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10.1097/IAE.0000000000000113

http://scihub22266oqcxt.onion/10.1097/IAE.0000000000000113
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C4066652!4066652!24691567
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suck abstract from ncbi


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pmid24691567      Retina 2014 ; 34 (7): 1323-34
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  • Spectral Domain Optical Coherence Tomography Characterization of Pediatric Epiretinal Membranes #MMPMID24691567
  • Rothman AL; Folgar FA; Tong AY; Toth CA
  • Retina 2014[Jul]; 34 (7): 1323-34 PMID24691567show ga
  • Purpose: To compare macular morphology of pediatric versus adult eyes with epiretinal membrane (ERM) using spectral-domain optical coherence tomography (SDOCT) and identify characteristics associated with postoperative visual acuity (VA). Methods: This retrospective study analyzed SDOCT from pediatric subjects and a randomly-selected cohort of adult subjects with ERM. Morphologic retinal and ERM features were graded by two masked SDOCT readers and compared with postoperative change in VA. Results: Pediatric ERMs (ages 0.3-16.5 years) were more confluently attached to the retina than adult ERMs (ages 40-88 years, p=0.009) and had less fibrillary appearance of the inner retina when separation was present (p=0.044). Pediatric ERMs were associated with more vessel dragging (p=0.019) and less external limiting membrane (ELM, p=0.001) and inner segment (IS) band visibility (p=0.010), with a trend towards foveal sparing by ERM (p=0.051) and ?taco? retinal folds (p=0.052) compared to adult eyes. VA improvement was associated with intact (p=0.048) and smooth (p=0.055, trend) IS band in children and with smooth IS band (p=0.083, trend) and visible ELM (p=0.098, trend) in adults. Conclusion: We identified morphologic differences between pediatric and adult ERM on SDOCT. Similar to adults, photoreceptor integrity with pediatric ERM appears to predict better VA changes after surgical ERM removal.
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