题名 | A classification of idiopathic epiretinal membrane based on foveal avascular zone area using optical coherence tomography angiography |
作者 | |
发表日期 | 2024-12-31 |
发表期刊 | ANNALS OF MEDICINE 影响因子和分区 |
语种 | 英语 |
原始文献类型 | Article |
关键词 | Idiopathic macular epiretinal membrane iERM foveal avascular zone pars plana vitrectomy optical coherence tomography optical coherence tomography angiography |
其他关键词 | INTERNAL LIMITING MEMBRANE ; INNER NUCLEAR LAYER ; PROGNOSTIC-FACTORS ; MULLER CELLS ; SURGERY ; MICROVASCULATURE |
摘要 | ObjectiveTo evaluate the characteristics and prognoses of idiopathic macular epiretinal membrane (iERM) using a classification based on the foveal avascular zone (FAZ) area.MethodIERMs were classified into four stages based on the FAZ area. Baseline FAZ-related parameters, pre-and postoperative central macular thickness (CMT), and best corrected visual acuity (BCVA) were observed and compared between different stages. The correlations of structural parameters with pre-and postoperative logMAR BCVA were analyzed.Results162 iERM eyes were enrolled, including 105 eyes followed up for 12 months after surgery. The preoperative BCVA was better at the early stage. Postoperative BCVA at Stages 2 and 3 were better compared to Stage 4. The early stage was associated with thinner CMT pre-and postoperatively. However, there was no significant difference in CMT between postoperative Stages 1 and 2 or Stages 3 and 4. Preoperative logMAR BCVA was negatively correlated with FAZ area, perimeter, and FD-300 and was positively correlated with CMT and acircularity index (AI). CMT correlated positively with BCVA for each stage, except Stage 4; FAZ area, perimeter, and FD-300 had a negative correlation at Stage 1. Baseline BCVA and CMT positively correlated with BCVA at the last follow-up, while FAZ area and FD-300 were negatively correlated. Baseline BCVA had a positive correlation for each stage, except Stage 1; FD-300 had a negative correlation at Stages 2 and 3; CMT had a positive correlation at Stage 3.ConclusionA classification based on the FAZ area was established innovatively. This classification can reflect the progression of iERM and is helpful to the postoperative prognosis. (1) Classification based on FAZ area facilitate automation and consistency compared to the previous OCT-based qualitative grading.(2) With baseline FAZ stage advanced, thickened CMT and worsened BCVA was observed at baseline and 1-year post-operation. (3) Baseline FAZ area and FD-300 negatively correlated with logMAR BCVA at the last follow-up, reflecting the nonnegligible prognostic impact of macular vascular changes. |
资助项目 | Zhejiang Medical Health Science and Technology Project [2023KY490]; Natural Science Foundation of Zhejiang Province [LTGY23H120005] |
出版者 | TAYLOR & FRANCIS LTD |
ISSN | 0785-3890 |
EISSN | 1365-2060 |
卷号 | 56期号:1 |
DOI | 10.1080/07853890.2024.2316008 |
页数 | 9 |
WOS类目 | Medicine, General & Internal |
WOS研究方向 | General & Internal Medicine |
WOS记录号 | WOS:001187544500001 |
收录类别 | SCIE ; PUBMED ; SCOPUS |
URL | 查看原文 |
Pubmed记录号 | 38502921 |
Scopus记录号 | 2-s2.0-85188317834 |
通讯作者地址 | [Shen, Lijun]Department of Ophthalmology Center,Zhejiang Provincial People’s Hospital,Affiliated Hospital of Hangzhou Medical College,158 Shangtang Road, Zhejiang,Hangzhou,China |
scopus学科分类 | Medicine (all) |
引用统计 | |
文献类型 | 期刊论文 |
条目标识符 | https://kms.wmu.edu.cn/handle/3ETUA0LF/209572 |
专题 | 眼视光学院(生物医学工程学院)、附属眼视光医院 |
通讯作者 | Shen, Lijun |
作者单位 | 1.School of Ophthalmology and Optometry,Wenzhou Medical University,Wenzhou,China; 2.Department of Ophthalmology Center,Zhejiang Provincial People’s Hospital,Affiliated Hospital of Hangzhou Medical College,Hangzhou,China; 3.Affiliated Eye Hospital of Wenzhou Medical University,Hangzhou,China; 4.Yongkang Hospital,Yongkang,China; 5.Chicago College of Optometry,Midwestern University,Downers Grove,United States |
第一作者单位 | 眼视光学院(生物医学工程学院)、附属眼视光医院 |
第一作者的第一单位 | 眼视光学院(生物医学工程学院)、附属眼视光医院 |
推荐引用方式 GB/T 7714 | Zhang, Zhengxi,Mao, Jianbo,Lao, Jimeng,et al. A classification of idiopathic epiretinal membrane based on foveal avascular zone area using optical coherence tomography angiography[J]. ANNALS OF MEDICINE,2024,56(1). |
APA | Zhang, Zhengxi., Mao, Jianbo., Lao, Jimeng., Deng, Xinyi., Fang, Yuyan., ... & Shen, Lijun. (2024). A classification of idiopathic epiretinal membrane based on foveal avascular zone area using optical coherence tomography angiography. ANNALS OF MEDICINE, 56(1). |
MLA | Zhang, Zhengxi,et al."A classification of idiopathic epiretinal membrane based on foveal avascular zone area using optical coherence tomography angiography".ANNALS OF MEDICINE 56.1(2024). |
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