FLUID-BASED VISUAL PROGNOSTICATION in TYPE 3 MACULAR NEOVASCULARIZATION-FLIP-3 STUDY

Ashish Sharma, Chui Ming Gemmy Cheung, Luis Arias-Barquet, Sengul Ozdek, Nikulaa Parachuri, Nilesh Kumar, Assaf Hilely, Dinah Zur, Anat Loewenstein, Giovanna Vella, Francesco Bandello, Giuseppe Querques

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To analyze the effect of fluid on visual acuity in cases of Type 3 macular neovascularization. Methods: This multicentric, retrospective cohort study included eyes with treatment-naïve Type 3 macular neovascularization. Analysis of fluid in different compartments was performed. Group A included eyes with isolated intraretinal fluid, whereas Group B included eyes with intraretinal fluid in conjunction with subretinal fluid and/or sub retinal pigment epithelial fluid. Results: Eyes in Group A (31, 55.3%) had better best-corrected visual acuity of 20/50 snellen equivalent (0.42 ± 0.31 logarithm of the minimum angle of resolution) at baseline and 20/50 snellen equivalent (0.40 ± 0.28 logarithm of the minimum angle of resolution) at complete resolution compared with Group B with visual acuity of 20/80 snellen equivalent (0.64 ± 0.35 logarithm of the minimum angle of resolution) (P = 0.0181) at baseline and 20/ 100 snellen equivalent (0.70 ± 0.40 logarithm of the minimum angle of resolution) (P = 0.0021) at complete resolution. Subfoveal atrophy was more in Group B (82.6% 19/23) at complete resolution in comparison to Group A (16/31, 51.6%). Eyes in Group B needed more anti–vascular endothelial growth factor injections (10.3 ± 9.0) for complete resolution compared with Group A (5.7 ± 4.8). Conclusion: Intraretinal fluid may be associated with good visual acuity in Type 3 macular neovascularization in contrast to other forms of neovascular age related macular degeneration. Furthermore, intraretinal fluid in isolation may need fewer injections and could probably be associated with less subfoveal atrophy.

Original languageEnglish
Pages (from-to)107-113
Number of pages7
JournalRetina
Volume42
Issue number1
DOIs
StatePublished - 1 Jan 2022

Keywords

  • Anti-VEGF
  • Fluid
  • IRF
  • Prognosis
  • Type 3 MNV

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