並列タイトル等網膜静脈分枝閉塞症に伴う黄斑浮腫眼おける光干渉断層計での中心窩視細胞内節外節ラインの隆起 (foveal bulge) の評価
タイトル(掲載誌)American journal of ophthalmology Vol.() p.-396.e1 (2014 Feb)
一般注記type:Thesis
PURPOSE: To determine whether a significant correlation exists between the presence of a bulge in the photoreceptor inner segment/outer segment (IS/OS) line and the best-corrected visual acuity (BCVA) in eyes with resolved macular edema associated with branch retinal vein occlusion (BRVO). DESIGN: Retrospective, observational case series. METHODS: We retrospectively reviewed the medical records of patients who had a complete resolution of macular edema and had an intact IS/OS line in the central fovea in the spectral-domain optical coherence tomographic (SDOCT) images. Thirty-one eyes with macular edema associated with BRVO (BRVO group) and 31 unaffected fellow eyes (control group) of 31 patients were evaluated. In normal eyes, the intact IS/OS line determined by SDOCT has a bulge at the central fovea, called the foveal bulge. The eyes in the BRVO group were classified by the presence or absence of foveal bulge, and the characteristics of the 2 groups were compared. RESULTS: A foveal bulge was present in 7 of 31 eyes in the BRVO group. The incidence of a foveal bulge was significantly lower in the BRVO group (22.6%) than in the control group (100%; P < .0001). All 7 eyes with foveal bulge had a decimal BCVA of ≥1.0 at the final visit. The incidence of a foveal bulge was significantly higher in eyes with BCVA of ≥1.0 (77.8%) than in the eyes with BCVA of <1.0 (0%; P < .0001). CONCLUSIONS: The foveal bulge is a good marker of the functional properties of the fovea in eyes with resolved macular edema associated with BRVO.
博士(医学)・乙第1416号・平成30年3月15日
Copyright © 2014 Elsevier Inc. All rights reserved.
identifier:American journal of ophthalmology Vol.157(2) p.390-396.e1 (2014 Feb)
identifier:00029394
identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3432
identifier:American journal of ophthalmology Vol.() p.-396.e1 (2014 Feb), 157(2): 390-396.e1
DOIinfo:doi/10.1016/j.ajo.2013.10.007
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