Influence of pigment epithelial detachment on visual acuity in neovascular age-related macular degeneration

Copyright © 2020 Elsevier Inc. All rights reserved..

Pigment epithelial detachment (PED), the anatomical separation of the retinal pigment epithelium from the Bruch membrane, is common in many chorioretinal diseases, including neovascular age-related macular degeneration. PED is present in about 30% to 80% of neovascular age-related macular degeneration patients based on the CATT, EXCITE, and VIEW studies. The influence of PED on visual acuity is controversial as a result of inconsistent results reported by various studies. With advances in imaging technologies, it is possible to evaluate not only the presence or absence of PED, but also detailed quantitative parameters, such as height, width, greatest linear diameter, area, volume, and reflectivity within the PED. We performed a comprehensive literature review to evaluate the relationship of PED with visual acuity. In summary, the presence or persistence of a PED may still be compatible with relatively good visual acuity. There is no strong evidence that the presence of a PED or aspects of its morphology has a significant impact on visual acuity. The presence of a PED may be predictive of the need for more regular treatment. More well-designed studies with standardized PED definitions and classifications are needed to evaluate the relationship between PED and visual acuity.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:66

Enthalten in:

Survey of ophthalmology - 66(2021), 1 vom: 01. Jan., Seite 68-97

Sprache:

Englisch

Beteiligte Personen:

Cheong, Kai Xiong [VerfasserIn]
Teo, Kelvin Yi Chong [VerfasserIn]
Cheung, Chui Ming Gemmy [VerfasserIn]

Links:

Volltext

Themen:

Aflibercept
Age-related macular degeneration
Angiogenesis Inhibitors
Anti-VEGF
Bevacizumab
Choroidal neovascularisation
Journal Article
Neovascular age-related macular degeneration
Pigment epithelial detachment(s)
Ranibizumab
Research Support, Non-U.S. Gov't
Review
Vision
Visual acuity
ZL1R02VT79

Anmerkungen:

Date Completed 07.03.2022

Date Revised 07.03.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.survophthal.2020.05.003

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM310109809