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RELATIONSHIP BETWEEN ABNORMALITIES OF PHOTORECEPTOR MICROSTRUCTURES AND MICROVASCULAR STRUCTURES DETERMINED BY OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY IN EYES WITH BRANCH RETINAL VEIN OCCLUSION

Ogasawara, Yasunobu, MD; Iwase, Takeshi, MD, PhD; Yamamoto, Kentaro, MD, PhD; Ra, Eimei, MD, PhD; Terasaki, Hiroko, MD, PhD

doi: 10.1097/IAE.0000000000002379
Original Study: PDF Only

Purpose: To determine whether the size of the foveal avascular zone (FAZ) is significantly correlated with the best-corrected visual acuity (BCVA) and to examine the relationship between the size and microstructural changes of the photoreceptors in eyes with a branch retinal vein occlusion.

Methods: The medical records of 69 eyes of patients (mean age, 64.6 ± 11.7 years) with a branch retinal vein occlusion were reviewed after the resolution of macular edema. All the patients underwent optical coherence tomography angiography for measurement of the FAZ area and spectral domain optical coherence tomography for determination of microstructural changes of the photoreceptors at the fovea.

Results: The superficial and deep FAZ areas in eyes with a branch retinal vein occlusion were 0.39 ± 0.36 mm2 and 0.63 ± 0.18 mm2, respectively, and both were significantly larger than those observed in the fellow eyes (both, P < 0.001). The superficial FAZ area correlated with the posttreatment BCVA (r = 0.285, P = 0.027) but not with any parameters regarding the microstructures of the photoreceptors. Multivariate linear regression analysis showed that the pretreatment BCVA (β = 0.519, P < 0.001) and integrity of the external limiting membrane (β = −0.373, P = 0.001) were independent factors that significantly correlated with the posttreatment BCVA.

Conclusion: There was no significant correlation between the FAZ area and microstructural parameters. However, the integrity of the external limiting membrane was significantly correlated with the posttreatment BCVA in eyes with a branch retinal vein occlusion.

The foveal avascular zone is significantly larger in eyes with a branch retinal vein occlusion. However, there was no significant correlation between the size and morphologic parameters of any photoreceptor, as determined by optical coherence tomography. The integrity of the external limiting membrane was a key factor for improved best-corrected visual acuity after resolution of macular edema.

Department of Ophthalmology, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Reprint requests: Takeshi Iwase, MD, PhD, Department of Ophthalmology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8560, Japan; e-mail: tsuyoshiIwase@aol.com

None of the authors has any financial/conflicting interests to disclose.

© 2018 by Ophthalmic Communications Society, Inc.