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Incomplete vitreomacular traction release using intravitreal ocriplasmin
Eric K Chin1, David R P Almeida1, Elliott H Sohn1
1Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Case Reports in Ophthalmology
|January 22, 2015
Summary
Intravitreal ocriplasmin showed limited success in resolving vitreomacular traction and macular holes in seven patients, with a notable decrease in visual acuity post-treatment. Further analysis is needed for optimal outcomes.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Pharmacological Treatments
Background:
- Intravitreal ocriplasmin is a pharmacological agent used for vitreolysis.
- This study reports on the initial clinical experience with ocriplasmin in seven patients.
Observation:
- The study included seven patients with an average age of 78.4 years, treated between January and December 2013.
- Five patients were pseudophakic and two were phakic; baseline visual acuity averaged 20/60.
- One month post-injection, visual acuity averaged 20/70, representing a mean loss of two lines.
Findings:
- None of the seven patients achieved complete resolution of vitreomacular traction or macular hole at one month.
- Three patients required subsequent pars plana vitrectomy and membrane peeling surgery.
- One patient experienced increased intraocular pressure, managed with eye drops; no cases of uveitis, endophthalmitis, retinal tears, or detachment were observed.
Implications:
- Intravitreal ocriplasmin demonstrated incomplete resolution of vitreomacular traction and macular holes in this patient series.
- A reduction in visual acuity was observed one month after ocriplasmin treatment.
- Careful patient selection, considering the vitreoretinal interface and comorbidities, is crucial for optimizing outcomes with ocriplasmin.
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