Predictive value of retinal oximetry, optical coherence tomography angiography and microperimetry in patients with treatment-naïve branch retinal vein occlusion

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  • Katrine Hartmund Frederiksen
  • Frederik Nørregaard Pedersen
  • Anna Stage Vergmann
  • Dawei Yang
  • Caroline Schmidt Laugesen
  • Jesper Pindbo Vestergaard
  • Sørensen, Torben Lykke
  • Carol Y Cheung
  • Ryo Kawasaki
  • Tunde Peto
  • Jakob Grauslund

Vascular endothelial growth factor inhibitors have substantially improved the visual outcomes in patients with macular edema (ME) caused by branch retinal vein occlusion (BRVO), but treatment outcomes are highly variable and early prediction of expected clinical outcome would be important for individualized treatment.As non-invasive metabolic, structural and functional retinal markers might act as early predictors of clinical outcomes, we performed a 12-month, prospective study aimed to evaluate if baseline retinal oximetry, optical coherence tomography angiography (OCT-A) or microperimetry were able to predict need of treatment, structural or functional outcome in patients with ME caused by treatment-näive BRVO.We evaluated 41 eyes of 41 patients with a mean age of 69.6 years and 56% females. We found a strong tendency towards a higher retinal arteriolar oxygen saturation in patients without a need of additional aflibercept treatment after the loading phase (99.8% vs. 92.3%, adjusted odds ratio 0.80 (95% confidence interval 0.64-1.00), adjusted p = 0.058), but otherwise, retinal oximetry, OCT-A or microperimetry were not able to predict need of treatment, structural nor functional outcomes. (Trial registration: clinicaltrials.gov, S-20,170,084. Registered 24 August 2014, https://clinicaltrials.gov/ct2/show/NCT03651011 ).

Original languageEnglish
JournalInternational journal of retina and vitreous
Volume9
Pages (from-to)38
ISSN2056-9920
DOIs
Publication statusPublished - 2023

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© 2023. The Author(s).

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