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Vitreomacular interface abnormalities in type 2 macular telangiectasia (MacTel)

Purpose To describe the different types of vitreomacular interface abnormalities (VMIA) seen on optical coherence tomography (OCT) in type 2 macular telangiectasia (MacTel) and explain the possible reasons for its development. Methods In this retrospective cross-sectional study, type 2 MacTel eyes w...

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Published in:Graefe's archive for clinical and experimental ophthalmology 2024-05, Vol.262 (5), p.1455-1463
Main Authors: Venkatesh, Ramesh, Mangla, Rubble, Handa, Ashit, Chitturi, Sai Prashanti, Parmar, Yash, Sangoram, Rohini, Yadav, Naresh Kumar, Chhablani, Jay
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container_issue 5
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container_title Graefe's archive for clinical and experimental ophthalmology
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creator Venkatesh, Ramesh
Mangla, Rubble
Handa, Ashit
Chitturi, Sai Prashanti
Parmar, Yash
Sangoram, Rohini
Yadav, Naresh Kumar
Chhablani, Jay
description Purpose To describe the different types of vitreomacular interface abnormalities (VMIA) seen on optical coherence tomography (OCT) in type 2 macular telangiectasia (MacTel) and explain the possible reasons for its development. Methods In this retrospective cross-sectional study, type 2 MacTel eyes with macular volumetric OCT imaging protocol were included to identify different types of VMIA such as abnormal PVD, vitreomacular traction (VMT), ERM, and lamellar and full-thickness macular hole. The VMIA findings were then correlated with different MacTel disease stages and visual acuity. Results One thousand forty-three OCTs of 332 type 2 MacTel eyes from 169 patients at different visits were examined. VMIA was detected in 709 (68%) of those OCT scans in 216 (65%) eyes. There were 273 (39%), 31 (4%), 89 (13%), 7 (1%), and 381 (54%) OCT scans with vitreomacular adhesion, VMT, ERM, and inner and outer lamellar macular holes discovered respectively. VMIA eyes had a high frequency of abnormal PVD ( p  = 0.001) and retinal pigment clumps (RPCs) [ p  = 0.032]. Eyes with abnormal PVD ( p  = 0.034) and RPC ( p  = 0.000) had a higher rate of ERM development. RPC was linked to an increased risk of developing ERM (odd ratio 2.472; 95% CI 1.488–4.052). RPC and ERM contributed significantly to poor visual acuity (0.661 ± 0.416, 20/92). Conclusion OCT reveals a high frequency of VMIA in advanced type 2 MacTel eyes. RPC could be responsible for the development of anomalous PVD, as well as subsequent VMIAs and ERM. Additional work is required to examine the long-term changes and surgical outcomes of these eyes.
doi_str_mv 10.1007/s00417-023-06330-8
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Methods In this retrospective cross-sectional study, type 2 MacTel eyes with macular volumetric OCT imaging protocol were included to identify different types of VMIA such as abnormal PVD, vitreomacular traction (VMT), ERM, and lamellar and full-thickness macular hole. The VMIA findings were then correlated with different MacTel disease stages and visual acuity. Results One thousand forty-three OCTs of 332 type 2 MacTel eyes from 169 patients at different visits were examined. VMIA was detected in 709 (68%) of those OCT scans in 216 (65%) eyes. There were 273 (39%), 31 (4%), 89 (13%), 7 (1%), and 381 (54%) OCT scans with vitreomacular adhesion, VMT, ERM, and inner and outer lamellar macular holes discovered respectively. VMIA eyes had a high frequency of abnormal PVD ( p  = 0.001) and retinal pigment clumps (RPCs) [ p  = 0.032]. Eyes with abnormal PVD ( p  = 0.034) and RPC ( p  = 0.000) had a higher rate of ERM development. RPC was linked to an increased risk of developing ERM (odd ratio 2.472; 95% CI 1.488–4.052). RPC and ERM contributed significantly to poor visual acuity (0.661 ± 0.416, 20/92). Conclusion OCT reveals a high frequency of VMIA in advanced type 2 MacTel eyes. RPC could be responsible for the development of anomalous PVD, as well as subsequent VMIAs and ERM. Additional work is required to examine the long-term changes and surgical outcomes of these eyes.