PMID- 35313554 OWN - NLM STAT- MEDLINE DCOM- 20220404 LR - 20220405 IS - 1177-8881 (Electronic) IS - 1177-8881 (Linking) VI - 16 DP - 2022 TI - Changes of Optical Coherence Tomography Biomarkers in Macular Edema Secondary to Retinal Vein Occlusion After Anti-VEGF and Anti-Inflammatory Therapies. PG - 717-725 LID - 10.2147/DDDT.S351683 [doi] AB - PURPOSE: This study aimed to assess the short-term changes of macular microstructures following anti-VEGF and anti-inflammatory therapies in patients with macular edema secondary to retinal vein occlusion (RVO-ME). PATIENTS AND METHODS: In this retrospective study, 70 eyes of 70 patients with RVO-ME were divided into the anti-VEGF (Group A, 35 eyes) and anti-inflammatory (Group B, 35 eyes) treatment groups. All patients underwent best-corrected visual acuity (BCVA) assessment, intraocular pressure (IOP) assessment, slit lamp, fundus fluorescein angiography (FA), scanning laser ophthalmoscopy (SLO), and spectral-domain optical coherence tomography (SD-OCT). Group A received intravitreal injection of 0.05 mL anti-VEGF antibodies (Lucentis((R)) or Aflibercept((R))) monthly for 3 consecutive months, while Group B received 0.7 mg dexamethasone (Ozurdex((R))) single intravitreal injection. BCVA and SD-OCT biomarkers were recorded at baseline and 3 months after the first injection. Changes of BCVA and SD-OCT biomarkers following these treatments were compared between the two groups. RESULTS: BCVA and SD-OCT biomarkers, except choroidal thickness, in both groups were significantly improved after treatment (all P < 0.01). At 3 months, the height of serous retinal detachment (SRD) was markedly lower (P = 0.006), with significantly less hyperreflective dots (HRD, P = 0.037) in Group B compared with Group A. Other SD-OCT biomarkers and BCVA were not significantly different between the two groups (all P > 0.05). CONCLUSION: Anti-VEGF and anti-inflammatory therapies are both effective in RVO-ME, with improvement in BCVA and SD-OCT biomarkers. Anti-inflammatory therapy may be more effective than anti-VEGF therapy in SRD and HRD resolution. CI - (c) 2022 Ding et al. FAU - Ding, Xuefei AU - Ding X AD - Department of Ophtalmology, Henan Eye Hospital, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People's Republic of China. FAU - Hu, Yijun AU - Hu Y AD - Department of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People' s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, People's Republic of China. AD - Refractive Surgery Center, Aier Institute of Refractive Surgery, Guangzhou Aier Eye Hospital, Guangzhou, People's Republic of China. FAU - Yu, Honghua AU - Yu H AD - Department of Ophthalmology, Guangdong Eye Institute, Guangdong Provincial People' s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, People's Republic of China. FAU - Li, Qiuming AU - Li Q AD - Department of Ophtalmology, Henan Eye Hospital, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People's Republic of China. LA - eng PT - Journal Article DEP - 20220315 PL - New Zealand TA - Drug Des Devel Ther JT - Drug design, development and therapy JID - 101475745 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Biomarkers) SB - IM MH - Anti-Inflammatory Agents/pharmacology/therapeutic use MH - Biomarkers MH - Humans MH - *Macular Edema/diagnostic imaging/drug therapy MH - *Retinal Vein Occlusion/complications/drug therapy MH - Retrospective Studies MH - Tomography, Optical Coherence/methods MH - Visual Acuity PMC - PMC8934115 OTO - NOTNLM OT - SD-OCT OT - anti-VEGF therapy OT - anti-inflammatory therapy OT - biomarkers OT - macular edema COIS- The authors declare that there are no conflicts of interest in this work. EDAT- 2022/03/23 06:00 MHDA- 2022/04/05 06:00 PMCR- 2022/03/15 CRDT- 2022/03/22 05:07 PHST- 2021/11/29 00:00 [received] PHST- 2022/02/18 00:00 [accepted] PHST- 2022/03/22 05:07 [entrez] PHST- 2022/03/23 06:00 [pubmed] PHST- 2022/04/05 06:00 [medline] PHST- 2022/03/15 00:00 [pmc-release] AID - 351683 [pii] AID - 10.2147/DDDT.S351683 [doi] PST - epublish SO - Drug Des Devel Ther. 2022 Mar 15;16:717-725. doi: 10.2147/DDDT.S351683. eCollection 2022.