[Role of optical coherent tomography in the detection of epiretinal membranes in unilateral idiopathic macular ruptures].
Two hundred and four patients (408 eyes) with unilateral idiopathic macular ruptures (IMR) were examined by optical coherent tomography (OCT), of them 39 patients also underwent spectral OCT (SOCT). The latter much more frequently revealed epiretinal membranes (ERMs): in the eye with IMR in 32 cases versus 10 cases; in the paired eye in 23 cases versus 6 cases by OCT. According to the SOCT data, ERMs had peripheral localization (further 3 mm from the center of the macular area) in 14 of the 32 eyes with IMR and in 13 of the 23 paired eyes; in 12 of the 23 patients, ERMs in the paired eye were detected in the absence of lamellar ruptures or any other foveal pathology. It is suggested that the tangential tractions developing in the presence of contracted ERMs are of possible importance as an additional and, in some cases, major factor in the pathogenesis of IMR.
Shpak
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AA
Ogorodnikova
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D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D019773:Epiretinal Membrane / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008266:Macula Lutea / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D012167:Retinal Perforations / Q000150:complications* / Q000175:diagnosis; D012189:Retrospective Studies; D041623:Tomography, Optical Coherence / Q000379:methods*