Chen Chen, Zhang Qi, Li Linrui, Ding Xiaoyan, Lu Lin, Zhao Xiujuan
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, Guangzhou, 510060, China.
Department of Ophthalmology, Fushun People's Hospital, Fushun, 643200, China.
Int Ophthalmol. 2025 May 9;45(1):184. doi: 10.1007/s10792-025-03542-1.
The aim of this study was to investigate the fundus fluorescein angiography (FFA) findings in eyes initially diagnosed with idiopathic epiretinal membrane (iERM) and assess their impact on best-corrected visual acuity (BCVA).
This retrospective comparative study included 136 patients (151 eyes) diagnosed with iERM and a control group of 121 healthy fellow eyes. All patients underwent FFA and optical coherence tomography (OCT). The primary outcomes summarized the characteristics of FFA and OCT in patients with iERM, and analyzed the relationship between FFA findings and visual acuity.
Vascular leakage (P = 0.009) were significantly more prevalent in eyes with iERM compared to controls. Multivariate logistic regression analysis indicated that optic disc hyperfluorescence (OR 4.05; 95% CI 1.79-9.17; P = 0.001) were more likely to present in eyes with iERM. A lower OCT stage, fovea-recognizable, cellophane macular reflex type were associated with better BCVA.
Optic disc hyperfluorescence is independent risk factors of iERM. Howerer, these abnormalities do not show a significant association with visual function. The precise etiology remains to be fully elucidated.
本研究旨在调查最初诊断为特发性视网膜前膜(iERM)的眼睛的眼底荧光血管造影(FFA)结果,并评估其对最佳矫正视力(BCVA)的影响。
这项回顾性比较研究纳入了136例诊断为iERM的患者(151只眼)以及121只健康对侧眼作为对照组。所有患者均接受了FFA和光学相干断层扫描(OCT)检查。主要结果总结了iERM患者FFA和OCT的特征,并分析了FFA结果与视力之间的关系。
与对照组相比,iERM患者眼中血管渗漏(P = 0.009)更为普遍。多因素逻辑回归分析表明,视盘高荧光(OR 4.05;95% CI 1.79 - 9.17;P = 0.001)在iERM患者眼中更易出现。较低的OCT分期、可识别黄斑中心凹、玻璃纸样黄斑反射类型与更好的BCVA相关。
视盘高荧光是iERM的独立危险因素。然而,这些异常与视觉功能并无显著关联。确切病因仍有待充分阐明。