中山醫學大學機構典藏 CSMUIR:Item 310902500/23746
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    题名: FOVEAL DISPLACEMENT IN EYES WITH EPIRETINAL MEMBRANE AFTER VITRECTOMY AND MEMBRANE PEELING
    作者: Tung, HF;Chen, YL;Tung, HY;Tung, HW;Chen, SN
    关键词: epiretinal membrane;macular pucker;epiretinal membrane;foveal displacement;foveal movement;dystopia fovea
    日期: 2021
    上传时间: 2022-08-05T09:42:13Z (UTC)
    出版者: LIPPINCOTT WILLIAMS & WILKINS
    ISSN: 0275-004X
    摘要: Purpose: To investigate the foveal movement in eyes with epiretinal membrane after vitrectomy and membrane peeling. Methods: A retrospective review of 85 eyes with epiretinal membrane treated with vitrectomy, membrane peeling, and internal limiting membrane removal. Using a self-designed computer program to compare the preoperative and postoperative images of optical coherence tomography to measure the amount of foveal movement. Analyze the relationships between foveal displacement, preoperative and postoperative best-corrected visual acuity, central foveal thickness, and the stage of epiretinal membrane. Results: Most of the fovea were nasally shifted. More movement happened in the first month and almost finished in the first year. The greater degree of foveal displacement was correlated with poorer initial visual acuity and thicker central foveal thickness. In considering with the ectopic inner foveal layer staging of epiretinal membrane by structural optical coherence tomography, the foveal realignment is greatest in Stage 4 (394.47 +/- 171.44 mu m), followed by Stage 1 (251.21 +/- 135.40 mu m), Stage 2 (235.70 +/- 147.51 mu m), and Stage 3 (219.86 +/- 117.91 mu m) at the postoperative 1 month. Conclusion: Most eyes of epiretinal membrane had the foveal moved nasally after membrane peeling and internal limiting membrane peeling. The larger amount of foveal movement was correlated with poorer initial best-corrected visual acuity. Dystopia fovea may be another factor affecting visual acuity in addition to other biomarkers in optical coherence tomography.
    URI: https://www.webofscience.com/wos/woscc/full-record/WOS:000756924700008
    https://ir.csmu.edu.tw:8080/handle/310902500/23746
    關聯: RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES ,2021,v41,issue 11, P2246-2252
    显示于类别:[中山醫學大學研究成果] 期刊論文

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