PMID- 30225230 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 2222-3959 (Print) IS - 2227-4898 (Electronic) IS - 2222-3959 (Linking) VI - 11 IP - 9 DP - 2018 TI - Comparison of one and three initial monthly intravitreal ranibizumab injection in patients with macular edema secondary to branch retinal vein occlusion. PG - 1534-1538 LID - 10.18240/ijo.2018.09.17 [doi] AB - AIM: To compare three initial monthly intravitreal ranibizumab (IVR) injections followed by pro re nata (PRN) dosing with one initial monthly IVR injections followed by PRN dosing for macular edema (ME) secondary to branch retinal vein occlusion (BRVO). METHODS: Forty-two eyes of 42 patients who had IVR injections for BRVO were retrospectively studied. Eighteen eyes received 1 initial IVR injection (1+PRN group) and 24 eyes received 3 monthly IVR injections (3+PRN). At 1, 3, 6 and 12mo; spectral-domain optical coherence tomography (SD-OCT) was performed. Central macular thickness (CMT), the integrity of the external limiting membrane (ELM), the presence of subretinal fluid, cyst size, the presence of inner segment/outer segment (IS/OS) defect were determined. RESULTS: At baseline the mean CMT was 521.3+/-153.2 microm in the 3+PRN group while it was 438.1+/-162.4 microm in 1+PRN group. At the final visit, mean CMT was 278.3+/-87.8 microm in the 3+PRN group and 285.2+/-74.2 microm in the 1+PRN group (P=0.079). The changes in CMT over the entire study period were also comparable in both groups (243+/-160 microm in the 3+PRN group, and 152.9+/-175.3 microm in the 1+PRN group; P=0.090). At baseline, best-corrected visual acuity (BCVA) was 0.92+/-0.60 logarithm of the minimal angle of resolution (logMAR) in the 3+PRN group, while it was 0.72+/-0.46 logMAR in the 1+PRN group. Final BCVA was 0.42+/-0.55 logMAR in the 3+PRN group and 0.38+/-0.50 logMAR in the 1+PRN group (P=0.979). Additionally, the BCVA changes from baseline to final visit were not significantly different (-0.50+/-0.45 logMAR in the 3+PRN group, and -0.33+/-0.39 logMAR in the 1+PRN group; P=0.255). CONCLUSION: No significant differences in the anatomical or functional results are found between 3+PRN and 1+PRN regimens in the patients receiving ranibizumab for ME secondary to BRVO. Intact IS/OS and baseline BCVA are good predictor of the visual gain, while baseline CMT is a good predictor of the anatomical gain. FAU - Bayat, Alper Halil AU - Bayat AH AD - Departmant of Opthalmology, Okmeydani Research & Traning Hospital, Istanbul 34384, Turkey. FAU - Cakir, Akin AU - Cakir A AD - Departmant of Opthalmology, Okmeydani Research & Traning Hospital, Istanbul 34384, Turkey. FAU - Ozturan, Seyma Gulcenur AU - Ozturan SG AD - Departmant of Opthalmology, Okmeydani Research & Traning Hospital, Istanbul 34384, Turkey. FAU - Bolukbasi, Selim AU - Bolukbasi S AD - Departmant of Opthalmology, Okmeydani Research & Traning Hospital, Istanbul 34384, Turkey. FAU - Erden, Burak AU - Erden B AD - Departmant of Opthalmology, Okmeydani Research & Traning Hospital, Istanbul 34384, Turkey. FAU - Elcioglu, Mustafa Nuri AU - Elcioglu MN AD - Departmant of Opthalmology, Okmeydani Research & Traning Hospital, Istanbul 34384, Turkey. LA - eng PT - Journal Article DEP - 20180918 PL - China TA - Int J Ophthalmol JT - International journal of ophthalmology JID - 101553860 PMC - PMC6133896 OTO - NOTNLM OT - branch retinal vein occlusion OT - macular edema OT - predictive factors OT - ranibizumab OT - therapy EDAT- 2018/09/19 06:00 MHDA- 2018/09/19 06:01 PMCR- 2018/09/18 CRDT- 2018/09/19 06:00 PHST- 2017/10/11 00:00 [received] PHST- 2018/04/23 00:00 [accepted] PHST- 2018/09/19 06:00 [entrez] PHST- 2018/09/19 06:00 [pubmed] PHST- 2018/09/19 06:01 [medline] PHST- 2018/09/18 00:00 [pmc-release] AID - ijo-11-09-1534 [pii] AID - 10.18240/ijo.2018.09.17 [doi] PST - epublish SO - Int J Ophthalmol. 2018 Sep 18;11(9):1534-1538. doi: 10.18240/ijo.2018.09.17. eCollection 2018.