Clinical significance of ectopic inner foveal layers in patients with idiopathic epiretinal membranes
| Autor: | Dilara Ozkoyuncu, Pelin Yilmazbas, Aslıhan Esra Omay, Mehmet Ali Sekeroglu, Sibel Doguizi |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Fovea Centralis medicine.medical_specialty Visual acuity genetic structures Visual Acuity Article 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Foveal Ophthalmology medicine Humans In patient Clinical significance Prospective Studies Stage (cooking) Outer nuclear layer Staging system Aged Choroid business.industry Epiretinal Membrane Retinal eye diseases Cross-Sectional Studies medicine.anatomical_structure chemistry 030221 ophthalmology & optometry Female sense organs medicine.symptom business Tomography Optical Coherence 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Eye. 32:1652-1660 |
| ISSN: | 1476-5454 0950-222X |
| DOI: | 10.1038/s41433-018-0153-9 |
| Popis: | BACKGROUND/OBJECTIVES: To evaluate the relationship between the presence of ectopic inner foveal layers (EIFL), choroidal thickness, and visual acuity (VA) in patients with epiretinal membranes (ERM) staged by spectral-domain optical coherence tomography (SD-OCT). SUBJECTS/METHODS: A total of 242 eyes of 121 patients with unilateral idiopathic ERM were prospectively evaluated. ERM stages were defined based on the SD-OCT staging system as stage 1: negligible morphological or anatomical disruption, retinal layers, and foveal pit are identified; stage 2: characteristic stretching of the outer nuclear layer, absence of foveal depression, retinal layers are identified; stage 3: continuous EIFL crossing the central foveal area, absence of foveal depression, retinal layers are identified; and stage 4: anatomical disruption of the fovea, continuous EIFL crossing the entire foveal area, retinal layers are distorted. RESULTS: Of 121 eyes with ERM, 23.1% had stage 1, 26.5% had stage 2, 39.7% had stage 3, and 10.7% had stage 4 disease. VA was better in eyes with stage 1 or 2 ERM than stage 3 or 4 ERM (p 0.05). CONCLUSIONS: The SD-OCT staging system according to the presence of EIFL is effective for grading retinal damage and visual loss in eyes with ERM. |
| Databáze: | OpenAIRE |
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