Evidence map›Paper›PMID 41945091›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2026

Epiretinal membrane prevalence in asymmetrical pseudoexfoliation glaucoma and its impact on glaucoma monitoring parameters including peripapillary vessel density.

Nilgun Solmaz, E Ece Oskan Kutucu, Omer Uysal, Aysem Gul Ulukartal

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Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2026. 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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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Nilgun SolmazDepartment of Ophthalmology, Haseki Training and Research Hospital, University of Health Sciences, Istanbul, Turkey. nilgunsolmaz@hotmail.com.ORCID http://orcid.org/0000-0003-2173-3951
E Ece Oskan KutucuDepartment of Ophthalmology, Basaksehir Cam and Sakura City Hospital, University of Health Sciences, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-1658-1861
Omer UysalDepartment of Biostatistics, Cerrahpasa Medical Faculty, University of Istanbul- Cerrahpasa, Istanbul, Turkey.
Aysem Gul UlukartalDepartment of Ophthalmology, Haseki Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-1239-4356

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the prevalence of epiretinal membrane (ERM) in asymmetrical pseudoexfoliation glaucoma (PXG) and to assess its impact on glaucoma monitoring parameters, including peripapillary radial capillary vessel density (RPC-VD) and macular vessel density (VD). STUDY

designProspective, cross-sectional study.

methodsThe study included 160 eyes from 80 patients with asymmetrical PXG (PX material present in only one eye) and 80 right eyes from age-matched patients with primary open-angle glaucoma (POAG). All participants underwent optical coherence tomography angiography (OCTA) imaging. Differences between PXG, PX-negative fellow eyes, and POAG eyes were analyzed using generalized linear mixed models (GLMMs) to account for inter-eye dependency.

resultsThere were no significant differences between PXG and POAG eyes in terms of age, visual field mean deviation (VF-MD), retinal nerve fiber (RNFL), ganglion cell complex (GCC), RPC-VD or most macular VD parameters (all p > 0.05). However, PXG eyes had a significantly higher risk of ERM than POAG eyes (OR = 5.60, 95% CI: 1.75–17.88, p = 0.004), after adjustment for age, sex, cataract and/or glaucoma surgery, diabetes, hypertension, and prostaglandin use. PX-negative fellow eyes exhibited an intermediate ERM prevalence, higher than in POAG eyes but not significantly different from either PXG or POAG eyes. Among PXG eyes, those with ERM had worse VF-MD (median: -7.62 dB vs. -2.53 dB, p = 0.008) and lower average RPC-VD and macular VD (p < 0.001– 0.008), while RNFL and GCC thicknesses were comparable.

conclusionPXG was associated with a higher prevalence of ERM, and PX-negative fellow eyes may represent an intermediate stage within the pseudoexfoliation spectrum. In PXG eyes, the presence of ERM was associated with worse VF-MD, and reduced RPC-VD and macular VD. Detailed macular imaging and OCTA evaluation may improve the interpretation of VF changes and support clinical follow-up.

Indexed as

Epiretinal membrane (ERM)Optical coherence tomography angiography (OCTA)Pseudoexfoliation glaucoma (PXG)Radial peripapillary capillary vessel density (RPC-VD)

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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 Socratic graph.