Flare changes after intravitreal injection of ocriplasmin in symptomatic vitreomacular traction syndrome.

Abstract

To evaluate the changes in anterior chamber flare after a single intravitreal injection of ocriplasmin (125μg), in patients with symptomatic vitreomacular traction syndrome (VMT). An institutional review board-approved single-center not randomized prospective study. Fifteen eyes of fifteen patients (9 women, 6 men) underwent intravitreal injection with ocriplasmin for symptomatic VMT (width of attachment ≤ 1500μm). Anterior segment flare was measured with a laser flare meter (Kowa) before intravitreal injection and 1day, 1week, 1month after injection. The changes in flare were analyzed; the resolution of VMT was evaluated with spectral-domain OCT. The mean anterior chamber flare was 10.5 ± 1.9 photons per millisecond (photons/ms) before the injection. After 1day it increased to 13.6 ± 2.7 photons/ms (p = 0.027) and after 1week to 14.4 ± 2.5 photons/ms (p = 0.005); after 1month it decreased to 12.3 ± 2.3 photons/ms (p = 0.123). At 1day and 1week after injection, mean anterior chamber flare of fellow eyes was significantly lower than study eyes, while at 1month this difference was not significant (12.3 ± 2.3 vs. 10.5 ± 1.8 photons/ms, p = 0.124, for study and fellow eyes). There was no statistically significant difference in the changes in flare between women and men or between phakic (N = 10) and pseudophakic (N = 5) eyes. No eye demonstrated intraretinal damage at any time-point. Also, 9 eyes showed resolution of VMT while 6 eyes demonstrated persistence of VMT. Our study shows that intravitreal injection of ocriplasmin can be a safe and effective approach to treat symptomatic VMT syndrome in selected patients.