</description><identifier>ISSN: 0721-832X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-023-06330-8</identifier><identifier>PMID: 38108907</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Acuity ; Cross-Sectional Studies ; Diabetic Retinopathy ; Eye ; Humans ; Macula Lutea ; Medicine ; Medicine &amp; Public Health ; Ophthalmology ; Retinal Diseases - diagnosis ; Retinal Diseases - etiology ; Retinal Disorders ; Retinal Perforations - diagnosis ; Retinal Perforations - etiology ; Retrospective Studies ; Telangiectasis ; Tomography, Optical Coherence - methods ; Vision Disorders ; Visual acuity</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2024-05, Vol.262 (5), p.1455-1463</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. 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Methods In this retrospective cross-sectional study, type 2 MacTel eyes with macular volumetric OCT imaging protocol were included to identify different types of VMIA such as abnormal PVD, vitreomacular traction (VMT), ERM, and lamellar and full-thickness macular hole. The VMIA findings were then correlated with different MacTel disease stages and visual acuity. Results One thousand forty-three OCTs of 332 type 2 MacTel eyes from 169 patients at different visits were examined. VMIA was detected in 709 (68%) of those OCT scans in 216 (65%) eyes. There were 273 (39%), 31 (4%), 89 (13%), 7 (1%), and 381 (54%) OCT scans with vitreomacular adhesion, VMT, ERM, and inner and outer lamellar macular holes discovered respectively. VMIA eyes had a high frequency of abnormal PVD ( p  = 0.001) and retinal pigment clumps (RPCs) [ p  = 0.032]. Eyes with abnormal PVD ( p  = 0.034) and RPC ( p  = 0.000) had a higher rate of ERM development. RPC was linked to an increased risk of developing ERM (odd ratio 2.472; 95% CI 1.488–4.052). RPC and ERM contributed significantly to poor visual acuity (0.661 ± 0.416, 20/92). Conclusion OCT reveals a high frequency of VMIA in advanced type 2 MacTel eyes. RPC could be responsible for the development of anomalous PVD, as well as subsequent VMIAs and ERM. 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Methods In this retrospective cross-sectional study, type 2 MacTel eyes with macular volumetric OCT imaging protocol were included to identify different types of VMIA such as abnormal PVD, vitreomacular traction (VMT), ERM, and lamellar and full-thickness macular hole. The VMIA findings were then correlated with different MacTel disease stages and visual acuity. Results One thousand forty-three OCTs of 332 type 2 MacTel eyes from 169 patients at different visits were examined. VMIA was detected in 709 (68%) of those OCT scans in 216 (65%) eyes. There were 273 (39%), 31 (4%), 89 (13%), 7 (1%), and 381 (54%) OCT scans with vitreomacular adhesion, VMT, ERM, and inner and outer lamellar macular holes discovered respectively. VMIA eyes had a high frequency of abnormal PVD ( p  = 0.001) and retinal pigment clumps (RPCs) [ p  = 0.032]. Eyes with abnormal PVD ( p  = 0.034) and RPC ( p  = 0.000) had a higher rate of ERM development. RPC was linked to an increased risk of developing ERM (odd ratio 2.472; 95% CI 1.488–4.052). RPC and ERM contributed significantly to poor visual acuity (0.661 ± 0.416, 20/92). Conclusion OCT reveals a high frequency of VMIA in advanced type 2 MacTel eyes. RPC could be responsible for the development of anomalous PVD, as well as subsequent VMIAs and ERM. Additional work is required to examine the long-term changes and surgical outcomes of these eyes.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38108907</pmid><doi>10.1007/s00417-023-06330-8</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-4479-9390</orcidid></addata></record>
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subjects Acuity
Cross-Sectional Studies
Diabetic Retinopathy
Eye
Humans
Macula Lutea
Medicine
Medicine & Public Health
Ophthalmology
Retinal Diseases - diagnosis
Retinal Diseases - etiology
Retinal Disorders
Retinal Perforations - diagnosis
Retinal Perforations - etiology
Retrospective Studies
Telangiectasis
Tomography, Optical Coherence - methods
Vision Disorders
Visual acuity
title Vitreomacular interface abnormalities in type 2 macular telangiectasia (MacTel)
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