Idiopathic Epiretinal Membrane: Microvasculature Analysis with Optical Coherence Tomography and Optical Coherence Tomography Angiography
, Sławomir Teper 1,2, Michał Dembski 1,2, Anna Nowińska 1,2 and Edward Wylęgała 1,2Round 1
Reviewer 1 Report
I have read the revised version and agree with the contents of this study.
I sincerely respect the authors' research.
This manuscript is a resubmission of an earlier submission. The following is a list of the peer review reports and author responses from that submission.
Round 1
Reviewer 1 Report
The purpose of this study is to investigate the relationships among macular microvasculature, retinal structure, and ERM and to explore the utility of optical coherence tomography angiography (OCTA) for epiretinal membrane (ERM) assessment.
Major comments:
- The study is poor new findings. There are previous reports on OCTA in ERM.
- It is strange that there two objects in the introduction, “The aim of this study (line 71)” and “The aim of the present study (line 73)”.
- In this study concludes “Changes observed in the superficial plexus in OCTA are related to the severity of metamorphopsia and can be further evaluated to support decision-making regarding the surgical management of idiopathic ERM”. The authors used the Amsler grid test to evaluate for the presence of metamorphopsia, but this method is insufficient. For example, M-CHRATS should be used.
- Statistical results comparing the age, gender, phakic and pseudophakic of the ERM group and the normal group should be presented. In particular, age matching is an important factor.
Reviewer 2 Report
In general, the topic is nicely presented and a relevant topic. However, a larger patient group would be desirable to make more accurate statements.
The method of measuring metamorphopsia must be considered somewhat limited, as it is very subjective and a moderate and extensive classification may be difficult to apply.There are also computer-based programs for the possibly maybe somewhat more precise quantification of metamorphopsia.
However, as mentioned in the conclusions, it is questionable whether the FAZ size would have an influence on the indication of vitrectomy with peeling and whether patients would show better postoperative vision depending on preoperative FAZ sizes.
