID - 10.2147/OPTH.S162019 [doi] AB - PURPOSE: The aim of this study was to evaluate the effect of initial intravitreal ranibizumab injection on visual acuity (VA) and central macular thickness (CMT) for the treatment of macular edema (ME) with and without serous retinal detachment (SRD) secondary to branch retinal vein occlusion (BRVO). MATERIALS AND METHODS: Fifty-two BRVO eyes, treated with intravitreal ranibizumab injection for ME with and without SRD, were retrospectively reviewed. Patients were divided into two groups according to spectral domain optical coherence tomography (SD-OCT). The efficacy of intravitreal ranibizumab injection at first month was assessed by analyzing the change in best-corrected VA and reduction in CMT with SD-OCT. RESULTS: There were 21 patients with SRD and 31 patients with only CME (no-SRD). CMT was significantly greater in the SRD group than in the CME group (451+/-62.2 microm vs 383.5+/-37.2 microm, respectively, P<0.05). After initial intravitreal ranibizumab injection, mean VA improved from 0.87+/-0.26 logarithm of the minimum angle of resolution (LogMAR) to 0.54+/-0.27 LogMAR (P<0.01) and CMT decreased from 451+/-62.2 microm to 379.3+/-58.6 microm (P<0.001) in the SRD group. In the no-SRD group, mean VA improved from 0.69+/-0.25 LogMAR to 0.44+/-0.25 LogMAR (P<0.001) and the CMT decreased from 383.5+/-37.2 microm to 337.7+/-39.4 microm (P<0.001) at the first month visit. Eyes with SRD revealed better anatomic results and greater reduction of CMT after intravitreal ranibizumab injection (P<0.01). CONCLUSION: VA and CMT can be improved by intravitreal ranibizumab injection in BRVO patients with and without SRD. However, more marked improvement in macular morphology was achieved in patients with SRD than those without SRD. FAU - Dogan, Emine AU - Dogan E AD - Department of Ophthalmology, Sakarya University Medical Education and Research Hospital, Sakarya, Turkey. FAU - Sever, Ozkan AU - Sever O AD - Department of Ophthalmology, Namik Kemal University School of Medicine, Namik Kemal University, Tekirdag, Turkey, sever_ozkan@hotmail.com. FAU - Koklu Cakir, Burcin AU - Koklu Cakir B AD - Department of Ophthalmology, Sakarya University Medical Education and Research Hospital, Sakarya, Turkey. FAU - Celik, Erkan AU - Celik E AD - Department of Ophthalmology, Sakarya University Medical Education and Research Hospital, Sakarya, Turkey. LA - eng PT - Journal Article DEP - 20180817 PL - New Zealand TA - Clin Ophthalmol JT - Clinical ophthalmology (Auckland, N.Z.) JID - 101321512 PMC - PMC6103606 OTO - NOTNLM OT - ranibizumab OT - serous detachment OT - vein occlusion COIS- Disclosure The authors have no financial or proprietary interest in any product, method, or material described herein, and report no conflicts of interest in this work. EDAT- 2018/08/30 06:00 MHDA- 2018/08/30 06:01 PMCR- 2018/08/17 CRDT- 2018/08/30 06:00 PHST- 2018/08/30 06:00 [entrez] PHST- 2018/08/30 06:00 [pubmed] PHST- 2018/08/30 06:01 [medline] PHST- 2018/08/17 00:00 [pmc-release] AID - opth-12-1465 [pii] AID - 10.2147/OPTH.S162019 [doi] PST - epublish SO - Clin Ophthalmol. 2018 Aug 17;12:1465-1470. doi: 10.2147/OPTH.S162019. eCollection 2018.