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Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 12/2022

Open Access 24-06-2022 | Edema | Retinal Disorders

Correlation between change in central subfield thickness and change in visual acuity in macular edema due to retinal vein occlusion: post hoc analysis of COPERNICUS, GALILEO, and VIBRANT

Authors: Sophie Z. Gu, Onnisa Nanegrungsunk, Susan B. Bressler, Weiming Du, Fouad Amer, Hadi Moini, Neil M. Bressler

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 12/2022

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Abstract

Purpose

Assess correlation between change in central subfield thickness (CST) and change in best-corrected visual acuity (BCVA) in eyes with macular edema due to retinal vein occlusion (RVO) that received intravitreal aflibercept injections (IAI).

Methods

Post hoc analysis of COPERNICUS and GALILEO trials for CRVO and VIBRANT trial for BRVO with relationships determined using Pearson correlation coefficient.

Results

In COPERNICUS, correlations (r) between change in CST and change in BCVA from baseline at weeks 12, 24, 52, and 100 were −0.36 (95% CI: −0.52, −0.18; P < 0.001), −0.38 (95% CI: −0.53, −0.20; P < 0.001), −0.44 (95% CI: −0.58, −0.27; P < 0.001), and −0.41 (95% CI: −0.56, −0.23; P < 0.001), respectively. CST changes accounted for only 21% of the variance in BCVA changes; every 100-µm decrease in CST was associated with a 2.1-letter increase in BCVA (P = 0.003). Similar findings were noted for GALILEO (r, −0.45 to −0.23) and VIBRANT (r, −0.36 to −0.32) trials.

Conclusion

In eyes treated with IAI for macular edema due to RVO, correlation between change in CST and change in BCVA was weak to moderate. While change in CST may be helpful in determining the need for anti-VEGF therapy, these findings do not support using changes in CST as a surrogate for changes in visual acuity outcomes.
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Literature
9.
go back to reference Ogura Y, Roider J, Korobelnik J, Holz FG, Simader C, Schmidt-Erfurth U, Vitti R, Berliner AJ, Hiemeyer F, Stemper B, Zeitz O, Sandbrink R, GALILEO StudyGroup (2014) Intravitreal aflibercept for macular edema secondary to central retinal vein occlusion: 18-month results of the phase 3 GALILEO study. Am J Ophthalmol 158:1032–1038. https://doi.org/10.1016/j.ajo.2014.07.027CrossRefPubMed Ogura Y, Roider J, Korobelnik J, Holz FG, Simader C, Schmidt-Erfurth U, Vitti R, Berliner AJ, Hiemeyer F, Stemper B, Zeitz O, Sandbrink R, GALILEO StudyGroup (2014) Intravitreal aflibercept for macular edema secondary to central retinal vein occlusion: 18-month results of the phase 3 GALILEO study. Am J Ophthalmol 158:1032–1038. https://​doi.​org/​10.​1016/​j.​ajo.​2014.​07.​027CrossRefPubMed
13.
go back to reference Bressler NM, Odia I, Maguire M, Glassman AR, Jampol LM, MacCumber MW, Shah C, Rosberger D, Sun JK, Retina Network DRCR (2019) Association between change in visual acuity and change in central subfield thickness during treatment of diabetic macular edema in participants randomized to aflibercept, bevacizumab, or ranibizumab: a post hoc analysis of the Protocol T randomized clinical trial. JAMA Ophthalmol 137:977–985. https://doi.org/10.1001/jamaophthalmol.2019.1963CrossRefPubMedPubMedCentral Bressler NM, Odia I, Maguire M, Glassman AR, Jampol LM, MacCumber MW, Shah C, Rosberger D, Sun JK, Retina Network DRCR (2019) Association between change in visual acuity and change in central subfield thickness during treatment of diabetic macular edema in participants randomized to aflibercept, bevacizumab, or ranibizumab: a post hoc analysis of the Protocol T randomized clinical trial. JAMA Ophthalmol 137:977–985. https://​doi.​org/​10.​1001/​jamaophthalmol.​2019.​1963CrossRefPubMedPubMedCentral
14.
go back to reference Dugel PU, Campbell JH, Kiss S, Loewenstein A, Shih V, Xu X, Holekamp NM, Augustin AJ, Ho AC, Gonzalez VH, Whitcup SM (2019) Association between early anatomic response to anti-vascular endothelial growth factor therapy and long-term outcome in diabetic macular edema: an independent analysis of protocol I study data. Retina 39:88–97. https://doi.org/10.1097/IAE.0000000000002110CrossRefPubMed Dugel PU, Campbell JH, Kiss S, Loewenstein A, Shih V, Xu X, Holekamp NM, Augustin AJ, Ho AC, Gonzalez VH, Whitcup SM (2019) Association between early anatomic response to anti-vascular endothelial growth factor therapy and long-term outcome in diabetic macular edema: an independent analysis of protocol I study data. Retina 39:88–97. https://​doi.​org/​10.​1097/​IAE.​0000000000002110​CrossRefPubMed
Metadata
Title
Correlation between change in central subfield thickness and change in visual acuity in macular edema due to retinal vein occlusion: post hoc analysis of COPERNICUS, GALILEO, and VIBRANT
Authors
Sophie Z. Gu
Onnisa Nanegrungsunk
Susan B. Bressler
Weiming Du
Fouad Amer
Hadi Moini
Neil M. Bressler
Publication date
24-06-2022
Publisher
Springer Berlin Heidelberg
Keywords
Edema
Aflibercept
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 12/2022
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-022-05697-4

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