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EN FACE OPTICAL COHERENCE TOMOGRAPHY MORPHOLOGY OF MACULAR PUCKER CORRELATES WITH METAMORPHOPSIA: Possible Role of the Henle Fiber Layer.
Govetto, Andrea; Lucchini, Sara; Sebag, Jerry; Gianfrate, Fiammetta; Ranno, Stefano; Carini, Elisa; Virgili, Gianni; Romano, Mario R; Sarraf, David; Radice, Paolo.
Afiliación
  • Govetto A; Doheny Eye Institute, University of California Los Angeles, Pasadena, California.
  • Lucchini S; Doheny Eye Institute, University of California Los Angeles, Pasadena, California.
  • Sebag J; Department of Ophthalmology, Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
  • Gianfrate F; VMR Institute for Vitreous Macula Retina, Huntington Beach, California.
  • Ranno S; Ophthalmology Department, Careggi University Hospital, University of Florence, Florence, Italy.
  • Carini E; Doheny Eye Institute, University of California Los Angeles, Pasadena, California.
  • Virgili G; Doheny Eye Institute, University of California Los Angeles, Pasadena, California.
  • Romano MR; Doheny Eye Institute, University of California Los Angeles, Pasadena, California.
  • Sarraf D; Department of Ophthalmology, Humanitas Gavazzeni, Humanitas University, Bergamo, Italy.
  • Radice P; Department of Ophthalmology, Vitreoretinal Division, Circolo and Macchi Foundation Hospital.
Retina ; 44(9): 1513-1520, 2024 09 01.
Article en En | MEDLINE | ID: mdl-39167572
ABSTRACT

PURPOSE:

To describe macular pucker contraction patterns with en face optical coherence tomography (OCT), to provide a correlation with metamorphopsia scores, and to discuss the protective role of the Henle fiber layer (HFL) against tangential traction.

METHODS:

Retrospective, institutional, observational, and consecutive case series. Clinical charts, M-charts scores, and structural and en face OCT imaging of patients diagnosed with macular pucker were reviewed.

RESULTS:

A 120 eyes of 114 consecutive patients diagnosed with macular pucker were included. En face OCT patterns of macular pucker contraction were foveal in 51 of 120 eyes (42.5%) and extrafoveal in 69 of 120 eyes (57.5%). Foveal macular puckers had regular, a concentric, circle morphology in the HFL (46/51 eyes, 90.2%), whereas extrafoveal membranes had irregular, distorted, circular HFL morphology (62/69 eyes, 89.8%; P < 0.001). Foveal contraction morphology and regular HFL pattern, as well as extrafoveal contraction morphology and an irregular HFL pattern, highly correlated one with another (P < 0.001 in both cases). Foveal macular puckers with regular HFL patterns had significantly less vertical and horizontal M-charts scores as compared with extrafoveal membranes with irregular HFL (P < 0.001 in both cases). Ellipsoid zone and external limiting membrane defects were rare in the parafoveal region (5/120 eyes, 4.2%). Visual acuity did not correlate with metamorphopsia scores (P = 0.903).

CONCLUSION:

En face OCT imaging identifies macular pucker contraction patterns that correlate with metamorphopsia scores and that can be used alongside the current structural OCT staging system to guide clinicians in the surgical decision-making process.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de la Visión / Agudeza Visual / Tomografía de Coherencia Óptica Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Retina Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos de la Visión / Agudeza Visual / Tomografía de Coherencia Óptica Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Retina Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos