Journals / Retina-Vitreus / 2021 / Cilt: 30 - Sayı: 1

Comparison of Type 1 and 2 Choroidal Neovascularization Characteristics Using Optical Coherence Tomography Angiography in Age-Related Macular Degeneration

Pages
13–21
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

The GLD of CNV, selected CNV area and fl ow area in both groups showed no signifi cant change from baseline after PRN treatment at least more than 1 year of follow-up.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: To compare the morphologic characteristics of type 1 and 2 choroidal neovascularization (CNV) in exudative age-related macular degeneration (AMD) patients with optical coherence tomography angiography (OCTA).
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Key Findings & Data:Materials and Methods: OCTA imaging of 36 eyes of 36 patients (24 type 1 CNV, 12 type 2 CNV) with AMD under follow-up in our clinic were reviewed retrospectively.
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Conclusion & Impact:The GLD of CNV, selected CNV area and fl ow area in both groups showed no signifi cant change from baseline after PRN treatment at least more than 1 year of follow-up.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Purpose: To compare the morphologic characteristics of type 1 and 2 choroidal neovascularization (CNV) in exudative age-related macular degeneration (AMD) patients with optical coherence tomography angiography (OCTA). Materials and Methods: OCTA imaging of 36 eyes of 36 patients (24 type 1 CNV, 12 type 2 CNV) with AMD under follow-up in our clinic were reviewed retrospectively. Neovascular complex were qualitatively and quantitatively analyzed at baseline and at follow-up visits. Results: Mean follow-up time was 19.81±6.21 (12-31) months, and median number of injections was 6 (1-11). No signifi cant difference was found for feeder vessel, branching numerous tiny capillaries, loops, peripheral arcade, loop and anostomoses between the groups. However, perilesional hypointense halo was seen more frequently in type 2 CNV group at baseline and fi nal follow-up (p=0,002, p=0,021, respectively). GLD of CNV, selected CNV area and fl ow area measurements were found to be higher in type 1 CNV at baseline and follow-up (p=0.004, p=0.001, p=0.002, respectively) (p<0,001, p<0,001, p<0,001, respectively). There was no statistically signifi cant changes in GLD of CNV, CNV area and fl ow area both type 1 CNV and type 2 CNV after treatment. Conclusion: OCTA provides noninvasive imaging in differential diagnosis and follow-up of CNV subtypes secondary to AMD. Type 2 CNV was characterized by smaller CNV area, fl ow area and GLD of CNV compared with type 1 CNV. The GLD of CNV, selected CNV area and fl ow area in both groups showed no signifi cant change from baseline after PRN treatment at least more than 1 year of follow-up.

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Cite This Article

BİÇER, Ö., DEMİREL, S., SERMET, F., ÖZMERT, E. (2021). Comparison of Type 1 and 2 Choroidal Neovascularization Characteristics Using Optical Coherence Tomography Angiography in Age-Related Macular Degeneration. Retina-Vitreus, Cilt: 30 - Sayı: 1, 13–21. https://ajindex.com/articles/413570

References (13)

  1. Ferris FL, 3rd, Fine SL, Hyman L. Age-related macular degeneration and blindness due to neovascular maculopathy. Arch Ophthalmol.1984;102:1640-2
  2. Grossniklaus HE, Gass JD. Clinicopathologic correlations of surgically excised type 1 and type 2 submacular choroidal neovascular membranes. Am J Ophthalmol. 1998;126:59-69
  3. Chen CY, Wong TY, Heriot WJ. Intravitreal bevacizumab (Avastin) for neovascular age-related macular degeneration: a short-term study. Am J Ophthalmol. 2007;143:510-2
  4. Iafe NA, Phasukkijwatana N, Sarraf D. Optical Coherence Tomography Angiography of Type 1 Neovascularization in Age- Related Macular Degeneration. Dev Ophthalmol. 2016;56:45- 51
  5. Kuehlewein L, Bansal M, Lenis TL, et al. Optical Coherence Tomography Angiography of Type 1 Neovascularization in Age-Related Macular Degeneration. Am J Ophthalmol. 2015;160:739-48
  6. Perrott-Reynolds R, Cann R, Cronbach N, et al. The diagnostic accuracy of OCT angiography in naive and treated neovascular age-related macular degeneration: a review. Eye (Lond). 2019;33:274-82
  7. Turgut B. Optical Coherence Tomography Angiography – A General View. European Ophthalmic Review. 2016;10:39–42
  8. Souedan V, Souied EH, Caillaux V, et al. Sensitivity and specifi city of optical coherence tomography angiography (OCT-A) for detection of choroidal neovascularization in reallife practice and varying retinal expertise level. Int Ophthalmol. 2018;38 38:1051-60
  9. Carnevali A, Cicinelli MV, Capuano V, et al. Optical Coherence Tomography Angiography: A Useful Tool for Diagnosis of Treatment-Naïve Quiescent Choroidal Neovascularization. Am J Ophthalmol. 2016;169:189-98
  10. Xu D, Davila JP, Rahimi M, et al. Long-term Progression of Type 1 Neovascularization in Age-related Macular Degeneration Using Optical Coherence Tomography Angiography. Am J Ophthalmol. 2018;187:10-20
  11. Sulzbacher F, Pollreisz A, Kaider A, et al; Vienna Eye Study Center. Identifi cation and clinical role of choroidal neovascularization characteristics based on optical coherence tomography angiography. Acta Ophthalmol. 2017;95:414-20
  12. Miere A, Butori P, Cohen SY, et al. Vascular Remodeling of Choroidal Neovascularization after Anti-Vascular Endothelial Growth Factor Therapy Visualized on Optical Coherence Tomography Angiography. Retina. 2019;39:548-57
  13. Coscas GJ, Lupidi M, Coscas F, et al. Optical Coherence Tomography Angiography Versus Traditional Multımodal Imaging in Assessing the Activity of Exudative Age-Related Macula