July 2018
Volume 59, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2018
Comparison of color funduscopy and Spectralis multicolor on detection of epiretinal membrane and relationship between ERM findings and metamorphopsia.
Author Affiliations & Notes
  • Ryoh Funatsu
    Kagoshima University, Kagoshima-shi, Japan
  • Hiroto Terasaki
    Kagoshima University, Kagoshima-shi, Japan
  • Hideki Shiihara
    Kagoshima University, Kagoshima-shi, Japan
  • Naoko Kakiuchi
    Kagoshima University, Kagoshima-shi, Japan
  • Shozo Sonoda
    Kagoshima University, Kagoshima-shi, Japan
  • Taiji Sakamoto
    Kagoshima University, Kagoshima-shi, Japan
  • Footnotes
    Commercial Relationships   Ryoh Funatsu, None; Hiroto Terasaki, None; Hideki Shiihara, None; Naoko Kakiuchi, None; Shozo Sonoda, JFC Sales Plan Co., Ltd, Japan (R); Taiji Sakamoto, None
  • Footnotes
    Support  JSPS KAKENHI
Investigative Ophthalmology & Visual Science July 2018, Vol.59, 5265. doi:https://doi.org/
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    • Get Citation

      Ryoh Funatsu, Hiroto Terasaki, Hideki Shiihara, Naoko Kakiuchi, Shozo Sonoda, Taiji Sakamoto; Comparison of color funduscopy and Spectralis multicolor on detection of epiretinal membrane and relationship between ERM findings and metamorphopsia.. Invest. Ophthalmol. Vis. Sci. 2018;59(9):5265. doi: https://doi.org/.

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      © ARVO (1962-2015); The Authors (2016-present)

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Purpose : Spectralis multicolor (MC, Heiderberg engeneering, Germany) is a new scanning laser ophthalmoscopy with three different wavelengths which can obtain clearer retinal images than conventional color funduscopy (CF). There are a few reports comparing the sensitivity of MC and CF. In addition, the relationship between retinal finding by MC and patient’s vision is not well understood. Thus, the purpose of this study was to compare the sensitivity of MC and CF and to investigate the relationship between morphological findings determined by MC and visual function in patients with epiretinal membrane (ERM).

Methods : A prospective cross-sectional case study was conducted at Kagoshima University Hospital. Patients with ERM from May to October 2017 were enrolled. Severity of ERM by CF or MC were classified as three grades (1-not detectable, 2-barely detectable, 3-clearly detectable, ERM score) by a medical student (MS) or retina specialist (RS). ERM scores detected with different machines by different raters; with CF by with MS, wth CF by RS, with MC by MS, with MC by RS, were analyzed by Steel-Dwass test. The relationship between visual function such as visual acuity (VA, LogMAR) and metamorphology score by M-chart (Inami, Japan) and ERM score of CF and MC by RS is analyzed by spearman’s rank correlation coefficient.

Results : Thirty-six eyes of 33 patients were enrolled. Mean age was 68.1 +/- 8.47, mean VA was 0.20 +/- 0.2 logMAR, mean metamorphology score was 0.42 +/- 0.46. ERM scores of CF was 1.58 +/- 0.68 by MS and 1.88 +/- 0.45 by RS (not significant). ERM scores of MC was 2.78 +/- 0.47 by MS and 2.70 +/- 0.5 by RS, both of them were statistically significant with ERM score of CF by both examiners. Although ERM scores of CF and MC were not significantly correlated with VA, it was significantly correlated with metamorphology score (CP: p=0.03, R=0.37, MC: p=0.006, R=0.46).

Conclusions : Evaluation of ERM by MC is more sensitive than by CF. In addition, MC could suggest the change of visual function more clearly than CF. MC may be a more useful tool for ERM assessment than CF.

This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.


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