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Published in: International Ophthalmology 12/2019

01-12-2019 | Angiography | Original Paper

Reduced vascular perfusion density in idiopathic epiretinal membrane compared to macular pseudohole

Authors: Luisa Pierro, Lorenzo Iuliano, Alessandro Marchese, Alessandro Arrigo, Alessandro Rabiolo, Francesco Bandello

Published in: International Ophthalmology | Issue 12/2019

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Abstract

Purpose

To investigate the retinal capillary perfusion density by means of optical coherence tomography angiography (OCT-A) in idiopathic epiretinal membrane (ERM) and macular pseudoholes (MPH).

Methods

This observational cross-sectional study examined consecutive patients affected by ERM and MPH presenting between June 2017 and December 2017, as well as the 30 eyes of 30 healthy subjects. All patients underwent swept-source OCT-A examination. For each patient, vessel perfusion density and foveal avascular zone (FAZ) area were measured.

Results

Twenty-five eyes of 20 patients with ERM and 28 eyes of 24 patients with MPH were enrolled. Thirty eyes of 30 age-matched healthy controls were included. The perfusion density in the superficial capillary plexus (SCP) of ERM (0.401 ± 0.012) turned out to be inferior that MPH (0.419 ± 0.018) and controls (0.415 ± 0.017) (p < 0.01), while no significant differences were evident among the three subgroups in the deep capillary plexus (DCP) (p = 0.1). The FAZ area in the SCP was smaller in the ERM group (0.168 ± 0.123 mm2), respectively, than MPH (0.295 ± 0.013 mm2) and controls (0.213 ± 0.107 mm2) (p < 0.01), otherwise no difference were noted in the DCP (p = 0.14).

Conclusions

OCT-A morphological features differ between idiopathic ERM and MPH, showing lower perfusion density in idiopathic ERM compared to MPH.
Literature
1.
go back to reference Allen AW, Gass JD (1976) Contraction of a perifoveal epiretinal membrane simulating a macular hole. Am J Ophthalmol 82:684–691CrossRef Allen AW, Gass JD (1976) Contraction of a perifoveal epiretinal membrane simulating a macular hole. Am J Ophthalmol 82:684–691CrossRef
7.
go back to reference Pierro L, Iuliano L, Gagliardi M et al (2019) Higher vascular density of the superficial retinal capillary plexus in degenerative lamellar macular holes. Ophthalmic Surg Lasers Imaging Retina 50:e112–e117CrossRef Pierro L, Iuliano L, Gagliardi M et al (2019) Higher vascular density of the superficial retinal capillary plexus in degenerative lamellar macular holes. Ophthalmic Surg Lasers Imaging Retina 50:e112–e117CrossRef
Metadata
Title
Reduced vascular perfusion density in idiopathic epiretinal membrane compared to macular pseudohole
Authors
Luisa Pierro
Lorenzo Iuliano
Alessandro Marchese
Alessandro Arrigo
Alessandro Rabiolo
Francesco Bandello
Publication date
01-12-2019
Publisher
Springer Netherlands
Keyword
Angiography
Published in
International Ophthalmology / Issue 12/2019
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-019-01119-3

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