Ocriplasmin: who is the best candidate?

Claudia M Prospero Ponce, William Stevenson, Rachel Gelman, Daniel R Agarwal, John B Christoforidis Retina Division, Department of Ophthalmology, University of Arizona Medical Center, Tucson, AZ, USA Abstract: Enzymatic vitreolysis is currently the focus of attention around the world for treating...

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Main Authors: Prospero Ponce CM, Stevenson W, Gelman R, Agarwal DR, Christoforidis JB
Format: Article
Language:English
Published: Dove Medical Press 2016-03-01
Series:Clinical Ophthalmology
Subjects:
Online Access:https://www.dovepress.com/ocriplasmin-who-is-the-best-candidate-peer-reviewed-article-OPTH
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author Prospero Ponce CM
Stevenson W
Gelman R
Agarwal DR
Christoforidis JB
author_facet Prospero Ponce CM
Stevenson W
Gelman R
Agarwal DR
Christoforidis JB
author_sort Prospero Ponce CM
collection DOAJ
description Claudia M Prospero Ponce, William Stevenson, Rachel Gelman, Daniel R Agarwal, John B Christoforidis Retina Division, Department of Ophthalmology, University of Arizona Medical Center, Tucson, AZ, USA Abstract: Enzymatic vitreolysis is currently the focus of attention around the world for treating vitreomacular traction and full-thickness macular hole. Induction of posterior vitreous detachment is an active area of developmental clinical and basic research. Despite exerting an incompletely elucidated physiological effect, ocriplasmin (also known as microplasmin) has been recognized to serve as a well-tolerated intravitreal injection for the treatment of vitreomacular traction and full-thickness macular hole. There are several unexplored areas of intervention where enzymatic vitreolysis could potentially be used (ie, diabetic macular edema). Recent promising studies have included combinations of enzymatic approaches and new synthetic molecules that induce complete posterior vitreous detachment as well as antiangiogenesis. Although no guidelines have been proposed for the use of ocriplasmin, this review attempts to aid physicians in answering the most important question, “Who is the best candidate?” Keywords: vitreomacular traction, macular hole, enzymatic vitreolysis, ocriplasmin-best candidate, diabetic macular edema, future management
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spelling doaj.art-513dc210827f4837993822f0cad7cf352022-12-21T21:25:08ZengDove Medical PressClinical Ophthalmology1177-54832016-03-012016Issue 148549526044Ocriplasmin: who is the best candidate?Prospero Ponce CMStevenson WGelman RAgarwal DRChristoforidis JBClaudia M Prospero Ponce, William Stevenson, Rachel Gelman, Daniel R Agarwal, John B Christoforidis Retina Division, Department of Ophthalmology, University of Arizona Medical Center, Tucson, AZ, USA Abstract: Enzymatic vitreolysis is currently the focus of attention around the world for treating vitreomacular traction and full-thickness macular hole. Induction of posterior vitreous detachment is an active area of developmental clinical and basic research. Despite exerting an incompletely elucidated physiological effect, ocriplasmin (also known as microplasmin) has been recognized to serve as a well-tolerated intravitreal injection for the treatment of vitreomacular traction and full-thickness macular hole. There are several unexplored areas of intervention where enzymatic vitreolysis could potentially be used (ie, diabetic macular edema). Recent promising studies have included combinations of enzymatic approaches and new synthetic molecules that induce complete posterior vitreous detachment as well as antiangiogenesis. Although no guidelines have been proposed for the use of ocriplasmin, this review attempts to aid physicians in answering the most important question, “Who is the best candidate?” Keywords: vitreomacular traction, macular hole, enzymatic vitreolysis, ocriplasmin-best candidate, diabetic macular edema, future managementhttps://www.dovepress.com/ocriplasmin-who-is-the-best-candidate-peer-reviewed-article-OPTHVitreomacular tractionMacular HoleEnzymatic vitreolysisOcriplasmin-Best candidateDiabetic macular edemafuture management
spellingShingle Prospero Ponce CM
Stevenson W
Gelman R
Agarwal DR
Christoforidis JB
Ocriplasmin: who is the best candidate?
Clinical Ophthalmology
Vitreomacular traction
Macular Hole
Enzymatic vitreolysis
Ocriplasmin-Best candidate
Diabetic macular edema
future management
title Ocriplasmin: who is the best candidate?
title_full Ocriplasmin: who is the best candidate?
title_fullStr Ocriplasmin: who is the best candidate?
title_full_unstemmed Ocriplasmin: who is the best candidate?
title_short Ocriplasmin: who is the best candidate?
title_sort ocriplasmin who is the best candidate
topic Vitreomacular traction
Macular Hole
Enzymatic vitreolysis
Ocriplasmin-Best candidate
Diabetic macular edema
future management
url https://www.dovepress.com/ocriplasmin-who-is-the-best-candidate-peer-reviewed-article-OPTH
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AT agarwaldr ocriplasminwhoisthebestcandidate
AT christoforidisjb ocriplasminwhoisthebestcandidate