Functional and morphological changes after macular pucker surgery: an optical coherence tomography and microperimetric study.
Ophthalmologica
; 232(4): 200-6, 2014.
Article
de En
| MEDLINE
| ID: mdl-25301478
ABSTRACT
PURPOSE:
To investigate the relationship among functional and morphological findings before and after macular pucker surgery.METHODS:
Thirty-eight eyes with idiopathic macular pucker that underwent 25-gauge vitrectomy and infracyanine green-assisted internal limiting membrane peeling were prospectively enrolled. Main outcome measures were best-corrected visual acuity (BCVA), spectral-domain optical coherence tomography findings and MP-1 microperimetry findings.RESULTS:
Mean BCVA improvement was 0.34 logMAR (p < 0.0001). Mean central retinal thickness (CRT) reduction was 50 µm (p = 0.0041). Mean retinal sensitivity improvement was 0.9. Patients with a greater improvement of postoperative BCVA showed worse baseline BCVA (p < 0.001), shorter final inner/outer segment (IS/OS) interruption length (p = 0.039) and thinner final CRT (p = 0.035). Furthermore, final BCVA was correlated with baseline IS/OS interruption length (p = 0.001).CONCLUSION:
Baseline BCVA, CRT and IS/OS integrity can be used to predict the functional outcomes after macular pucker surgery.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Perforations de la rétine
/
Vitrectomie
/
Champs visuels
/
Tomographie par cohérence optique
/
Tests du champ visuel
/
Macula
Type d'étude:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limites:
Aged
/
Female
/
Humans
/
Male
Langue:
En
Journal:
Ophthalmologica
Année:
2014
Type de document:
Article
Pays d'affiliation:
Italie