Morphologically functional correlations of macular pathology connected with epiretinal membrane formation in spectral optical coherence tomography (SOCT)

Michalewski, Janusz; Michalewska, Zofia; Cisiecki, Sławomir; Nawrocki, Jerzy

doi:10.1007/s00417-007-0579-4

Cited by 153 publications

(114 citation statements)

References 30 publications

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“…A similar association was found by Massin et al, who analyzed the postoperative visual acuity against retinal thickness changes in patients with ERM [21]. However, Michalewski observed that visual acuity in patients with ERM appears to be correlated to CRT [14].…”

Section: Discussionsupporting

confidence: 79%

“…Prognosis for vision improvement depends on ellipsoid layer abnormalities and the external limiting membrane (ELM) disruption [11,13]. The evaluation of these zones is particularly important prior to vitrectomy, in patients with macular hole, diabetic macular edema, and ERM [3,[14][15][16]. On the other hand, the impaired photoreceptor layer integrity can significantly worsen the prognosis for vision improvement, despite the properly performed, uncomplicated vitrectomy [14].…”

Section: Discussionmentioning

confidence: 99%

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Assessment of Visual Function in Patients with Retinal Detachment after Vitrectomy with and without ILM Peeling

Pietraś-Trzpiel¹

2014

J Clin Exp Ophthalmol

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Purpose: To determine the influence of peeling the internal limiting membrane (ILM) on visual acuity, M-Charts, visual field and OCT in patients with retinal detachment. Methods:We have analyzed 63 patients in three groups. The first group (group B) consisted of 26 patients who underwent vitrectomy with ILM peeling performed after staining with Brilliant Peel. The second group (group G) consisted of 23 patients, in whom ILM peeling was performed after staining with indocyanine green. The third group (group Z) consisted of 14 patients in whom ILM peeling had not been performed. Ocular examination involved the assessment of visual acuity for distance and near vision, visual field testing, metamorphopsia quantification, dilated fundus exam and OCT.Results: There was a statistically significant improvement in the postoperative best corrected visual acuity for distance vision in groups B (p=0.00007), G (p=0.0002) and Z (p=0.003). There were statistically significant differences in the prevalence of ellipsoid layer photoreceptors abnormalities between the groups (p=0.004), with more abnormalities in group Z (64%) as compared to groups B (20%) and G (17%). Statistical analysis also revealed significant differences in the epiretinal membrane (ERM) incidence between the three groups (p=0.02), with ERM occurring more frequently in group Z (29%) as compared to groups B (4%) and G (4%).Conclusions: ILM peeling does not adversely or positively affect the distance and near vision, visual field and MCharts. Therefore ILM removal could be considered in only selected cases of "macula-off" retinal detachment.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Assessment of Visual Function in Patients with Retinal Detachment after Vitrectomy with and without ILM Peeling

Pietraś-Trzpiel¹

2014

J Clin Exp Ophthalmol

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“…[19], J. Michalewski и соавт. [20] и H. Koo и соавт. [13] выявлена статистически значимая корреляция между МКОЗ и об-щей толщиной сетчатки в фовеа, тогда как другие авторы данную корреляцию не подтверждают [21].…”

Section: морфофункциональная характеристика изменений сетчатки у пациunclassified

“…Особое значение для оценки зрительных функций при иЭРМ придается соединению ВС/НС фоторецепто-ров [20,22]. Гиперрефлективность слоя ВС/НС на срезах ОКТ -результат различия рефракционных индексов ме-ста контакта ВС/НС фоторецепторов и окружающих структур наружной сетчатки.…”

Section: морфофункциональная характеристика изменений сетчатки у пациunclassified

Idiopathic epiretinal membranes: visual function impairment, morphological and functional features of retinal involvement

Ponomareva

Kazaryan

2016

Vestn. oftal'mol.

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“…2,3 Clinical presentation of IEMM varies on the degree of deterioration in macular microarchitecture. 5,6 In clinical practice, dilated fundoscopic examination and optical coherence tomography (OCT) imaging are usually sufficient for the diagnosis. Furthermore, OCT allows the physician to follow-up changes in retinal microstructure, particularly integrity of photoreceptor inner segment/outer segment (IS/OS) junction, which was found associated with postoperative visual improvement.…”

Section: Introductionmentioning

confidence: 99%

Decreased photoreceptor inner segment/outer segment junction reflectivity in patients with idiopathic epimacular membrane

Toprak

Yaylalı

Yıldırım

2014

Eye

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Purpose To assess the effects of idiopathic epimacular membrane (IEMM) on retinal pigment epithelium (RPE), photoreceptor inner segment/outer segment (IS/OS) junction, and external limiting membrane (ELM) reflectivities to determine functional alterations in these layers using optical coherence tomography (OCT) image analysis. Methods Fifty eyes of 50 patients with untreated IEMM and 41 eyes of 41 age-and sex-matched healthy controls with normal OCT scans were retrospectively reviewed. A single masked physician analyzed OCT images randomly. Reflectivity values of RPE, IS/OS junction, and ELM were obtained using 'plot profile' mode of a medical image processing computer software. Results The study comprised 50 patients with untreated IEMM and age-and sexmatched 41 control subjects (P40.05). Image analysis demonstrated that IS/OS junction and ELM had significantly lower reflectivity in patients with IEMM compared with those of the control eyes (P ¼ 0.008, P ¼ 0.009, respectively). However, RPE reflectivity did not differ between two groups (P ¼ 0.100). Correlation analyses showed no significant associations between reflectivity values and corrected visual acuity (P40.05). Conclusion In patients with IEMM, photoreceptor IS/OS junction and ELM seem to have lower reflectivity, which might indicate impaired functionality even though these layers are not apparently damaged on OCT imaging.

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Morphologically functional correlations of macular pathology connected with epiretinal membrane formation in spectral optical coherence tomography (SOCT)

Cited by 153 publications

References 30 publications

Assessment of Visual Function in Patients with Retinal Detachment after Vitrectomy with and without ILM Peeling

Assessment of Visual Function in Patients with Retinal Detachment after Vitrectomy with and without ILM Peeling

Idiopathic epiretinal membranes: visual function impairment, morphological and functional features of retinal involvement

Decreased photoreceptor inner segment/outer segment junction reflectivity in patients with idiopathic epimacular membrane

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