Pneumatic Vitreolysis With Intravitreal Air for Focal Vitreomacular Traction

被引:4
作者
Seamone, Mark E. [1 ]
Rubin, Uriel [1 ]
Grewal, Parampal S. [1 ]
Greve, Mark [1 ]
机构
[1] Univ Alberta, Dept Ophthalmol & Visual Sci, Edmonton, AB, Canada
关键词
intravitreal air; pneumatic vitreolysis; vitreomacular traction;
D O I
10.1177/2474126420962649
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To determine whether pneumatic vitreolysis with intravitreal air is effective for focal vitreomacular traction (VMT). Methods: We conducted a retrospective consecutive case series of 20 eyes from 19 individuals with focal VMT who underwent pneumatic vitreolysis with intravitreal air (January 2017 to November 2018). We analyzed patients via spectral-domain optical coherence tomography before intravitreal air injection and at 1 month. The primary outcome measure was release of VMT. Results: We observed release of VMT in 55% of individuals. An analysis limited to phakic eyes demonstrated release of VMT in 69%, and 65% developed improved best-corrected visual acuity. Individuals with persistent VMT and visual improvement had a significant reduction in angle of vitreoretinal insertion (P <.01), area under VMT (P <.05), and subfoveal cyst area (P <.05). Conclusions: Intravitreal air is an effective treatment for focal VMT. In individuals with persistent VMT, visual-acuity improvement was associated with a reduction in overall VMT.
引用
收藏
页码:348 / 353
页数:6
相关论文
共 17 条
  • [1] Buzzacco DM, 2017, OPEN OPHTHALMOL J, V11, P80, DOI 10.2174/1874364101711010080
  • [2] PNEUMATIC VITREOLYSIS FOR RELIEF OF VITREOMACULAR TRACTION
    Chan, Clement K.
    Crosson, Jason N.
    Mein, Calvin E.
    Daher, Noha
    [J]. RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, 2017, 37 (10): : 1820 - 1831
  • [3] Ocriplasmin use for vitreomacular traction and macular hole: A meta-analysis and comprehensive review on predictive factors for vitreous release and potential complications
    Chatziralli, Irini
    Theodossiadis, George
    Xanthopoulou, Paraskevi
    Miligkos, Michael
    Sivaprasad, Sobha
    Theodossiadis, Panagiotis
    [J]. GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 2016, 254 (07) : 1247 - 1256
  • [4] Results of the 2-Year Ocriplasmin for Treatment for Symptomatic Vitreomacular Adhesion Including Macular Hole (OASIS) Randomized Trial
    Dugel, Pravin U.
    Tolentino, Michael
    Feiner, Leonard
    Kozma, Petra
    Leroy, Annick
    [J]. OPHTHALMOLOGY, 2016, 123 (10) : 2232 - 2247
  • [5] The International Vitreomacular Traction Study Group Classification of Vitreomacular Adhesion, Traction, and Macular Hole
    Duker, Jay S.
    Kaiser, Peter K.
    Binder, Susanne
    de Smet, Marc D.
    Gaudric, Alain
    Reichel, Elias
    Sadda, SriniVas R.
    Sebag, Jerry
    Spaide, Richard F.
    Stalmans, Peter
    [J]. OPHTHALMOLOGY, 2013, 120 (12) : 2611 - 2619
  • [6] Idiopathic Epiretinal Membrane and Vitreomacular Traction
    Feder, Robert S.
    Olsen, Timothy W.
    Prum, Bruce E., Jr.
    Summers, C. Gail
    Olson, Randall J.
    Williams, Ruth D.
    Musch, David C.
    [J]. OPHTHALMOLOGY, 2016, 123 (01) : P152 - P181
  • [7] INTRAVITREAL OCRIPLASMIN IN CLINICAL PRACTICE Predictors of Success, Visual Outcomes, and Complications
    Feng, Henry L.
    Roth, Daniel B.
    Hasan, Aisha
    Fine, Howard F.
    Wheatley, H. Matthew
    Prenner, Jonathan L.
    Shah, Sumit P.
    Modi, Kunjal K.
    Feuer, William J.
    [J]. RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, 2018, 38 (01): : 128 - 136
  • [8] Fishman GA., 2006, RETINA-J RET VIT DIS, V10, P161, DOI [10.1097/00006982-199004000-00018, DOI 10.1097/00006982-199004000-00018]
  • [9] FOOS RY, 1982, OPHTHALMOLOGY, V89, P1502
  • [10] COMPARING INTRAVITREAL AIR AND GAS FOR THE TREATMENT OF VITREOMACULAR TRACTION
    Gruchociak, Sophie
    Djerada, Zoubir
    Afriat, Mickael
    Chia, Valen
    Santorini, Melissa
    Denoyer, Alexandre
    Arndt, Carl
    [J]. RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, 2020, 40 (11): : 2140 - 2147