Recurrence risk of myopic choroidal neovascularisation: a systematic review of current study
Introduction The rising prevalence of myopia is a concern in ophthalmology, with myopic choroidal neovascularisation (m-CNV) significantly affecting vision. However, long-term outcomes of m-CNV management have been unsatisfactory, leading to high recurrence rates. These studies aim to identify risk...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-12-01
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| Series: | BMJ Open Ophthalmology |
| Online Access: | https://bmjophth.bmj.com/content/8/1/e001396.full |
| _version_ | 1797367607198744576 |
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| author | Andi Arus Victor Gitalisa Andayani Ari Djatikusumo Anggun Rama Yudantha Mario Marbungaran Hutapea Seruni Hanna Ardhia Kemal Akbar Suryoadji |
| author_facet | Andi Arus Victor Gitalisa Andayani Ari Djatikusumo Anggun Rama Yudantha Mario Marbungaran Hutapea Seruni Hanna Ardhia Kemal Akbar Suryoadji |
| author_sort | Andi Arus Victor |
| collection | DOAJ |
| description | Introduction The rising prevalence of myopia is a concern in ophthalmology, with myopic choroidal neovascularisation (m-CNV) significantly affecting vision. However, long-term outcomes of m-CNV management have been unsatisfactory, leading to high recurrence rates. These studies aim to identify risk factors for m-CNV recurrence.Methods Comprehensive review followed a pre-registered plan in the International Prospective Register of Systematic Reviews (PROSPERO). The search strategy used various databases including PubMed, Cochrane Library, Embase, Scopus and ScienceDirect using the keywords ‘Myopic Choroidal Neovascularization’, ‘Recurrence’ and ‘Risk’. Eligible studies were identified and analysed based on predetermined criteria. This study was registered on PROSPERO (CRD4202343461).Results The systematic review included three retrospective studies investigating risk factors associated with m-CNV recurrence. These factors are: (1) requiring three or more injections for initial disease control, (2) older age, (3) larger myopic macular neovascularisation, (4) juxtafoveal CNV, (5) larger height of hyper-reflective foci (HRF) and (6) destruction or absence of the ellipsoid zone (EZ) and retinal pigment epithelium (RPE).Conclusion Risk factors for m-CNV recurrence include a greater number of required injections, older age, large macular CNV, juxtafoveal location, increased HRF height and changes in EZ and RPE structure. Understanding these factors can inform personalised treatment approaches and improve patient outcomes by identifying individuals at higher risk of recurrence and implementing proactive measures to mitigate the impact of m-CNV recurrence and progression. Further investigation is needed to enhance our understanding of the underlying mechanisms and develop innovative therapeutic approaches for effective m-CNV management.PROSPERO registration number CRD4202343461. |
| first_indexed | 2024-03-08T17:20:45Z |
| format | Article |
| id | doaj.art-609803424e284e5ebf478a30cca3da33 |
| institution | Directory Open Access Journal |
| issn | 2397-3269 |
| language | English |
| last_indexed | 2024-03-08T17:20:45Z |
| publishDate | 2023-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Ophthalmology |
| spelling | doaj.art-609803424e284e5ebf478a30cca3da332024-01-03T05:40:08ZengBMJ Publishing GroupBMJ Open Ophthalmology2397-32692023-12-018110.1136/bmjophth-2023-001396Recurrence risk of myopic choroidal neovascularisation: a systematic review of current studyAndi Arus Victor0Gitalisa Andayani1Ari Djatikusumo2Anggun Rama Yudantha3Mario Marbungaran Hutapea4Seruni Hanna Ardhia5Kemal Akbar Suryoadji6Department of Ophthalmology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National General Hospital, Jakarta, IndonesiaDepartment of Ophthalmology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National General Hospital, Jakarta, IndonesiaDepartment of Ophthalmology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National General Hospital, Jakarta, IndonesiaDepartment of Ophthalmology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National General Hospital, Jakarta, IndonesiaDepartment of Ophthalmology, Faculty of Medicine, Universitas Indonesia, Cipto Mangunkusumo National General Hospital, Jakarta, IndonesiaResearch Assistant, Faculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaResearch Assistant, Faculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaIntroduction The rising prevalence of myopia is a concern in ophthalmology, with myopic choroidal neovascularisation (m-CNV) significantly affecting vision. However, long-term outcomes of m-CNV management have been unsatisfactory, leading to high recurrence rates. These studies aim to identify risk factors for m-CNV recurrence.Methods Comprehensive review followed a pre-registered plan in the International Prospective Register of Systematic Reviews (PROSPERO). The search strategy used various databases including PubMed, Cochrane Library, Embase, Scopus and ScienceDirect using the keywords ‘Myopic Choroidal Neovascularization’, ‘Recurrence’ and ‘Risk’. Eligible studies were identified and analysed based on predetermined criteria. This study was registered on PROSPERO (CRD4202343461).Results The systematic review included three retrospective studies investigating risk factors associated with m-CNV recurrence. These factors are: (1) requiring three or more injections for initial disease control, (2) older age, (3) larger myopic macular neovascularisation, (4) juxtafoveal CNV, (5) larger height of hyper-reflective foci (HRF) and (6) destruction or absence of the ellipsoid zone (EZ) and retinal pigment epithelium (RPE).Conclusion Risk factors for m-CNV recurrence include a greater number of required injections, older age, large macular CNV, juxtafoveal location, increased HRF height and changes in EZ and RPE structure. Understanding these factors can inform personalised treatment approaches and improve patient outcomes by identifying individuals at higher risk of recurrence and implementing proactive measures to mitigate the impact of m-CNV recurrence and progression. Further investigation is needed to enhance our understanding of the underlying mechanisms and develop innovative therapeutic approaches for effective m-CNV management.PROSPERO registration number CRD4202343461.https://bmjophth.bmj.com/content/8/1/e001396.full |
| spellingShingle | Andi Arus Victor Gitalisa Andayani Ari Djatikusumo Anggun Rama Yudantha Mario Marbungaran Hutapea Seruni Hanna Ardhia Kemal Akbar Suryoadji Recurrence risk of myopic choroidal neovascularisation: a systematic review of current study BMJ Open Ophthalmology |
| title | Recurrence risk of myopic choroidal neovascularisation: a systematic review of current study |
| title_full | Recurrence risk of myopic choroidal neovascularisation: a systematic review of current study |
| title_fullStr | Recurrence risk of myopic choroidal neovascularisation: a systematic review of current study |
| title_full_unstemmed | Recurrence risk of myopic choroidal neovascularisation: a systematic review of current study |
| title_short | Recurrence risk of myopic choroidal neovascularisation: a systematic review of current study |
| title_sort | recurrence risk of myopic choroidal neovascularisation a systematic review of current study |
| url | https://bmjophth.bmj.com/content/8/1/e001396.full |
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