Epiretinal membrane: an overview and update.

IF 2.1 3区 医学 Q2 OPHTHALMOLOGY
Ryo Matoba, Yuki Morizane
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引用次数: 0

Abstract

Epiretinal membrane (ERM) is a frequently diagnosed macular disease associated with aging, characterized by a fibrous membrane forming on the internal limiting membrane (ILM) and leading to visual dysfunctions such as metamorphopsia. Various hypotheses regarding the pathology of metamorphopsia have been proposed; however, the complete pathophysiologic mechanism underlying ERM remains unclear. Optical coherence tomography (OCT) provides detailed images enabling precise diagnosis and characterization of ERM, with several recent studies using the latest OCT imaging techniques. Surgical removal of ERM is the only treatment option; however, criteria for surgical intervention are not established, complicating the decision-making processes. Furthermore, the debate on whether simultaneous peeling of the ILM during ERM surgery enhances outcomes or poses unnecessary risks is ongoing, with no definite conclusion having yet been reached. This review also focuses on epiretinal proliferation, which is different from ERM and is characteristic of lamellar macular hole (LMH). Recently, diagnostic criteria for LMH and related diseases were proposed. Reports on effective surgical procedures for LMH exist, although more research is needed to confirm the long-term outcomes. Thus, this review article aims to provide an overview and updated knowledge of ERM, LMH, and related diseases.

视网膜外膜:概述与更新。
视网膜外膜(ERM)是一种常被诊断为与衰老相关的黄斑疾病,其特征是在内缘膜(ILM)上形成一层纤维膜,并导致视功能障碍,如变形性视力。人们对变色龙的病理提出了各种假说,但 ERM 的完整病理生理机制仍不清楚。光学相干断层扫描(OCT)提供了详细的图像,可对 ERM 进行精确诊断和定性,最近有几项研究采用了最新的 OCT 成像技术。手术切除 ERM 是唯一的治疗方案,但手术干预的标准尚未确定,这使得决策过程变得复杂。此外,关于 ERM 手术中同时剥离 ILM 是会提高疗效还是会带来不必要的风险的争论仍在继续,尚未得出明确的结论。本综述还关注视网膜外增殖,它不同于 ERM,是板层黄斑孔(LMH)的特征。最近,人们提出了 LMH 及相关疾病的诊断标准。目前已有关于 LMH 有效手术方法的报道,但还需要更多的研究来证实其长期疗效。因此,这篇综述文章旨在提供有关 ERM、LMH 及相关疾病的概述和最新知识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.80
自引率
8.30%
发文量
65
审稿时长
6-12 weeks
期刊介绍: The Japanese Journal of Ophthalmology (JJO) was inaugurated in 1957 as a quarterly journal published in English by the Ophthalmology Department of the University of Tokyo, with the aim of disseminating the achievements of Japanese ophthalmologists worldwide. JJO remains the only Japanese ophthalmology journal published in English. In 1997, the Japanese Ophthalmological Society assumed the responsibility for publishing the Japanese Journal of Ophthalmology as its official English-language publication. Currently the journal is published bimonthly and accepts papers from authors worldwide. JJO has become an international interdisciplinary forum for the publication of basic science and clinical research papers.
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