PMID- 31324966 OWN - NLM STAT- MEDLINE DCOM- 20200122 LR - 20200122 IS - 1435-702X (Electronic) IS - 0721-832X (Linking) VI - 257 IP - 10 DP - 2019 Oct TI - Vitreo-macular interface disorders in retinitis pigmentosa. PG - 2137-2146 LID - 10.1007/s00417-019-04418-8 [doi] AB - PURPOSE: To investigate the prevalence and progression of vitreo-macular interface disorders (VMID) phenotypes and their natural history in retinitis pigmentosa (RP). METHODS: A total of 257 eyes of 145 RP patients with VMID were retrospectively evaluated. Patients were divided according to the VMID subtypes into epiretinal membranes (ERMs), vitreo-macular traction (VMT) group, and macular hole (MH). Serial eye-tracked spectral-domain optical coherence tomography (SD-OCT) and best-corrected visual acuity (BCVA) changes were analyzed for a mean follow-up of 36.95 months. The status of posterior vitreous cortex was also considered. A control group of 65 eyes belonging to 65 RP patients with no macular changes was also recruited. RESULTS: VMID and control groups had the same baseline BCVA (0.50 vs 0.44 LogMAR) and did not differ in terms of phakic status. Different VMID groups had similar BCVA at baseline (p = 0.98). ERM represented the most prevalent disorder (207/257 eyes, 80.5%), followed by 35/257 (13.6%) VMT, and 15/257 Lamellar MH (LMH) eyes (5.8%). There were no cases of full thickness MH. Throughout the 36.9 months of follow-up, BCVA decreased an average 0.09 LogMAR from 0.31 to 0.4 in VMID patients and 0.01 in controls. VMID subgroup analysis showed a significant BCVA decrease in ERM patients (- 20.29%, p < 0.001), while VMT and LMH did not change significantly. Foveal thickness also remained stable over time. Complete PVD was present in 11 eyes in ERM, VMT, and LMH. CONCLUSIONS: Our study confirms the high prevalence of VMID in RP patients; however, only ERMs determined a significant loss of vision over 24 months. The high prevalence of VMID in RP patients suggests that macular alteration other than edema represents part of disease spectrum. FAU - Fragiotta, Serena AU - Fragiotta S AUID- ORCID: 0000-0002-6214-6270 AD - Department of Medico-Surgical Sciences and Biotechnologies, U.O.C. Ophthalmology, Sapienza University of Rome, C.so Della Repubblica, 79, 04100, Latina, (LT), Italy. s.fragiotta@hotmail.it. FAU - Rossi, Tommaso AU - Rossi T AD - IRCCS Ospedale Policlinico San Martino, Genoa, Italy. FAU - Carnevale, Carmela AU - Carnevale C AD - Department of Medico-Surgical Sciences and Biotechnologies, U.O.C. Ophthalmology, Sapienza University of Rome, C.so Della Repubblica, 79, 04100, Latina, (LT), Italy. FAU - Cutini, Alessandro AU - Cutini A AD - Department of Medico-Surgical Sciences and Biotechnologies, U.O.C. Ophthalmology, Sapienza University of Rome, C.so Della Repubblica, 79, 04100, Latina, (LT), Italy. FAU - Tricarico, Stefano AU - Tricarico S AD - Department of Medico-Surgical Sciences and Biotechnologies, U.O.C. Ophthalmology, Sapienza University of Rome, C.so Della Repubblica, 79, 04100, Latina, (LT), Italy. FAU - Casillo, Lorenzo AU - Casillo L AD - Department of Medico-Surgical Sciences and Biotechnologies, U.O.C. Ophthalmology, Sapienza University of Rome, C.so Della Repubblica, 79, 04100, Latina, (LT), Italy. FAU - Scuderi, Gianluca AU - Scuderi G AD - Department, NESMOS Department, Ophthalmology Unit, S. Andrea Hospital, University of Rome "La Sapienza", Rome, Italy. FAU - Vingolo, Enzo Maria AU - Vingolo EM AD - Department of Medico-Surgical Sciences and Biotechnologies, U.O.C. Ophthalmology, Sapienza University of Rome, C.so Della Repubblica, 79, 04100, Latina, (LT), Italy. LA - eng PT - Journal Article DEP - 20190719 PL - Germany TA - Graefes Arch Clin Exp Ophthalmol JT - Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie JID - 8205248 SB - IM MH - Epiretinal Membrane/diagnosis/*epidemiology/etiology MH - Female MH - Follow-Up Studies MH - Humans MH - Italy/epidemiology MH - Macula Lutea/*pathology MH - Male MH - Middle Aged MH - Prevalence MH - Retinal Perforations/diagnosis/*epidemiology/etiology MH - Retinitis Pigmentosa/complications/*diagnosis MH - Retrospective Studies MH - Tomography, Optical Coherence/*methods MH - *Visual Acuity MH - Vitreous Body/*pathology OTO - NOTNLM OT - Epiretinal membrane OT - Lamellar macular hole OT - Retinitis pigmentosa OT - Spectral-domain optical coherence tomography OT - Vitreo-macular interface disorders OT - Vitreo-macular traction EDAT- 2019/07/22 06:00 MHDA- 2020/01/23 06:00 CRDT- 2019/07/21 06:00 PHST- 2019/04/10 00:00 [received] PHST- 2019/07/09 00:00 [accepted] PHST- 2019/06/29 00:00 [revised] PHST- 2019/07/22 06:00 [pubmed] PHST- 2020/01/23 06:00 [medline] PHST- 2019/07/21 06:00 [entrez] AID - 10.1007/s00417-019-04418-8 [pii] AID - 10.1007/s00417-019-04418-8 [doi] PST - ppublish SO - Graefes Arch Clin Exp Ophthalmol. 2019 Oct;257(10):2137-2146. doi: 10.1007/s00417-019-04418-8. Epub 2019 Jul 19.