PMID- 32727009 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 9 IP - 8 DP - 2020 Jul 27 TI - Hyperreflective Material in Optical Coherence Tomography Images of Eyes with Myopic Choroidal Neovascularization May Affect the Visual Outcome. LID - 10.3390/jcm9082394 [doi] LID - 2394 AB - The visual outcome of myopic choroidal neovascularization (CNV) after anti-vascular endothelial growth factor (anti-VEGF) therapy varies among individuals. We retrospectively analyzed the data of 24 eyes (24 patients) with treatment-naive myopic CNV who underwent anti-VEGF monotherapy following a pro-re-nata regimen at the Division of Medical Retina Clinic, Department of Ophthalmology, Keio University Hospital between May 2014 and December 2017. The mean age was 70.6 +/- 2.1 years, and 16 (66.7%) patients were female. Overall, the mean best-corrected visual acuity (BCVA) improved (p = 0.034), and the mean height of the hyperreflective material (HRM), involving the CNV lesion recorded by optical coherence tomography, decreased (p < 0.01) 12 months after the initial treatment. Fifteen eyes (62.5%) achieved a BCVA of better than 0.10 in LogMAR at 12 months; they had a better BCVA (p = 0.015) and lower HRM intensity (p = 0.033) at baseline than the others. Remarkably, the BCVA improved (p < 0.05) and the HRM height (p < 0.01) decreased only in eyes with a final BCVA better than 0.10 as early as 1 month after the initial treatment, which was still present at 12 months. The HRM height and intensity, not only the BCVA, would be valuable in evaluating the prognosis of myopic CNV after anti-VEGF therapy, although further study is required. FAU - Mushiga, Yasuaki AU - Mushiga Y AD - Department of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. FAU - Minami, Sakiko AU - Minami S AD - Department of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. FAU - Uchida, Atsuro AU - Uchida A AD - Department of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. FAU - Nagai, Norihiro AU - Nagai N AD - Department of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. AD - Laboratory of Retinal Cell Biology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. FAU - Suzuki, Misa AU - Suzuki M AD - Department of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. AD - Laboratory of Retinal Cell Biology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. FAU - Kurihara, Toshihide AU - Kurihara T AUID- ORCID: 0000-0002-5457-2720 AD - Department of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. FAU - Sonobe, Hideki AU - Sonobe H AD - Department of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. FAU - Ban, Norimitsu AU - Ban N AD - Department of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. FAU - Watanabe, Kazuhiro AU - Watanabe K AD - Department of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. FAU - Shinoda, Hajime AU - Shinoda H AD - Department of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. FAU - Tsubota, Kazuo AU - Tsubota K AUID- ORCID: 0000-0002-8874-7111 AD - Department of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. FAU - Ozawa, Yoko AU - Ozawa Y AUID- ORCID: 0000-0003-4797-5705 AD - Department of Ophthalmology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. AD - Laboratory of Retinal Cell Biology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. AD - Department of Ophthalmology, St. Luke's International Hospital, 9-1 Akashi-cho, Chuo-ku, Tokyo 104-8560, Japan. AD - St. Luke's International University, 9-1 Akashi-cho, Chuo-ku, Tokyo 104-8560, Japan. LA - eng PT - Journal Article DEP - 20200727 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC7466026 OTO - NOTNLM OT - OCT OT - choroidal neovascularization OT - high myopia OT - retina OT - visual acuity COIS- The authors declare no competing interests. EDAT- 2020/07/31 06:00 MHDA- 2020/07/31 06:01 PMCR- 2020/07/27 CRDT- 2020/07/31 06:00 PHST- 2020/05/28 00:00 [received] PHST- 2020/07/16 00:00 [revised] PHST- 2020/07/23 00:00 [accepted] PHST- 2020/07/31 06:00 [entrez] PHST- 2020/07/31 06:00 [pubmed] PHST- 2020/07/31 06:01 [medline] PHST- 2020/07/27 00:00 [pmc-release] AID - jcm9082394 [pii] AID - jcm-09-02394 [pii] AID - 10.3390/jcm9082394 [doi] PST - epublish SO - J Clin Med. 2020 Jul 27;9(8):2394. doi: 10.3390/jcm9082394.