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视网膜前膜患者中扁平黄斑的患病率及意义

Prevalence and significance of fovea plana in patients with epiretinal membrane.

作者信息

Lejoyeux R, Liberto J, Bonnin S, Le Mer Y, Bruneau S, Tadayoni R

机构信息

Retina departement, Rothschild Foundation Hospital, Paris, France.

出版信息

Eur J Ophthalmol. 2025 Mar;35(2):645-649. doi: 10.1177/11206721241265994. Epub 2024 Jul 26.

Abstract

INTRODUCTION

Fovea plana is indicative of an immature inner retina, yet its association with epimacular membrane (ERM) remains unexplored. This study aims to investigate the prevalence of fovea plana in the contralateral eye of patients diagnosed with ERM.

METHODS

A retrospective analysis was conducted on consecutive patients in a monocentric tertiary ophthalmic department between January and April 2021. The study included all patients referred for ERM, with dense optical coherence tomography (OCT) B-scans utilized to assess the incidence of fovea plana in the contralateral eye. Patients with bilateral ERM were excluded from the analysis.

RESULTS

Out of 181 patients, 26 exhibited fovea plana in the contralateral eye, resulting in an incidence rate of 14.3%. Demographic characteristics, OCT patterns, and indications for surgery did not differ significantly between patients with and without fovea plana.

DISCUSSION

The prevalence of fovea plana in patients with ERM did not exhibit a statistically significant increase compared to the reported incidence in patients undergoing preoperative cataract surgery.

CONCLUSION

In our cohort, the incidence of fovea plana in patients with ERM was determined to be 14.3%.

摘要

引言

扁平黄斑提示视网膜内层不成熟,但其与黄斑前膜(ERM)的关联仍未得到探索。本研究旨在调查诊断为ERM的患者对侧眼中扁平黄斑的患病率。

方法

对2021年1月至4月期间在单中心三级眼科连续就诊的患者进行回顾性分析。该研究纳入了所有因ERM转诊的患者,使用密集光学相干断层扫描(OCT)B扫描来评估对侧眼中扁平黄斑的发生率。双侧ERM患者被排除在分析之外。

结果

在181例患者中,26例对侧眼出现扁平黄斑,发生率为14.3%。有扁平黄斑和无扁平黄斑的患者在人口统计学特征、OCT模式和手术指征方面无显著差异。

讨论

与术前白内障手术患者的报告发生率相比,ERM患者中扁平黄斑的患病率没有统计学上的显著增加。

结论

在我们的队列中,ERM患者中扁平黄斑的发生率为14.3%。

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