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Anatomical and functional outcomes of symptomatic idiopathic vitreomacular traction

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dc.creatorWu, Lihtehspa
dc.creatorZas, Marcelospa
dc.creatorBerrocal, Maria H.spa
dc.creatorArevalo, J. Fernandospa
dc.creatorFigueroa, Martaspa
dc.creatorRodriguez, Franciscospa
dc.creatorSerrano, Martinspa
dc.creatorGraue, Federicospa
dc.creatorAlezzandrini, Arturospa
dc.creatorGallego-Pinazo, Robertospa
dc.creatorRoca, José A.spa
dc.creatorIglicki, Matiasspa
dc.creatorDalma-Weishauz, Joséspa
dc.creatorKozak, Igorspa
dc.creatorCollado, Albertospa
dc.creatorBadal, Josepspa
dc.creatorMaia, Mauriciospa
dc.creatorSalcedo-Villanueva, Guillermospa
dc.creatorQuiroz-Mercado, Hugospa
dc.creatorFromow-Guerra, Jansspa
dc.creatorLozano-Rechy, Davidspa
dc.creatorAvila, Marcosspa
dc.creatorChhablani, Jayspa
dc.date.accessioned2020-05-25T23:58:52Z
dc.date.available2020-05-25T23:58:52Z
dc.date.created2016spa
dc.description.abstractPurpose: To describe the natural history of eyes with symptomatic idiopathic vitreomacular traction (VMT). Methods: Retrospective multicenter study of 168 eyes with spectral-domain optical coherence tomography (SD-OCT) findings consistent with idiopathic VMT. All eyes were graded according to SD-OCT findings. Grade 1 was defined as incomplete cortical vitreous separation with foveal attachment. Grade 2 was defined as Grade 1 plus intraretinal cysts or clefts. Grade 3 was defined as Grade 2 plus a foveal detachment. All patients were followed for at least 6 months. Results: There were 168 patients (51 men) with a mean age of 68.8 ± 10.7 years. Patients were followed for a mean of 22.7 ± 20.1 months. The mean duration of symptoms before the initial presentation was 3.65 ± 5.42 months. At baseline, 72 eyes had Grade 1, 74 eyes had Grade 2, and 22 eyes had Grade 3 SD-OCT findings. Over the follow-up period, 36 eyes (21.4%) had spontaneous resolution of the VMT with normalization of the foveal anatomy. The mean time to resolution was 12.3 ± 12.6 months. An unfavorable anatomical outcome occurred in 7.7% (13 of 168) of the eyes, with 6 eyes developing a lamellar macular hole and 7 eyes developing a full-thickness macular hole. This occurred at a mean of 10.3 ± 10.7 months after the presentation. Subgroup analysis based on baseline SD-OCT grade showed that 4.1% (3 of 73) of Grade 1 eyes compared with 6.8% (5 of 74) of Grade 2 eyes, and 23.8% (5 of 21) of Grade 3 eyes developed a full-thickness macular hole or lamellar macular hole (P 0.0109, chi-square test). In the remaining 119 eyes, at the last follow-up, 65 eyes had Grade 1, 42 eyes had Grade 2, and 12 eyes had Grade 3 VMT. On average, the best-corrected visual acuity improved from 0.40 ± 0.35 logarithm of the minimum angle of resolution (Snellen, 20/50) at baseline to 0.35 ± 0.36 logarithm of the minimum angle of resolution (Snellen, 20/45; P 0.0372), and the mean central macular thickness improved from 350 ± 132 m to 323 ± 121 m. Conclusion: Spontaneous resolution of VMT occurred in 21.4% (36 of 168) of eyes after a mean follow-up of 11.4 ± 12.6 months. An unfavorable anatomical outcome occurred in 7.7% (13 of 168) of eyes. The baseline SD-OCT grade may predict the progression to full-thickness macular hole.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1097/IAE.0000000000001015
dc.identifier.issn15392864
dc.identifier.issn0275004X
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22939
dc.language.isoengspa
dc.publisherLippincott Williams and Wilkinsspa
dc.relation.citationEndPage1918
dc.relation.citationIssueNo. 10
dc.relation.citationStartPage1913
dc.relation.citationTitleRetina
dc.relation.citationVolumeVol. 36
dc.relation.ispartofRetina, ISSN:15392864, 0275004X, Vol.36, No.10 (2016); pp. 1913-1918spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84962019082&doi=10.1097%2fIAE.0000000000001015&partnerID=40&md5=ec74ee604aa6bb13d89bd05f3a695fc6spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAgedspa
dc.subject.keywordArticlespa
dc.subject.keywordBest corrected visual acuityspa
dc.subject.keywordCentral macular thicknessspa
dc.subject.keywordFemalespa
dc.subject.keywordFollow upspa
dc.subject.keywordHumanspa
dc.subject.keywordIdiopathic diseasespa
dc.subject.keywordMajor clinical studyspa
dc.subject.keywordMalespa
dc.subject.keywordMedical historyspa
dc.subject.keywordMulticenter studyspa
dc.subject.keywordObservational studyspa
dc.subject.keywordOutcome assessmentspa
dc.subject.keywordRetina macula holespa
dc.subject.keywordRetina maculopathyspa
dc.subject.keywordRetrospective studyspa
dc.subject.keywordSpectral domain optical coherence tomographyspa
dc.subject.keywordVisual acuity chartspa
dc.subject.keywordVitreomacular traction syndromespa
dc.subject.keywordVitreous bodyspa
dc.subject.keywordVitreous diseasespa
dc.subject.keywordClinical trialspa
dc.subject.keywordComplicationspa
dc.subject.keywordOptical coherence tomographyspa
dc.subject.keywordPathophysiologyspa
dc.subject.keywordPhysiologyspa
dc.subject.keywordRemissionspa
dc.subject.keywordRetinal diseasesspa
dc.subject.keywordRetinal perforationsspa
dc.subject.keywordSlit lampspa
dc.subject.keywordTissue adhesionsspa
dc.subject.keywordVisual acuityspa
dc.subject.keywordVitrectomyspa
dc.subject.keywordVitreous detachmentspa
dc.subject.keywordFibrinolytic agentspa
dc.subject.keywordOcriplasminspa
dc.subject.keywordPeptide fragmentspa
dc.subject.keywordPlasminspa
dc.subject.keywordAgedspa
dc.subject.keywordFemalespa
dc.subject.keywordFibrinolysinspa
dc.subject.keywordFibrinolytic agentsspa
dc.subject.keywordHumansspa
dc.subject.keywordMalespa
dc.subject.keywordPeptide fragmentsspa
dc.subject.keywordRemissioneng
dc.subject.keywordRetinal diseasesspa
dc.subject.keywordRetinal perforationsspa
dc.subject.keywordRetrospective studiesspa
dc.subject.keywordSlit lampspa
dc.subject.keywordTissue adhesionsspa
dc.subject.keywordTomographyeng
dc.subject.keywordVisual acuityspa
dc.subject.keywordVitrectomyspa
dc.subject.keywordVitreous detachmentspa
dc.subject.keywordMacular holespa
dc.subject.keywordOcriplasminspa
dc.subject.keywordVitrectomyspa
dc.subject.keywordVitreomacular tractionspa
dc.titleAnatomical and functional outcomes of symptomatic idiopathic vitreomacular tractionspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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