Microperimetry in Retinal Diseases.

Autor: Horie S; Department of Advanced Ophthalmic Imaging, Tokyo Medical and Dental University, Tokyo, Japan.; Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, Tokyo, Japan., Corradetti G; Doheny Eye Institute, Pasadena, CA, US.; Department of Ophthalmology, David Geffen School of Medicine at UCLA, Los Angeles, CA, US., Esmaeilkhanian H; Doheny Eye Institute, Pasadena, CA, US.; Department of Ophthalmology, David Geffen School of Medicine at UCLA, Los Angeles, CA, US., Sadda SR; Doheny Eye Institute, Pasadena, CA, US.; Department of Ophthalmology, David Geffen School of Medicine at UCLA, Los Angeles, CA, US., Cheung CMG; Singapore National Eye Centre, Singapore., Ham Y; Sydney Retina Clinic and Day Surgery, Sydney, Australia., Chang A; Sydney Eye Hospital, The University of Sydney, Sydney Retina Clinic and Day Surgery, Sydney, Australia., Takahashi T; Department of Advanced Ophthalmic Imaging, Tokyo Medical and Dental University, Tokyo, Japan., Ohno-Matsui K; Department of Advanced Ophthalmic Imaging, Tokyo Medical and Dental University, Tokyo, Japan.
Jazyk: angličtina
Zdroj: Asia-Pacific journal of ophthalmology (Philadelphia, Pa.) [Asia Pac J Ophthalmol (Phila)] 2023 Mar-Apr 01; Vol. 12 (2), pp. 211-227. Date of Electronic Publication: 2023 Mar 24.
DOI: 10.1097/APO.0000000000000597
Abstrakt: Retinal microperimetry (MP) is a procedure that assesses the retinal sensitivity while the fundus is directly observed, and an eye tracker system is active to compensate for involuntary eye movements during testing. With this system, the sensitivity of a small locus can be accurately determined, and it has become an established ophthalmic test for retinal specialists. Macular diseases are characterized by chorioretinal changes; therefore, the condition of the retina and choroid requires careful and detailed evaluations to perform effective therapy. Age-related macular degeneration is a representative retinal disease in which the macular function has been evaluated by the visual acuity throughout the course of the disease process. However, the visual acuity represents the physiological function of only the central fovea, and the function of the surrounding macular area has not been sufficiently evaluated throughout the different stages of the macula disease process. The new technique of MP can compensate for such limitations by being able to test the same sites of the macular area repeatedly. This is especially useful in the recent management of age-related macular degeneration or diabetic macular edema during anti-vascular endothelial growth factor treatments because MP can assess the effectiveness of the treatment. MP examinations are also valuable in diagnosing Stargardt disease as they can detect visual impairments before any abnormalities are found in the retinal images. The visual function needs to be carefully assessed along with morphologic observations by optical coherence tomography. In addition, the assessment of retinal sensitivity is useful in the presurgical or postsurgical evaluations.
Competing Interests: SH belongs to Department of Advanced Ophthalmic Imaging at Tokyo Medical and Dental University, which is funded by NIDEK co. There are no other conflict of interest regarding this review article.
(Copyright © 2023 Asia-Pacific Academy of Ophthalmology. Published by Wolters Kluwer Health, Inc. on behalf of the Asia-Pacific Academy of Ophthalmology.)
Databáze: MEDLINE