Evidence map›Paper›PMID 41405649›Full record

Observational studyInternational ophthalmology2025

The prevalence of epiretinal membrane in pseudoexfoliation and primary open-angle glaucoma and its association with choroidal thickness.

Güzide Akçay, Raziye Dönmez Gün, Erdi Karadağ, Ulviye Kıvrak, Ecem Özkan

Abstract readObservational Study
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In one paragraph

Observational study in International ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Güzide AkçayDepartment of Ophthalmology, Istanbul Kartal Doctor Lütfi Kırdar City Hospital, Semsi Denizer Street, E-5, 34890, Kartal, Istanbul, Turkey. drguzideakcay@hotmail.com.ORCID http://orcid.org/0000-0002-6111-9772
Raziye Dönmez GünDepartment of Ophthalmology, Istanbul Kartal Doctor Lütfi Kırdar City Hospital, Semsi Denizer Street, E-5, 34890, Kartal, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-0785-5162
Erdi KaradağDepartment of Ophthalmology, Istanbul Kartal Doctor Lütfi Kırdar City Hospital, Semsi Denizer Street, E-5, 34890, Kartal, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-4168-8740
Ulviye KıvrakDepartment of Ophthalmology, Istanbul Kartal Doctor Lütfi Kırdar City Hospital, Semsi Denizer Street, E-5, 34890, Kartal, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-1694-6864
Ecem ÖzkanDepartment of Ophthalmology, Gazi University Faculty of Medicine, Ankara, Turkey.ORCID http://orcid.org/0009-0001-3669-5620

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aim to assess epiretinal membrane (ERM) prevalence in pseudoexfoliation glaucoma (PXG) and primary open-angle glaucoma (POAG) eyes and examine its correlation with choroidal thickness (CT) in these individuals.

methodsIn this retrospective, observational study, we examined 165 eyes of 94 PXG patients, 157 eyes of 82 POAG patients, and 150 eyes of 75 healthy individuals. We conducted a comprehensive ophthalmological assessment, including measurements of retinal nerve fiber layer (RNFL) thickness, central macular thickness (CMT), and macular CT using swept-source optical coherence tomography. We also evaluated and categorized posterior vitreous detachment (PVD) presence. ERM staging was performed for eyes with ERM. Lastly, we analyzed the association between ERM presence and CT across all groups.

resultsBCVA and mean RNFL were lower in PXG and POAG groups compared to controls (both p < 0.001). Mean CMT was significantly thinner in PXG versus controls (p < 0.001) and POAG (p = 0.002). ERM prevalence was higher in POAG versus controls and highest in PXG versus both groups. PVD was least in controls, more in POAG, and most in PXG. In PXG with ERM, temporal and nasal CT were higher (p = 0.022, p = 0.016). In the POAG subgroup, eyes receiving prostaglandin analogue therapy had significantly greater subfoveal CT (SFCT) compared with those not undergoing this treatment (p = 0.032).

conclusionAccording to our study, CMT is thinner in PXG eyes. ERM and PVD frequencies increase in POAG and PXG, with higher prevalence in PXG. PXG eyes with ERM exhibit increased nasal and temporal choroidal thickness, and in POAG eyes receiving prostaglandin analogue therapy, SFCT is higher compared to those not receiving this treatment.

Indexed as

ChoroidEpiretinal MembraneExfoliation SyndromeGlaucoma, Open-AngleAgedFemaleHumansIntraocular PressureMaleMiddle AgedNerve FibersPrevalenceRetinal Ganglion CellsRetrospective StudiesTomography, Optical CoherenceVisual AcuityChoroidal thicknessEpiretinal membraneOptical coherence tomographyPrimary open-angle glaucomaPseudoexfoliation glaucoma

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.