文章基本信息

标题：Morphologic and Functional Evaluation before and after Vitrectomy in Idiopathic Epiretinal Membrane Patients Using Microperimetry
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作者：Seo, Sam ; Lim, Han Woong ; Shin, Yong Un 等
期刊名称：Journal of the Korean Ophthalmological Society
印刷版ISSN：0378-6471
出版年度：2013
卷号：54
期号：6
页码：893-901
DOI：10.3341/jkos.2013.54.6.893
语种：Korean
出版社：The Korean Ophthalmological Society
摘要：Purpose
To investigate the relationship between photoreceptor inner/outer segment (IS/OS) integrity and macular sensitivity after epiretinal membrane (ERM) surgery using spectral-domain optical coherence tomography combined with microperimetry.
Methods
20 eyes of 20 patients with idiopathic ERM who underwent pars plana vitrectomy for ERM removal were prospectively reviewed. The IS/OS defect diameter, BCVA, macular sensitivity, and fixation stability were measured using spectral-domain optical coherence tomography combined with microperimetry. The correlation of these factors was analyzed.
Results
The macular sensitivity improved after successful ERM surgery ( p < 0.001), but the IS/OS defect diameter has not improved. The preoperative and postoperative macular sensitivity were negatively correlated with preoperative IS/OS defect diameter ( p = 0.035, p = 0.006). The fixation stability was not correlated with preoperative IS/OS defect diameter.
Conclusions
Macular sensitivity showed significant correlation with IS/OS defect diameter. Macular sensitivity is vital functional parameter allows subjective quantification of the retinal function and reflects morphologic changes.
关键词：Idiopathic epiretinal membrane; Macular sensitivity; Microperimetry; Spectral domain optical coherence tomography