| ID | 65516 |
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| Author |
Doi, Shinichiro
Department of Ophthalmology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
Kimura, Shuhei
Department of Ophthalmology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
ORCID
Kaken ID
Saito, Shoko
Kyorin Eye Center, Kyorin University School of Medicine
Inoue, Makoto
Kyorin Eye Center, Kyorin University School of Medicine
Sakurai, Toshiya
Department of Ophthalmology, Tane Memorial Eye Hospital
Kobori, Akira
Department of Ophthalmology, Fukui Red Cross Hospital
Hisatomi, Toshio
Department of Ophthalmology, Chikushi Hospital, Fukuoka University
Imai, Hisanori
Division of Ophthalmology, Department of Surgery, Kobe University Graduate School of Medicine
Kuriyama, Shoji
Otowa Eye Center
Takasu, Ippei
Takasu Eye Clinic
Hosokawa, Mio Morizane
Department of Ophthalmology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
Shiode, Yusuke
Department of Ophthalmology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
Kaken ID
Matoba, Ryo
Department of Ophthalmology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
Suzuki, Etsuji
Department of Epidemiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
Kaken ID
publons
researchmap
Morizane, Yuki
Department of Ophthalmology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
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| Abstract | Purpose: To compare the effects of macular intraretinal hemorrhage (IRH) and macular hole (MH) on best-corrected visual acuity (BCVA) after displacement of submacular hemorrhage (SMH) due to retinal arterial macroaneurysm (RAM) rupture.
Methods: This multicenter retrospective study included 48 eyes with SMH due to RAM rupture. Cases underwent vitrectomy to displace SMH and were followed up for 6 months. We classified cases according to the presence of IRH and MH and compared the postoperative BCVA among the groups. Results: We classified the eyes into IRH(+)MH(+) group (10 eyes), IRH(+)MH(−) group (23 eyes), and IRH(−)MH(−) group (15 eyes). The postoperative BCVA was significantly worse in the IRH(+)MH(+) and IRH(+)MH(−) groups than in the IRH(−)MH(−) group (0.91 ± 0.41 in logarithm of the minimal angle of resolution units, Snellen equivalent 20/163, 0.87 ± 0.45, 20/148, and 0.18 ± 0.21, 20/30, respectively; P < 0.001). The postoperative central retinal thickness was significantly lower in the IRH(+) group (IRH(+)MH(+) and IRH(+)MH(−) groups combined) than in the IRH(−) group (IRH(−)MH(−) group) (121.4 ± 70.1 µm and 174.3 ± 32.9 µm, respectively, P = 0.008). The postoperative external limiting membrane and ellipsoid zone continuities were significantly discontinuous in the IRH(+) group (P < 0.001, P = 0.001, respectively). The multiple linear regression analysis showed that both IRH(+)MH(+) and IRH(+)MH(−) were associated with the postoperative BCVA (regression coefficient, 0.799 and 0.711, respectively; P < 0.001 for both). Conclusion: Both IRH and MH were poor prognostic indicators in cases with SMH due to RAM rupture. |
| Keywords | macular intraretinal hemorrhage
macular hole
submacular hemorrhage
retinal arterial macroaneurysm
fluffy sign
tissue plasminogen activator
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| Note | This is a non-final version of an article published in final form in (Doi, Shinichiro MD, PhD*; Kimura, Shuhei MD, PhD*; Saito, Shoko MD†; Inoue, Makoto MD, PhD†; Sakurai, Toshiya MD, PhD‡; Kobori, Akira MD§; Hisatomi, Toshio MD, PhD¶; Imai, Hisanori MD, PhD**; Kuriyama, Shoji MD, PhD††; Takasu, Ippei MD‡‡; Hosokawa, Mio Morizane MD, PhD*; Shiode, Yusuke MD, PhD*; Matoba, Ryo MD, PhD*; Suzuki, Etsuji MD, PhD§§; Morizane, Yuki MD, PhD*. IMPACT OF MACULAR INTRARETINAL HEMORRHAGE AND MACULAR HOLE ON THE VISUAL PROGNOSIS OF SUBMACULAR HEMORRHAGE DUE TO RETINAL ARTERIAL MACROANEURYSM RUPTURE. Retina 43(4):p 585-593, April 2023. | DOI: 10.1097/IAE.0000000000003725).
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| Published Date | 2023-04
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| Publication Title |
Retina
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| Volume | volume43
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| Issue | issue4
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| Publisher | Ovid Technologies (Wolters Kluwer Health)
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| Start Page | 585
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| End Page | 593
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| ISSN | 0275-004X
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| NCID | AA10639923
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| Content Type |
Journal Article
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| language |
English
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| OAI-PMH Set |
岡山大学
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| Copyright Holders | © 2023, Wolters Kluwer Health
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| File Version | author
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| Related Url | isVersionOf https://doi.org/10.1097/iae.0000000000003725
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| Citation | Doi, Shinichiro MD, PhD*; Kimura, Shuhei MD, PhD*; Saito, Shoko MD†; Inoue, Makoto MD, PhD†; Sakurai, Toshiya MD, PhD‡; Kobori, Akira MD§; Hisatomi, Toshio MD, PhD¶; Imai, Hisanori MD, PhD**; Kuriyama, Shoji MD, PhD††; Takasu, Ippei MD‡‡; Hosokawa, Mio Morizane MD, PhD*; Shiode, Yusuke MD, PhD*; Matoba, Ryo MD, PhD*; Suzuki, Etsuji MD, PhD§§; Morizane, Yuki MD, PhD*. IMPACT OF MACULAR INTRARETINAL HEMORRHAGE AND MACULAR HOLE ON THE VISUAL PROGNOSIS OF SUBMACULAR HEMORRHAGE DUE TO RETINAL ARTERIAL MACROANEURYSM RUPTURE. Retina 43(4):p 585-593, April 2023. | DOI: 10.1097/IAE.0000000000003725
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