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Influence of retinal vessel printings on metamorphopsia and retinal architectural abnormalities in eyes with idiopathic macular epiretinal membrane.
Invest Ophthalmol Vis Sci. 2013 Nov 21; 54(12):7803-11.IO

Abstract

PURPOSE

To investigate whether the presence of retinal vessel printings (RVPs) in eyes having idiopathic epiretinal membrane (ERM) is associated with a higher degree of metamorphopsia or with more prominent abnormalities in the retinal architecture compared with eyes not having RVPs.

METHODS

A cross-sectional study of 36 eyes in 36 patients was conducted. The patients were divided into two groups (18 eyes per group) on the basis of the presence or absence of RVPs on fundus autofluorescence (FAF) imaging. Metamorphopsia was assessed using M-CHARTS. The optical coherence tomography (OCT) and FAF images were recorded using the Spectralis HRA+OCT. The macula was divided into 15 squares, and the areas between the displaced retinal vessels and the corresponding RVPs were calculated.

RESULTS

Vertical, horizontal, and average metamorphopsia scores did not differ between the two groups. However, only two patients in the group with RVPs had an average metamorphopsia score of 0.6 or less versus nine patients in the group without RVPs (P = 0.029). There was no correlation between the area of displacement and vertical (P = 0.44), horizontal (P = 0.8), or average (P = 0.38) metamorphopsia scores. The eyes with RVPs manifested a higher degree of irregularity of the external limiting membrane (ELM) and the photoreceptor inner segment/outer segment (IS/OS) lines (P = 0.042 and P = 0.014, respectively). The presence of RVPs was the only independent variable associated with an average metamorphopsia score of 0.6 or higher.

CONCLUSIONS

The presence of RVPs in eyes with idiopathic macular ERM is usually associated with an average metamorphopsia score of 0.6 or higher using M-CHARTS and with a higher degree of irregularity of the ELM and IS/OS lines at the fovea.

Authors+Show Affiliations

Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

24204051

Citation

Dell'omo, Roberto, et al. "Influence of Retinal Vessel Printings On Metamorphopsia and Retinal Architectural Abnormalities in Eyes With Idiopathic Macular Epiretinal Membrane." Investigative Ophthalmology & Visual Science, vol. 54, no. 12, 2013, pp. 7803-11.
Dell'omo R, Cifariello F, Dell'omo E, et al. Influence of retinal vessel printings on metamorphopsia and retinal architectural abnormalities in eyes with idiopathic macular epiretinal membrane. Invest Ophthalmol Vis Sci. 2013;54(12):7803-11.
Dell'omo, R., Cifariello, F., Dell'omo, E., De Lena, A., Di Iorio, R., Filippelli, M., & Costagliola, C. (2013). Influence of retinal vessel printings on metamorphopsia and retinal architectural abnormalities in eyes with idiopathic macular epiretinal membrane. Investigative Ophthalmology & Visual Science, 54(12), 7803-11. https://doi.org/10.1167/iovs.13-12817
Dell'omo R, et al. Influence of Retinal Vessel Printings On Metamorphopsia and Retinal Architectural Abnormalities in Eyes With Idiopathic Macular Epiretinal Membrane. Invest Ophthalmol Vis Sci. 2013 Nov 21;54(12):7803-11. PubMed PMID: 24204051.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Influence of retinal vessel printings on metamorphopsia and retinal architectural abnormalities in eyes with idiopathic macular epiretinal membrane. AU - Dell'omo,Roberto, AU - Cifariello,Francesco, AU - Dell'omo,Ermanno, AU - De Lena,Antonio, AU - Di Iorio,Roberto, AU - Filippelli,Mariaelena, AU - Costagliola,Ciro, Y1 - 2013/11/21/ PY - 2013/11/9/entrez PY - 2013/11/10/pubmed PY - 2014/1/10/medline KW - epiretinal membrane KW - fundus autofluorescence KW - macular pucker KW - optical coherence tomography KW - retinal vessel printings SP - 7803 EP - 11 JF - Investigative ophthalmology & visual science JO - Invest Ophthalmol Vis Sci VL - 54 IS - 12 N2 - PURPOSE: To investigate whether the presence of retinal vessel printings (RVPs) in eyes having idiopathic epiretinal membrane (ERM) is associated with a higher degree of metamorphopsia or with more prominent abnormalities in the retinal architecture compared with eyes not having RVPs. METHODS: A cross-sectional study of 36 eyes in 36 patients was conducted. The patients were divided into two groups (18 eyes per group) on the basis of the presence or absence of RVPs on fundus autofluorescence (FAF) imaging. Metamorphopsia was assessed using M-CHARTS. The optical coherence tomography (OCT) and FAF images were recorded using the Spectralis HRA+OCT. The macula was divided into 15 squares, and the areas between the displaced retinal vessels and the corresponding RVPs were calculated. RESULTS: Vertical, horizontal, and average metamorphopsia scores did not differ between the two groups. However, only two patients in the group with RVPs had an average metamorphopsia score of 0.6 or less versus nine patients in the group without RVPs (P = 0.029). There was no correlation between the area of displacement and vertical (P = 0.44), horizontal (P = 0.8), or average (P = 0.38) metamorphopsia scores. The eyes with RVPs manifested a higher degree of irregularity of the external limiting membrane (ELM) and the photoreceptor inner segment/outer segment (IS/OS) lines (P = 0.042 and P = 0.014, respectively). The presence of RVPs was the only independent variable associated with an average metamorphopsia score of 0.6 or higher. CONCLUSIONS: The presence of RVPs in eyes with idiopathic macular ERM is usually associated with an average metamorphopsia score of 0.6 or higher using M-CHARTS and with a higher degree of irregularity of the ELM and IS/OS lines at the fovea. SN - 1552-5783 UR - https://www.unboundmedicine.com/medline/citation/24204051/Influence_of_retinal_vessel_printings_on_metamorphopsia_and_retinal_architectural_abnormalities_in_eyes_with_idiopathic_macular_epiretinal_membrane_ L2 - https://iovs.arvojournals.org/article.aspx?doi=10.1167/iovs.13-12817 DB - PRIME DP - Unbound Medicine ER -