OCT macular changes in type 1 ROP following Ranibizumab injections

Abstract Aim To investigate the OCT macular changes in type 1 ROP one month following Ranibizumab injections. Methods Preterm infants with type 1 ROP indicated for Ranibizumab injections were included in this study. Handheld OCT imaging was performed at baseline, 1 week, and 1 month post injection....

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Main Authors: Rawan Hosny, Jylan Gouda, Tamer A. Macky, Ayman Khattab, Hany Mekkawy, Abdussalam M. Abdullatif
Format: Article
Language:English
Published: BMC 2025-04-01
Series:International Journal of Retina and Vitreous
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Online Access:https://doi.org/10.1186/s40942-025-00664-7
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author Rawan Hosny
Jylan Gouda
Tamer A. Macky
Ayman Khattab
Hany Mekkawy
Abdussalam M. Abdullatif
author_facet Rawan Hosny
Jylan Gouda
Tamer A. Macky
Ayman Khattab
Hany Mekkawy
Abdussalam M. Abdullatif
author_sort Rawan Hosny
collection DOAJ
description Abstract Aim To investigate the OCT macular changes in type 1 ROP one month following Ranibizumab injections. Methods Preterm infants with type 1 ROP indicated for Ranibizumab injections were included in this study. Handheld OCT imaging was performed at baseline, 1 week, and 1 month post injection. Central full thickness (CFT), inner retinal layer (IRL), and outer retinal layer (ORL) thickness measurements were taken from foveal center and parafoveal region. Results 24 eyes of 12 infants were included in this study. There were no significant changes in the mean CFT and IRL thickness at 1 month (p = 0.5 and 0.1 respectively). However, there was significant increase in the mean ORL thickness at 1 month (69.9 ± 16, 96.1 ± 25 at baseline and one month respectively, p < 0.001), with differentiation (appearance of IS/OS junction ± ELM) in 55.6% of eyes. Macular edema (ME) was observed in 12 eyes (50%) and was associated with smaller birth weight (p = 0.0290). There was no significant decrease in mean CFT in eyes with ME at 1 month (p = 0.13), with complete resolution in only 6 eyes (50%) during the study period. Regression of plus was associated with lower CFT (1 week and 1 month; p = 0.02 and 0.03, respectively). Conclusion Ranibizumab treated eyes in type 1 show ORL thickening and differentiation but with inadequate resolution of ME.
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spelling doaj-art-7a030183ebe44b009e181af65548c7cd2025-08-20T02:17:56ZengBMCInternational Journal of Retina and Vitreous2056-99202025-04-011111910.1186/s40942-025-00664-7OCT macular changes in type 1 ROP following Ranibizumab injectionsRawan Hosny0Jylan Gouda1Tamer A. Macky2Ayman Khattab3Hany Mekkawy4Abdussalam M. Abdullatif5Department of Ophthalmology, Kasr AlAiny Hospital, Cairo UniversityDepartment of Ophthalmology, Kasr AlAiny Hospital, Cairo UniversityDepartment of Ophthalmology, Kasr AlAiny Hospital, Cairo UniversityDepartment of Ophthalmology, Kasr AlAiny Hospital, Cairo UniversityDepartment of Ophthalmology, Kasr AlAiny Hospital, Cairo UniversityDepartment of Ophthalmology, Kasr AlAiny Hospital, Cairo UniversityAbstract Aim To investigate the OCT macular changes in type 1 ROP one month following Ranibizumab injections. Methods Preterm infants with type 1 ROP indicated for Ranibizumab injections were included in this study. Handheld OCT imaging was performed at baseline, 1 week, and 1 month post injection. Central full thickness (CFT), inner retinal layer (IRL), and outer retinal layer (ORL) thickness measurements were taken from foveal center and parafoveal region. Results 24 eyes of 12 infants were included in this study. There were no significant changes in the mean CFT and IRL thickness at 1 month (p = 0.5 and 0.1 respectively). However, there was significant increase in the mean ORL thickness at 1 month (69.9 ± 16, 96.1 ± 25 at baseline and one month respectively, p < 0.001), with differentiation (appearance of IS/OS junction ± ELM) in 55.6% of eyes. Macular edema (ME) was observed in 12 eyes (50%) and was associated with smaller birth weight (p = 0.0290). There was no significant decrease in mean CFT in eyes with ME at 1 month (p = 0.13), with complete resolution in only 6 eyes (50%) during the study period. Regression of plus was associated with lower CFT (1 week and 1 month; p = 0.02 and 0.03, respectively). Conclusion Ranibizumab treated eyes in type 1 show ORL thickening and differentiation but with inadequate resolution of ME.https://doi.org/10.1186/s40942-025-00664-7Retinopathy of prematurityOCTIntravitreal RanibizumabMacular edema
spellingShingle Rawan Hosny
Jylan Gouda
Tamer A. Macky
Ayman Khattab
Hany Mekkawy
Abdussalam M. Abdullatif
OCT macular changes in type 1 ROP following Ranibizumab injections
International Journal of Retina and Vitreous
Retinopathy of prematurity
OCT
Intravitreal Ranibizumab
Macular edema
title OCT macular changes in type 1 ROP following Ranibizumab injections
title_full OCT macular changes in type 1 ROP following Ranibizumab injections
title_fullStr OCT macular changes in type 1 ROP following Ranibizumab injections
title_full_unstemmed OCT macular changes in type 1 ROP following Ranibizumab injections
title_short OCT macular changes in type 1 ROP following Ranibizumab injections
title_sort oct macular changes in type 1 rop following ranibizumab injections
topic Retinopathy of prematurity
OCT
Intravitreal Ranibizumab
Macular edema
url https://doi.org/10.1186/s40942-025-00664-7
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