Taslıpınar Uzel A.G. · Gelisken F. · Bartz-Schmidt K.U. ·
Neubauer J.
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Article / Publication Details
Abstract
Purpose: To analyze the impact of OCT characteristics on the natural course of Optic-Disc-Pit-Maculopathy (ODP-M).
Methods: Single-center, retrospective, observational case series. Patients with ODP-M were included in the study. Baseline demographic characteristics, central macular thickness (CMT), intrapapillary proliferation (IPP), subretinal fluid (SRF), subretinal precipitations, outer retinal fluid (ORF) and outer retinal layer hole (ORH) were evaluated. The changes of the OCT characteristics were analyzed with respect to the best-corrected visual acuity (BCVA) from baseline to the last visit.
Results: Twenty-two eyes of 22 patients were evaluated with a mean follow-up time of 37.6 (median 22) months. The mean BCVA was 0.31 logMAR at baseline and 0.28 logMAR at the final visit (p=0.521). Baseline BCVA was significantly related to CMT (β coefficient 0.001, p=0,002). Mean BCVA increased in seven patients (Group-1), remained stable in nine (Group-2), and decreased (Group-3) in six patients. No significant difference was found between the groups regarding the baseline BCVA, CMT and extent of retinal fluid. In patients with subretinal deposits, BCVA remained stable in three patients and worsened in one. ORF was recorded in all patients. In patients with SRF, the mean change of BCVA during follow-up differed significantly depending on the presence (0.07 logMAR) or absence (-0,125 logMAR) of SRF (p=0.019).
Conclusion: Among the OCT characteristics, SRF was a negative prognostic factor in ODP-M. Most ODP-M patients showed improved or stable vision over three years of follow-up. Therefore, observation may be considered in patients with reasonable vision and without SRF, even when they present with remarkable OCT findings.
S. Karger AG, Basel
Article / Publication Details
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