Structure-function analysis for macular surgery in patients with coexisting glaucoma

التفاصيل البيبلوغرافية
العنوان: Structure-function analysis for macular surgery in patients with coexisting glaucoma
المؤلفون: Sarah N, Yu, Donald C, Hood, Dana M, Blumberg, Stanley, Chang, Vivienne C, Greenstein
المصدر: Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie. 260(5)
سنة النشر: 2021
مصطلحات موضوعية: Retinal Ganglion Cells, Nerve Fibers, Humans, Glaucoma, Visual Fields, Intraocular Pressure, Tomography, Optical Coherence
الوصف: To develop methods to assess the effects of epiretinal membranes (ERM) and macular holes (MH) coexisting with glaucoma on pre-operative retinal structure and function and evaluate post-operative outcomes.Seven eyes of 7 patients with glaucoma, 6 with ERMs and 1 with MH, were enrolled; 4 underwent vitrectomy for ERM and one for MH. Visual fields (VFs) and optical coherence tomography (OCT) scans were obtained pre- and post-operatively. The 10-2VF deviation map was overlayed on ganglion cell and inner plexiform layer (GCL + IPL) and retinal nerve fiber layer (RNFL) deviation maps derived from OCT macula and disc cube scans. Optic nerve circle scans were obtained to assess RNFL thickness, and OCT b-scans associated with VF defects were compared pre- and post-operatively.Examination of pre-operative VFs and OCT scans showed the importance of determining the extent to which glaucomatous damage contributed to VF loss; verifying automated segmentation of the GCL + IPL and RNFL; and assessing foveal anatomy. Evaluation of post-operative structure-function outcomes required correction of magnification changes in OCT scans and repeated follow-up visits to clarify the origin of VF changes.Pre-operative comparisons of VFs and OCT scans may be beneficial in guiding surgical planning, and evaluating outcomes, in eyes with glaucoma undergoing macular surgery.
تدمد: 1435-702X
URL الوصول: https://explore.openaire.eu/search/publication?articleId=pmid________::3cee809cc4b7c601fcd68a1ee430a016
https://pubmed.ncbi.nlm.nih.gov/34783892
رقم الانضمام: edsair.pmid..........3cee809cc4b7c601fcd68a1ee430a016
قاعدة البيانات: OpenAIRE