Hyperreflective material in optical coherence tomography images of eyes with myopic choroidal neovascularization may affect the visual outcome

Yasuaki Mushiga, Sakiko Minami, Atsuro Uchida, Norihiro Nagai, Misa Suzuki, Toshihide Kurihara, Hideki Sonobe, Norimitsu Ban, Kazuhiro Watanabe, Hajime Shinoda, Kazuo Tsubota, Yoko Ozawa

Research output: Contribution to journalArticlepeer-review

Abstract

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-naïve 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.

Original languageEnglish
Article number2394
Pages (from-to)1-10
Number of pages10
JournalJournal of Clinical Medicine
Volume9
Issue number8
DOIs
Publication statusPublished - 2020 Aug 1

Keywords

  • Choroidal neovascularization
  • High myopia
  • OCT
  • Retina
  • Visual acuity

ASJC Scopus subject areas

  • Medicine(all)

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