PMID- 35870775 OWN - NLM STAT- MEDLINE DCOM- 20221216 LR - 20221222 IS - 1873-1597 (Electronic) IS - 1572-1000 (Linking) VI - 40 DP - 2022 Dec TI - Prognostic factors associated with the course of vitreomacular traction in eyes with age-related macular degeneration. PG - 103025 LID - S1572-1000(22)00311-8 [pii] LID - 10.1016/j.pdpdt.2022.103025 [doi] AB - CLINICAL RELEVANCE: Vitreomacular traction(VMT) is a clinical syndrome that can cause decreased vision and may affect the treatment response in cases of age-related macular degeneration(AMD). Factors affecting the course of VMT in AMD cases will guide the clinician in terms of patient management. BACKGROUND: The aim of this study was to determine the prevalence of VMT in patients with AMD, to evaluate the natural course of VMT, and to investigate factors associated with the prognosis of VMT in eyes with AMD. METHODS: This retrospective case series was conducted with 55 eyes of 46 patients who were diagnosed as having AMD accompanying with VMT. Demographic data, complete ophthalmologic examination findings, type of AMD, receiving an intravitreal injection(IVI), number of IVIs, and the presence of complete spontaneous release were obtained from the medical records of the patients. The horizontal length of VMT(HLVMT), central macular thickness(CMT), the horizontal length of choroidal neovascularization(HLCNV) were evaluated from spectral-domain optical coherence tomography(SD-OCT) images. RESULTS: Spontaneous release was observed in 7(28%) eyes of the exudative AMD group and 10(33.3%) eyes of the nonexudative AMD group. On the last visit, the HLVMT was increased in 22(40%) of the eyes and a decrease in HLVMT was observed in 8(14.5%) of the eyes. In the remaining 12(21.8%) eyes had unchanged HLVMT. In all eyes with CNV, the area of VMT corresponded in 100% with localization of the CNV complex. No significant difference was found between the eyes with spontaneous release and persistent traction in terms of the type of AMD, IVI, HLVMT, age, gender, and crystalline lens status. CONCLUSION: In this study, VMT was observed at higher rates in eyes with exudative AMD compared to the eyes with nonexudative AMD. However, spontaneous release rates were found close to those with idiopathic VMT independently of the type of AMD, HLVMT, and IVI. CI - Copyright (c) 2022 Elsevier B.V. All rights reserved. FAU - Garip, Ruveyde AU - Garip R AD - Department of Ophthalmology, Trakya University School of Medicine, Edirne, Turkey. Electronic address: ruveydegarip@gmail.com. FAU - Cinar, Ayca K AU - Cinar AK AD - Department of Ophthalmology, Trakya University School of Medicine, Edirne, Turkey. Electronic address: aycakupeli@gmail.com. FAU - Cinar, Abdulkadir C AU - Cinar AC AD - Department of Ophthalmology, Trakya University School of Medicine, Edirne, Turkey. FAU - Sakallioglu, Ahmet Kursad AU - Sakallioglu AK AD - Department of Ophthalmology, Trakya University School of Medicine, Edirne, Turkey. FAU - Guclu, Hande AU - Guclu H AD - Department of Ophthalmology, Trakya University School of Medicine, Edirne, Turkey. FAU - Gurlu, Vuslat AU - Gurlu V AD - Department of Ophthalmology, Trakya University School of Medicine, Edirne, Turkey. LA - eng PT - Journal Article DEP - 20220720 PL - Netherlands TA - Photodiagnosis Photodyn Ther JT - Photodiagnosis and photodynamic therapy JID - 101226123 SB - IM MH - Humans MH - Vitreous Body/pathology MH - Retrospective Studies MH - Prognosis MH - Visual Acuity MH - Tissue Adhesions/pathology MH - *Photochemotherapy/methods MH - *Macular Degeneration/epidemiology MH - Tomography, Optical Coherence/methods OTO - NOTNLM OT - Age related macular degeneration OT - Optical coherence tomography OT - Vitreomacular traction COIS- Declaration of Competing Interest Authors declare no conflict of interest. The manuscript has been read and approved by all the authors. The requirements for authorship have been met, and each author believes that the manuscript represents honest work. EDAT- 2022/07/24 06:00 MHDA- 2022/12/15 06:00 CRDT- 2022/07/23 19:28 PHST- 2022/04/21 00:00 [received] PHST- 2022/07/18 00:00 [revised] PHST- 2022/07/19 00:00 [accepted] PHST- 2022/07/24 06:00 [pubmed] PHST- 2022/12/15 06:00 [medline] PHST- 2022/07/23 19:28 [entrez] AID - S1572-1000(22)00311-8 [pii] AID - 10.1016/j.pdpdt.2022.103025 [doi] PST - ppublish SO - Photodiagnosis Photodyn Ther. 2022 Dec;40:103025. doi: 10.1016/j.pdpdt.2022.103025. Epub 2022 Jul 20.