Abstract:
PURPOSE:To identify visually significant spectral-domain optical coherence tomography (SD-OCT) features of epiretinal membranes (ERM) in patients with uveitis. DESIGN:Retrospective cohort and cross-sectional study. METHODS:Eighty consecutive eyes with uveitis and SD-OCT-documented ERM were included. Clinical data were collected at the time of diagnosis of ERM and at the final visit. SD-OCT images at the last visit were evaluated to identify fovea and ERM configuration and structural changes. Changes of 10% and 20% in central subfield thickness between initial and last SD-OCT were calculated and correlated with visual acuity (VA). An ERM thickness map was created using validated SD-OCT grading software. RESULTS:VA improved significantly in eyes with more than 12 months of follow-up (P = .03). Although inflammation activity and medical treatment methods were no different in eyes with more or less than 12 months of follow-up, 16 eyes in the subset with longer follow-up underwent cataract extraction and intraocular lens implantation. Kaplan-Meier analysis demonstrated few vision losses during the follow-up period. Change in central subfield thickness did not correlate with VA. Foveal center involvement (P < .001), focal attachment of the ERM (P = .003), and foveal inner segment and outer segment junction disruption (P = .006) were associated independently with lower VA. ERM was thinner in eyes with 20/40 or better VA (4.6 ± 0.6 μm) compared with eyes with VA of less than 20/200 (P = .02). Longer duration of ERM was associated with thicker ERM (P < .05). CONCLUSIONS:In most eyes with uveitis and ERM, VA remains stable if ocular inflammation and comorbidities are addressed appropriately.
journal_name
Am J Ophthalmoljournal_title
American journal of ophthalmologyauthors
Nazari H,Dustin L,Heussen FM,Sadda S,Rao NAdoi
10.1016/j.ajo.2012.01.032subject
Has Abstractpub_date
2012-07-01 00:00:00pages
78-86.e1issue
1eissn
0002-9394issn
1879-1891pii
S0002-9394(12)00083-9journal_volume
154pub_type
杂志文章abstract:PURPOSE:To study the association between peripheral changes in age-related macular degeneration (AMD) and dark adaptation (DA). DESIGN:Prospective, cross-sectional study. METHODS:We recruited patients with AMD and a control group (>50 years) without any vitreoretinal disease. Ultra-widefield (UWF) pseudocolor and fun...
journal_title:American journal of ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ajo.2018.03.035
更新日期:2018-06-01 00:00:00
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更新日期:2000-12-01 00:00:00
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更新日期:1993-08-15 00:00:00
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更新日期:2004-02-01 00:00:00
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更新日期:1992-08-15 00:00:00
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更新日期:2003-12-01 00:00:00
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更新日期:2012-06-01 00:00:00
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更新日期:2013-07-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1992-06-15 00:00:00
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更新日期:2002-03-01 00:00:00
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
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更新日期:2005-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:1985-07-15 00:00:00
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更新日期:1989-10-15 00:00:00