PMID- 25323920 OWN - NLM STAT- MEDLINE DCOM- 20150723 LR - 20141118 IS - 1423-0267 (Electronic) IS - 0030-3755 (Linking) VI - 232 IP - 3 DP - 2014 TI - Evaluating dissociated optic nerve fiber layer appearance using en face layer imaging produced by optical coherence tomography. PG - 170-8 LID - 10.1159/000364811 [doi] AB - PURPOSE: To investigate the incidence of and risk factors for a dissociated optic nerve fiber layer (DONFL) appearance after pars plana vitrectomy (PPV). METHODS: We retrospectively reviewed 189 eyes that underwent PPV with internal limiting membrane removal and judged the presence/absence of an apparent DONFL based on en face layer images produced by spectral-domain optical coherence tomography (SD-OCT). RESULTS: An apparent DONFL was observed in 47 (24.9%) eyes. The incidence of an apparent DONFL was significantly higher in the macular hole (MH) group (76.5%) than in the non-MH group (epiretinal membrane, diabetic macular edema, retinal vein occlusion, and others; 4.9%; p < 0.001). In the logistic regression analysis, surgical indication for MH was identified as the most significant DONFL risk factor (odds ratio 63.7; p = 1.05 x 10(-8)). CONCLUSION: Postoperative OCT en face layer imaging clarified that MH eyes are liable to have an apparent DONFL following PPV. CI - 2014 S. Karger AG, Basel FAU - Kusuhara, Sentaro AU - Kusuhara S AD - Division of Ophthalmology, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. FAU - Matsumiya, Wataru AU - Matsumiya W FAU - Imai, Hisaori AU - Imai H FAU - Honda, Shigeru AU - Honda S FAU - Tsukahara, Yasutomo AU - Tsukahara Y FAU - Negi, Akira AU - Negi A LA - eng PT - Journal Article DEP - 20141015 PL - Switzerland TA - Ophthalmologica JT - Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde JID - 0054655 SB - IM MH - Aged MH - Epiretinal Membrane/surgery MH - Female MH - Humans MH - Male MH - Middle Aged MH - Nerve Fibers/*pathology MH - Optic Disk/*pathology MH - Postoperative Period MH - Retinal Perforations/*diagnosis MH - Retrospective Studies MH - Risk Factors MH - Tomography, Optical Coherence/*methods MH - Visual Acuity/physiology MH - Vitrectomy EDAT- 2014/10/18 06:00 MHDA- 2015/07/24 06:00 CRDT- 2014/10/18 06:00 PHST- 2013/11/29 00:00 [received] PHST- 2014/05/22 00:00 [accepted] PHST- 2014/10/18 06:00 [entrez] PHST- 2014/10/18 06:00 [pubmed] PHST- 2015/07/24 06:00 [medline] AID - 000364811 [pii] AID - 10.1159/000364811 [doi] PST - ppublish SO - Ophthalmologica. 2014;232(3):170-8. doi: 10.1159/000364811. Epub 2014 Oct 15.