EN-FACE IMAGING OF ATYPICAL EPIRETINAL TISSUE IN LAMELLAR MACULAR HOLE
- Authors
- Eun, Jun Soo; Choi, Young Joo; Kang, Se Woong; Choi, Kyung Jun; Kim, Sang Jin; Roh, Hyeon Cheol
- Issue Date
- Feb-2022
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- atypical epiretinal tissue; en-face optical coherence tomography; lamellar macular hole
- Citation
- RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, v.42, no.2, pp.298 - 305
- Journal Title
- RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES
- Volume
- 42
- Number
- 2
- Start Page
- 298
- End Page
- 305
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/83380
- DOI
- 10.1097/IAE.0000000000003303
- ISSN
- 0275-004X
- Abstract
- Purpose: To elucidate the significance of en-face optical coherence tomography imaging of atypical epiretinal tissue (AET) in the lamellar macular hole (LMH). Methods: This study involved 29 eyes of 29 patients who underwent surgical treatment for LMH with AET. Best-corrected visual acuity, metamorphopsia assessment (M-score), and optical coherence tomography were evaluated before and 6 months after surgery. The novel en-face optical coherence tomography parameters, such as the area of AET and hyperreflective fringe, were correlated with clinical factors before and after LMH surgery. Results: Preoperatively, hyperreflective fringe was noted in 25 (86.2%) patients. The splitting of the inner retina, disruption of the ellipsoid zone, the extent of foveal cavitation, symptom duration, and change in best-corrected visual acuity were correlated with the area of AET (all P < 0.05). Multivariate regression analysis revealed that a larger area of AET was associated with longer symptom duration and less improvement in postoperative vision (all P < 0.05). Conclusion: The area of AET may represent the chronicity of LMH and is significantly associated with visual outcomes after LMH surgery. This novel en-face optical coherence tomography parameter can be used as a predictive factor for surgical outcomes in LMH with AET.
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