Visual acuity assessment of central retinal artery occlusion patients with or without paracentral acute middle maculopathy via OCT-A

Abstract Purpose The association between paracentral acute middle maculopathy (PAMM) and visual acuity in patients with central retinal artery occlusion (CRAO) is still unclear. The present study investigated the visual acuity of CRAO patients with and without PAMM. Methods CRAO patients with PAMM o...

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Main Authors: Hongxia Gong, Bin Wu, Shiyong Xie
Format: Article
Language:English
Published: BMC 2023-10-01
Series:BMC Ophthalmology
Subjects:
Online Access:https://doi.org/10.1186/s12886-023-03151-5
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author Hongxia Gong
Bin Wu
Shiyong Xie
author_facet Hongxia Gong
Bin Wu
Shiyong Xie
author_sort Hongxia Gong
collection DOAJ
description Abstract Purpose The association between paracentral acute middle maculopathy (PAMM) and visual acuity in patients with central retinal artery occlusion (CRAO) is still unclear. The present study investigated the visual acuity of CRAO patients with and without PAMM. Methods CRAO patients with PAMM or without PAMM were included. Optical coherence tomography angiography (OCT-A) was used to record the macular retinal thickness and density of shallow and deep vessels. The Best-corrected visual acuity (BCVA) was converted to a logarithm of the minimum angle of resolution (LogMAR) for statistical analysis. Results There were 34 CRAO patients with PAMM (43.13%), other 30 CRAO patients without PAMM (46.87%). Compared with the no-PAMM group, PAMM group had better LogMAR BCVA (1.48 (0.49, 1.85) Vs. 1.85 (1.70, 1.96), P < 0.01). There was also a significant difference in retinal thickness of the central macular sulcus (328.00 (304.50–332.25) Vs. 352.50 (311.75–420.50), P = 0.01). A significant correlation between LogMAR BCVA and macular retinal thickness was found (r = 0.42; P < 0.01). Conclusion CRAO patients with PAMM had significantly better visual acuity and less macular edema. OCT-A can be used to distinguish different levels of damage due to CRAO.
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spelling doaj.art-5fe0da91dce545d8b884e79d608ac03a2023-11-26T12:40:21ZengBMCBMC Ophthalmology1471-24152023-10-012311710.1186/s12886-023-03151-5Visual acuity assessment of central retinal artery occlusion patients with or without paracentral acute middle maculopathy via OCT-AHongxia Gong0Bin Wu1Shiyong Xie2Department of Integrated Traditional Chinese and Western Medicine Ophthalmology, Tianjin Key Laboratory of Ophthalmology and Visual Science, Tianjin Eye HospitalDepartment of Visual Function Division, Tianjin Key Laboratory of Ophthalmology and Visual Science, Tianjin Eye HospitalDepartment of Visual Function Division, Tianjin Key Laboratory of Ophthalmology and Visual Science, Tianjin Eye HospitalAbstract Purpose The association between paracentral acute middle maculopathy (PAMM) and visual acuity in patients with central retinal artery occlusion (CRAO) is still unclear. The present study investigated the visual acuity of CRAO patients with and without PAMM. Methods CRAO patients with PAMM or without PAMM were included. Optical coherence tomography angiography (OCT-A) was used to record the macular retinal thickness and density of shallow and deep vessels. The Best-corrected visual acuity (BCVA) was converted to a logarithm of the minimum angle of resolution (LogMAR) for statistical analysis. Results There were 34 CRAO patients with PAMM (43.13%), other 30 CRAO patients without PAMM (46.87%). Compared with the no-PAMM group, PAMM group had better LogMAR BCVA (1.48 (0.49, 1.85) Vs. 1.85 (1.70, 1.96), P < 0.01). There was also a significant difference in retinal thickness of the central macular sulcus (328.00 (304.50–332.25) Vs. 352.50 (311.75–420.50), P = 0.01). A significant correlation between LogMAR BCVA and macular retinal thickness was found (r = 0.42; P < 0.01). Conclusion CRAO patients with PAMM had significantly better visual acuity and less macular edema. OCT-A can be used to distinguish different levels of damage due to CRAO.https://doi.org/10.1186/s12886-023-03151-5Central retinal artery occlusionFundus fluorescein angiographyOptical coherence tomography angiographyParacentral acute middle maculopathyVisual acuity
spellingShingle Hongxia Gong
Bin Wu
Shiyong Xie
Visual acuity assessment of central retinal artery occlusion patients with or without paracentral acute middle maculopathy via OCT-A
BMC Ophthalmology
Central retinal artery occlusion
Fundus fluorescein angiography
Optical coherence tomography angiography
Paracentral acute middle maculopathy
Visual acuity
title Visual acuity assessment of central retinal artery occlusion patients with or without paracentral acute middle maculopathy via OCT-A
title_full Visual acuity assessment of central retinal artery occlusion patients with or without paracentral acute middle maculopathy via OCT-A
title_fullStr Visual acuity assessment of central retinal artery occlusion patients with or without paracentral acute middle maculopathy via OCT-A
title_full_unstemmed Visual acuity assessment of central retinal artery occlusion patients with or without paracentral acute middle maculopathy via OCT-A
title_short Visual acuity assessment of central retinal artery occlusion patients with or without paracentral acute middle maculopathy via OCT-A
title_sort visual acuity assessment of central retinal artery occlusion patients with or without paracentral acute middle maculopathy via oct a
topic Central retinal artery occlusion
Fundus fluorescein angiography
Optical coherence tomography angiography
Paracentral acute middle maculopathy
Visual acuity
url https://doi.org/10.1186/s12886-023-03151-5
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AT binwu visualacuityassessmentofcentralretinalarteryocclusionpatientswithorwithoutparacentralacutemiddlemaculopathyviaocta
AT shiyongxie visualacuityassessmentofcentralretinalarteryocclusionpatientswithorwithoutparacentralacutemiddlemaculopathyviaocta