Association of Microvasculature and Macular Sensitivity in Idiopathic Macular Epiretinal Membrane: Using OCT Angiography and Microperimetry

Purpose: To investigate the correlation between retinal capillary structure and macular function in patients with idiopathic epiretinal membrane (iERM) by using optical coherence tomography angiography (OCTA) and microperimetry.Methods: This retrospective and observational study included 30 idiopath...

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Autores principales: Jingyang Feng, Xiaotong Yang, Mengqiao Xu, Yuwei Wang, Xiang Shi, Yumeng Zhang, Peirong Huang
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:0a58b5cc52e449a4af4713b255e7bcad2021-11-16T06:20:00ZAssociation of Microvasculature and Macular Sensitivity in Idiopathic Macular Epiretinal Membrane: Using OCT Angiography and Microperimetry2296-858X10.3389/fmed.2021.655013https://doaj.org/article/0a58b5cc52e449a4af4713b255e7bcad2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fmed.2021.655013/fullhttps://doaj.org/toc/2296-858XPurpose: To investigate the correlation between retinal capillary structure and macular function in patients with idiopathic epiretinal membrane (iERM) by using optical coherence tomography angiography (OCTA) and microperimetry.Methods: This retrospective and observational study included 30 idiopathic ERM eyes of 30 consecutive patients. OCTA was performed to evaluate macular microvasculature including the superficial capillary plexus, deep capillary plexus, and foveal avascular zone. Best corrected visual acuity (BCVA) and microperimetry were measured at baseline and 3 months after surgery. Associations between macular microvasculature and visual function were assessed.Results: Visual function including BCVA and macular sensitivity improved significantly at 3 months post-operatively (p < 0.001). At baseline, BCVA was positively correlated with foveal or parafoveal sensitivities and negatively correlated with central foveal thickness (p < 0.05). Pre-operative foveal sensitivity was significantly correlated with the vessel density of foveal or parafoveal superficial capillary plexus (p < 0.05). A multiple regression model revealed that pre-operative vessel density of foveal deep capillary plexus was an independent positive prognostic factor for post-operative BCVA (B = −0.020 ± 0.006, p = 0.006) and macular sensitivity (B = 0.200 ± 0.081, p = 0.027).Conclusion: Integrated evaluation of iERM by using OCTA and microperimetry shows an association between microvasculature and macular sensitivity. Pre-operative vessel density of foveal deep capillary plexus assessed by OCTA may be a potentially valuable prognostic factor for iERM surgery.Jingyang FengJingyang FengJingyang FengJingyang FengXiaotong YangXiaotong YangMengqiao XuYuwei WangXiang ShiYumeng ZhangPeirong HuangPeirong HuangPeirong HuangPeirong HuangFrontiers Media S.A.articlemicroperimetryepiretinal membranevessel densityprognostic factorsOCT angiographyMedicine (General)R5-920ENFrontiers in Medicine, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic microperimetry
epiretinal membrane
vessel density
prognostic factors
OCT angiography
Medicine (General)
R5-920
spellingShingle microperimetry
epiretinal membrane
vessel density
prognostic factors
OCT angiography
Medicine (General)
R5-920
Jingyang Feng
Jingyang Feng
Jingyang Feng
Jingyang Feng
Xiaotong Yang
Xiaotong Yang
Mengqiao Xu
Yuwei Wang
Xiang Shi
Yumeng Zhang
Peirong Huang
Peirong Huang
Peirong Huang
Peirong Huang
Association of Microvasculature and Macular Sensitivity in Idiopathic Macular Epiretinal Membrane: Using OCT Angiography and Microperimetry
description Purpose: To investigate the correlation between retinal capillary structure and macular function in patients with idiopathic epiretinal membrane (iERM) by using optical coherence tomography angiography (OCTA) and microperimetry.Methods: This retrospective and observational study included 30 idiopathic ERM eyes of 30 consecutive patients. OCTA was performed to evaluate macular microvasculature including the superficial capillary plexus, deep capillary plexus, and foveal avascular zone. Best corrected visual acuity (BCVA) and microperimetry were measured at baseline and 3 months after surgery. Associations between macular microvasculature and visual function were assessed.Results: Visual function including BCVA and macular sensitivity improved significantly at 3 months post-operatively (p < 0.001). At baseline, BCVA was positively correlated with foveal or parafoveal sensitivities and negatively correlated with central foveal thickness (p < 0.05). Pre-operative foveal sensitivity was significantly correlated with the vessel density of foveal or parafoveal superficial capillary plexus (p < 0.05). A multiple regression model revealed that pre-operative vessel density of foveal deep capillary plexus was an independent positive prognostic factor for post-operative BCVA (B = −0.020 ± 0.006, p = 0.006) and macular sensitivity (B = 0.200 ± 0.081, p = 0.027).Conclusion: Integrated evaluation of iERM by using OCTA and microperimetry shows an association between microvasculature and macular sensitivity. Pre-operative vessel density of foveal deep capillary plexus assessed by OCTA may be a potentially valuable prognostic factor for iERM surgery.
format article
author Jingyang Feng
Jingyang Feng
Jingyang Feng
Jingyang Feng
Xiaotong Yang
Xiaotong Yang
Mengqiao Xu
Yuwei Wang
Xiang Shi
Yumeng Zhang
Peirong Huang
Peirong Huang
Peirong Huang
Peirong Huang
author_facet Jingyang Feng
Jingyang Feng
Jingyang Feng
Jingyang Feng
Xiaotong Yang
Xiaotong Yang
Mengqiao Xu
Yuwei Wang
Xiang Shi
Yumeng Zhang
Peirong Huang
Peirong Huang
Peirong Huang
Peirong Huang
author_sort Jingyang Feng
title Association of Microvasculature and Macular Sensitivity in Idiopathic Macular Epiretinal Membrane: Using OCT Angiography and Microperimetry
title_short Association of Microvasculature and Macular Sensitivity in Idiopathic Macular Epiretinal Membrane: Using OCT Angiography and Microperimetry
title_full Association of Microvasculature and Macular Sensitivity in Idiopathic Macular Epiretinal Membrane: Using OCT Angiography and Microperimetry
title_fullStr Association of Microvasculature and Macular Sensitivity in Idiopathic Macular Epiretinal Membrane: Using OCT Angiography and Microperimetry
title_full_unstemmed Association of Microvasculature and Macular Sensitivity in Idiopathic Macular Epiretinal Membrane: Using OCT Angiography and Microperimetry
title_sort association of microvasculature and macular sensitivity in idiopathic macular epiretinal membrane: using oct angiography and microperimetry
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/0a58b5cc52e449a4af4713b255e7bcad
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