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Atsushi Fujiwara
Department Kawasaki University of Medical Welfare , Position Assistant Professor |
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| Article types | 原著 |
| Language | English |
| Peer review | Peer reviewed |
| Title | Assessment of Lamellar Macular Hole and Macular Pseudohole With a Combination of En Face and Radial B-scan Optical Coherence Tomography Imaging. |
| Journal | Formal name：American journal of ophthalmology Abbreviation：Am J Ophthalmol ISSN code：18791891/00029394 |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 188,pp.29-40 |
| Author and coauthor | 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 |
| Publication date | 2018/04 |
| Summary | 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 |