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Graefe's Archive for Clinical and Experimental Ophthalmology

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01-11-2016 | Retinal Disorders

Relationship between metamorphopsia and foveal microstructure in patients with branch retinal vein occlusion and cystoid macular edema

Authors: Tomoya Murakami, Fumiki Okamoto, Masaharu Iida, Yoshimi Sugiura, Yoshifumi Okamoto, Takahiro Hiraoka, Tetsuro Oshika

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 11/2016

Abstract

Purpose

We aimed to investigate the relationship between the severity of metamorphopsia and the foveal microstructure measured with spectral-domain optical coherence tomography (SD-OCT) in patients with cystoid macular edema caused by branch retinal vein occlusion (BRVO-CME).

Methods

The study included 30 eyes of 30 patients with BRVO-CME. We examined visual acuity and the severity of metamorphopsia using M-CHARTS. Central foveal thickness, central retinal thickness at the fovea (CRT-1 mm), and macular volume were measured with SD-OCT software. The status of ellipsoid zone (EZ), external limiting membrane (ELM), outer retinal cyst, and inner retinal cyst was also evaluated.

Results

The mean metamorphopsia score was 0.77 ± 0.50, with 28 of 30 patients (93 %) having metamorphopsia (metamorphopsia score ≥ 0.2). The vertical metamorphopsia score (0.89 ± 0.54) was significantly higher than the horizontal metamorphopsia score (0.64 ± 0.53) (p < 0.005). The status of EZ and ELM was significantly associated with visual acuity, but not with the mean metamorphopsia score. The mean metamorphopsia score was significantly related to CRT-1 mm (p < 0.05) and the presence of inner retinal cyst (p < 0.05).

Conclusions

The severity of metamorphopsia was significantly associated with central retinal thickness and the presence of inner retinal cyst.

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Title: Relationship between metamorphopsia and foveal microstructure in patients with branch retinal vein occlusion and cystoid macular edema
Authors: Tomoya Murakami
Fumiki Okamoto
Masaharu Iida
Yoshimi Sugiura
Yoshifumi Okamoto
Takahiro Hiraoka
Tetsuro Oshika
Publication date: 01-11-2016
Publisher: Springer Berlin Heidelberg
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 11/2016
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-016-3382-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Relationship between metamorphopsia and foveal microstructure in patients with branch retinal vein occlusion and cystoid macular edema

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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