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Ocriplasmin for pharmacologic vitreolysis.

Baruch D Kuppermann1

  • 1Retina Service at the Gavin Herbert Eye Institute, Department of Ophthalmology, University of California, Irvine, CA, USA. bdkupper@uci.edu

Retina (Philadelphia, Pa.)
|August 30, 2012
PubMed
Summary

Pharmacologic vitreolysis, using ocriplasmin, offers a nonsurgical treatment for vitreomacular adhesion and macular holes. This advancement provides an effective alternative for managing these retinal disorders.

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Area of Science:

  • Ophthalmology
  • Retinal Disorders
  • Pharmacology

Background:

  • The vitreous humor is implicated in the pathogenesis of several retinal disorders.
  • Pharmacologic vitreolysis aims to liquefy the vitreous and achieve vitreoretinal separation.

Purpose of the Study:

  • To summarize recent advancements in pharmacologic vitreolysis.
  • To discuss the efficacy and safety of ocriplasmin for retinal conditions.

Main Methods:

  • A roundtable discussion among clinical investigators.
  • Presentation and discussion of preclinical data.
  • Review of efficacy and safety data from controlled clinical trials of ocriplasmin.
  • Presentation of case studies.

Main Results:

  • Ocriplasmin has demonstrated the ability to safely release vitreomacular adhesion.
  • Ocriplasmin has shown success in closing Stage 2 macular holes in a significant number of patients.
  • Clinical data supports ocriplasmin as a safe and effective treatment option.

Conclusions:

  • Pharmacologic vitreolysis with ocriplasmin presents a viable nonsurgical treatment alternative.
  • Ocriplasmin is effective for treating vitreomacular adhesion, vitreomacular traction, and macular holes.
  • Expert interpretation of clinical data and experience supports ocriplasmin's use.