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Association between displacement and thickness of macula after vitrectomy in eyes with epiretinal membrane

百田, 綾菜 名古屋大学

2021.06.29

概要

The purpose of this cross-sectional retrospective study was to determine the relationship between the retinal displacements and the retinal thickness in eyes with epiretinal membrane (ERM) after vitrectomy with internal limiting membrane (ILM) peeling. To accomplish this, we measured the retinal thickness using optical coherence tomography (OCT) and the retinal displacement using OCT angiography to obtain 3 mm× 3 mm en face images before, and 2, 4, and 8 weeks following the surgery from 20 eyes of 20 patients. The distance between the retinal vessel bifurcations and the fovea was signifcantly displaced centrifugally and asymmetrically in the 4 quadrants postoperatively (P< 0.001). The foveal avascular zone (FAZ) was signifcantly enlarged, and the central foveal thickness (CFT) and the inner nuclear layer (INL) thickness were signifcantly thinner postoperatively. The displacements were signifcantly correlated with the changes in the FAZ area (r= 0.717, P< 0.001), the CFT (r = − 0.702, P< 0.001), and the INL thickness (r = − 0.702, P< 0.001). In conclusion, the distance between the retinal bifurcations and the fovea was asymmetrically expanded after the surgery and was signifcantly correlated with the morphological changes. These results indicate that a horizontal macular contraction is correlated with vertical retinal contraction in the eyes with an ERM.

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参考文献

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