Retrospective cohort study exploring whether an association exists between spatial distribution of cystoid spaces in cystoid macular oedema secondary to retinitis pigmentosa and response to treatment with carbonic anhydrase inhibitors
British Journal of Ophthalmology May 04, 2018
Strong SA, et al. - Authors assessed whether an association existed between the spatial distribution of cystoid spaces in retinitis pigmentosa-associated cystoid macular oedema (RP-CMO) and carbonic anhydrase inhibitors (CAIs) response. Results demonstrated inner nuclear layer (INL) fluid to be the most common spatial distribution of RP-CMO. Nonetheless, coexisting outer nuclear layer (ONL) fluid on their pretreatment OCT scans was demonstrated by the patients who were classed as a ‘responder’ to CAI treatment. CAIs having better access to retinal pigment epithelium basolateral membrane could explain this compared to neurosensory retina. A minimal impact on response to CAIs by ERM was also demonstrated in the results.
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