フジワラ　アツシ   Atsushi Fujiwara   藤原　篤之    所属   川崎医療福祉大学  リハビリテーション学部 視能療法学科    職種   講師
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Assessment of Lamellar Macular Hole and Macular Pseudohole With a Combination of En Face and Radial B-scan Optical Coherence Tomography Imaging.
掲載誌名	正式名：American journal of ophthalmology 略　 称：Am J Ophthalmol ISSNコード：18791891/00029394
掲載区分	国外
巻・号・頁	188,pp.29-40
著者・共著者	Hirano Masayuki, Morizane Yuki, Kimura Shuhei, Hosokawa Mio, Shiode Yusuke, Doi Shinichiro, Toshima Shinji, Takahashi Kosuke, Hosogi Mika, Fujiwara Atsushi, Takasu Ippei, Okanouchi Toshio, Kawabata Masaya, Shiraga Fumio
発行年月	2018/04
概要	PURPOSE:To investigate lamellar macular hole (LMH) and macular pseudohole (MPH) using a combination of en face and radial B-scan OCT.DESIGN:Retrospective observational case series.METHODS:Setting: Institutional study.PATIENT POPULATION:En face and radial B-scan OCT images of 63 eyes of 60 patients diagnosed with LMH or MPH based on an international classification were reviewed.OBSERVATION PROCEDURES:Cases were classified using en face images based on the presence/absence of epiretinal membrane (ERM), retinal folds, parafoveal epicenter of contractile ERM (PEC-ERM), and retinal cleavage. We compared the en face imaging-based classification system with the international classification system using radial B-scan images. We quantitatively evaluated visual function and macular morphology.MAIN OUTCOME MEASURES:Characterization of multimodal OCT-based subtypes of LMH and MPH.RESULTS:All cases showed ERM and were classified into 4 groups. In the first group, which lacked retinal folds and showed significantly lower visual acuity than the other groups, 81% of eyes had degenerative LMH. In the second group, which lacked PEC-ERM and retinal cleavage and showed significantly lower retinal fold depth, all eyes had MPH. The third group, in which 95% of eyes had symmetric tractional LMH, included eyes with retinal cleavage but without PEC-ERM, and this group showed higher circularity of the foveal aperture and cleavage area than the group with both these features, in which all eyes had asymmetric tractional LMH.CONCLUSIONS:Multimodal OCT enables classification of LMH and MPH based on pathologic conditions. Retinal traction in particular may be useful for determining treatment methods.
DOI	10.1016/j.ajo.2018.01.016
PMID	29360459