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Title of Journal: J Neurol

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Abbravation: Journal of Neurology

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Springer Berlin Heidelberg

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DOI

10.1016/j.asr.2007.04.057

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1432-1459

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Epiretinal membrane a treatable cause of visual d

Authors: Hannah M Kersten Richard H Roxburgh Nicholas Child Philip J Polkinghorne Chris Frampton Helen V DaneshMeyer
Publish Date: 2013/10/17
Volume: 261, Issue: 1, Pages: 37-44
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Abstract

A wide range of ocular abnormalities have been documented to occur in patients with myotonic dystrophy type 1 The objectives of this study were to investigate the macular and optic nerve morphology using optical coherence tomography in patients with myotonic dystrophy type 1 A total of 30 myotonic dystrophy type 1 patients and 28 controls were recruited for participation All participants underwent a thorough ophthalmologic examination including spectraldomain optical coherence tomography of the macula and retinal nerve fibre layer Images were reviewed by a retinal specialist ophthalmologist masked to the diagnosis of the participants Average macular thickness was significantly greater in the myotonic dystrophy group compared to controls 3273 μm vs 3085 μm p  0001 Macular thickness was significantly greater p  0005 in five of the nine macular regions The increase in macular thickness was due to the increased prevalence of epiretinal membranes in the myotonic dystrophy patient group p = 00002 482  of myotonic dystrophy patient eyes had evidence of epiretinal membrane compared with 125  of control eyes Examination revealed that 567  of myotonic dystrophy patients had an epiretinal membrane in at least one eye Visual acuity was reduced due to the presence of epiretinal membrane in six patient eyes and none of the control eyes The presence of an epiretinal membrane was significantly correlated with increasing age in the patient group We report an increased prevalence of epiretinal membrane in the myotonic dystrophy type 1 group This may be a previously underrecognised form of visual impairment in this group Epiretinal membranes can be treated surgically We suggest that in addition to a comprehensive clinical examination optical coherence tomography examination is implemented as part of an ophthalmological assessment for the myotonic dystrophy type 1 patient with reduced visual acuity

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