Decreased photoreceptor inner segment/outer segment junction reflectivity in patients with idiopathic epimacular membrane.

Purpose: To assess the effects of idiopathic epimacular membrane (IEMM) on retinal pigment epithelium (RPE), photoreceptor inner segment/outer segment (IS/OS) junction, and external limiting membrane (ELM) reflectivities to determine functional alterations in these layers using optical coherence tom...

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Publicado en:Eye (0950-222X) Vol. 28; no. 9; pp. 1126 - 1131
Autores principales: Toprak, I, Yaylali, V, Yildirim, C, Yaylalı, V
Formato: research Journal Article
Publicado: Springer Nature Sep2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2014
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      pub: Springer Nature
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        atl: Decreased photoreceptor inner segment/outer segment junction reflectivity in patients with idiopathic epimacular membrane.
      aug:
        au:
          Toprak, I
          Yaylali, V
          Yildirim, C
          Yaylalı, V
        affil: Department of Ophthalmology, Faculty of Medicine, Pamukkale University, Denizli, Turkey
      sug:
        subj:
          Retinal Diseases Diagnosis
          Photoreceptors Pathology
          Aged
          Basement Membrane Pathology
          Female
          Human
          Male
          Middle Age
          Retrospective Design
          Tomography, Optical Coherence
          Visual Acuity Physiology
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Purpose: To assess the effects of idiopathic epimacular membrane (IEMM) on retinal pigment epithelium (RPE), photoreceptor inner segment/outer segment (IS/OS) junction, and external limiting membrane (ELM) reflectivities to determine functional alterations in these layers using optical coherence tomography (OCT) image analysis.Methods: Fifty eyes of 50 patients with untreated IEMM and 41 eyes of 41 age- and sex-matched healthy controls with normal OCT scans were retrospectively reviewed. A single masked physician analyzed OCT images randomly. Reflectivity values of RPE, IS/OS junction, and ELM were obtained using 'plot profile' mode of a medical image processing computer software.Results: The study comprised 50 patients with untreated IEMM and age- and sex-matched 41 control subjects (P > 0.05). Image analysis demonstrated that IS/OS junction and ELM had significantly lower reflectivity in patients with IEMM compared with those of the control eyes (P = 0.008, P = 0.009, respectively). However, RPE reflectivity did not differ between two groups (P = 0.100). Correlation analyses showed no significant associations between reflectivity values and corrected visual acuity (P > 0.05).Conclusion: In patients with IEMM, photoreceptor IS/OS junction and ELM seem to have lower reflectivity, which might indicate impaired functionality even though these layers are not apparently damaged on OCT imaging.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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