Präoperative Diagnostik topografischer Merkmale bei epiretinaler Gliose mittels hochauflösender optischer Kohärenztomografie

Hattenbach, Lars‐Olof; Höhn, F.; Fulle, Gergana; Mirshahi, Ahmad

doi:10.1055/s-0028-1109490

Cited by 10 publications

(3 citation statements)

References 19 publications

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“…Recent literature demonstrated that areas where the ERM was easy to peel were likely to show elevation of the ERM on OCT, whereas membranes with closer adherence to the retinal surface were more difficult to mobilize. [14] [15] In contrast to the aforementioned study, Kim and coworkers concluded that this space between the ERM and the retinal surface rather represents a tissue free zone than an interlayer of collagen Our findings on OCT are consistent with such a predetermined cleavage plane. It would be interesting to combine preoperative OCT and postoperative histology to shed light on the content of this ERM/ILM interlayer.…”

Section: Discussionsupporting

confidence: 69%

Association of Preoperative Optical Coherence Tomography Markers with Residual Inner Limiting Membrane in Epiretinal Membrane Peeling

et al. 2013

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PurposeTo identify preoperative markers on spectral domain optical coherence tomography (SD-OCT) for residual inner limiting membrane (ILM) in epiretinal membrane (ERM) peeling.MethodsIn this retrospective case series the preoperative SD-OCTs from 119 eyes of 119 consecutive patients who underwent surgery for idiopathic ERM by a single surgeon were evaluated for markers predisposing for ILM persistence after ERM removal. ILM persistence was determined via intraoperative indocyanine green staining. The main outcome measures were correlation of central foveal thickness (CFT), ERM thickness, extent of elevated ERM and retinal folding, intraretinal cysts, and discontinuation of the ERM, with ILM persistence after ERM peeling.ResultsThe persistence of the ILM was found in 50.4% (n = 60). After Bonferroni correction for multiple testing, a greater extent of elevated ERM and thicker ERMs were associated with persistence of the ILM (p<0.005). The other parameters showed no statistically significant correlations with the persistence of the ILM (p≥0.005).ConclusionResidual ILM can be found in nearly half of the eyes after ERM peeling. A loose connection between the ERM and the retinal surface predisposes for ILM persistence. Preoperative SD-OCT is helpful in identifying risk markers for the persistence of the ILM in ERM surgery.

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Section: Discussionsupporting

confidence: 69%

Association of Preoperative Optical Coherence Tomography Markers with Residual Inner Limiting Membrane in Epiretinal Membrane Peeling

et al. 2013

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“…4 Additionally, surgical ease was determined based on the number of attempts made to remove the ERM, which is more dependent on surgical technique rather than ERM adherence to the retinal surface.…”

Section: Discussionmentioning

confidence: 99%

“…More recently, OCT has allowed visualization of membranes and their relationship to the retinal surface. 3,4,5,6 However, the predictive value of optical coherence tomography (OCT) and clinical examination for surgical planning and in determining ease or difficulty of surgical removal remains unclear. 4,7 …”

Section: Introductionmentioning

confidence: 99%

Retinal Adherence and Fibrillary Surface Changes Correlate With Surgical Difficulty of Epiretinal Membrane Removal

Kim

Chhablani

Chan

et al. 2012

American Journal of Ophthalmology

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Intraoperative Optical Coherence Tomographic Monitoring

Douplik¹

2012

Handbook of Biophotonics

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Optical coherence tomography (OCT) modalities are considered in this chapter as intraoperative tools assisting the surgeon in decision‐making processes, guiding surgery near sensitive structures such as vessels and nerves, and delineating normal and pathologic tissue. Basic principles and modalities of OCT are briefly provided without details as those can be found in other chapters. Advantages, limitations, artifacts, and reproducibility of OCT imaging are briefly reviewed, together with particular intraoperative applications.

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Präoperative Diagnostik topografischer Merkmale bei epiretinaler Gliose mittels hochauflösender optischer Kohärenztomografie

Abstract: Our findings suggest that preoperative assessment of topographic features using high-definition optical coherence tomography has the potential to improve surgical strategies in eyes with macular pucker.

Cited by 10 publications

References 19 publications

Association of Preoperative Optical Coherence Tomography Markers with Residual Inner Limiting Membrane in Epiretinal Membrane Peeling

Association of Preoperative Optical Coherence Tomography Markers with Residual Inner Limiting Membrane in Epiretinal Membrane Peeling

Retinal Adherence and Fibrillary Surface Changes Correlate With Surgical Difficulty of Epiretinal Membrane Removal

Intraoperative Optical Coherence Tomographic Monitoring

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