共 15 条
Tomographic Structural Changes of Retinal Layers after Internal Limiting Membrane Peeling for Macular Hole Surgery
被引:20
作者:

Faria, Mun Yueh
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Univ Lisbon, Fac Med, Vis Sci Study Ctr, CECV, Lisbon, Portugal
Hosp Santa Maria, Dept Ophthalmol, Lisbon, Portugal Univ Lisbon, Fac Med, Vis Sci Study Ctr, CECV, Lisbon, Portugal

Ferreira, Nuno P.
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Univ Lisbon, Fac Med, Vis Sci Study Ctr, CECV, Lisbon, Portugal
Hosp Santa Maria, Dept Ophthalmol, Lisbon, Portugal Univ Lisbon, Fac Med, Vis Sci Study Ctr, CECV, Lisbon, Portugal

Cristovao, Diana M.
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Inst Oftalmol Dr Gama Pinto, Lisbon, Portugal Univ Lisbon, Fac Med, Vis Sci Study Ctr, CECV, Lisbon, Portugal

Mano, Sofia
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机构:
Univ Lisbon, Fac Med, Vis Sci Study Ctr, CECV, Lisbon, Portugal
Hosp Santa Maria, Dept Ophthalmol, Lisbon, Portugal Univ Lisbon, Fac Med, Vis Sci Study Ctr, CECV, Lisbon, Portugal

Sousa, David Cordeiro
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Univ Lisbon, Fac Med, Vis Sci Study Ctr, CECV, Lisbon, Portugal
Hosp Santa Maria, Dept Ophthalmol, Lisbon, Portugal Univ Lisbon, Fac Med, Vis Sci Study Ctr, CECV, Lisbon, Portugal

Monteiro-Grillo, Manuel
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Univ Lisbon, Fac Med, Vis Sci Study Ctr, CECV, Lisbon, Portugal
Hosp Santa Maria, Dept Ophthalmol, Lisbon, Portugal Univ Lisbon, Fac Med, Vis Sci Study Ctr, CECV, Lisbon, Portugal
机构:
[1] Univ Lisbon, Fac Med, Vis Sci Study Ctr, CECV, Lisbon, Portugal
[2] Hosp Santa Maria, Dept Ophthalmol, Lisbon, Portugal
[3] Inst Oftalmol Dr Gama Pinto, Lisbon, Portugal
关键词:
Macular hole;
Internal limiting membrane peeling;
Optical coherence tomography;
Macular structural changes;
FOVEAL MICROSTRUCTURE;
THICKNESS;
IMAGES;
D O I:
10.1159/000480243
中图分类号:
R77 [眼科学];
学科分类号:
100212 ;
摘要:
Purpose: To highlight tomographic structural changes of retinal layers after internal limiting membrane (ILM) peeling in macular hole surgery. Methods: Nonrandomized prospective, interventional study in 38 eyes (34 patients) subjected to pars plana vitrectomy and ILM peeling for idiopathic macular hole. Retinal layers were assessed in nasal and temporal regions before and 6 months after surgery using spectral domain optical coherence tomography. Results: Total retinal thickness increased in the nasal region and decreased in the temporal region. The retinal nerve fiber layer (RNFL), ganglion cell layer (GCL), and inner plexiform layer (IPL) showed thinning on both nasal and temporal sides of the fovea. The thickness of the outer plexiform layer (OPL) increased. The outer nuclear layer (ONL) and outer retinal layers (ORL) increased in thickness after surgery in both nasal and temporal regions. Conclusion: ILM peeling is associated with important alterations in the inner retinal layer architecture, with thinning of the RNFL-GCL-IPL complex and thickening of OPL, ONL, and ORL. These structural alterations can help explain functional outcome and could give indications regarding the extent of ILM peeling, even though peeling seems important for higher rate of hole closure. (C) 2017 S. Karger AG, Basel
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页码:24 / 29
页数:6
相关论文
共 15 条
[1]
The Dynamic Healing Process of Idiopathic Macular Holes after Surgical Repair: A Spectral-Domain Optical Coherence Tomography Study
[J].
Bottoni, Ferdinando
;
De Angelis, Stefano
;
Luccarelli, Saverio
;
Cigada, Mario
;
Staurenghi, Giovanni
.
INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE,
2011, 52 (07)
:4439-4446

Bottoni, Ferdinando
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Milan, Sacco Hosp, Dept Clin Sci Luigi Sacco, Eye Clin, Milan, Italy Univ Milan, Sacco Hosp, Dept Clin Sci Luigi Sacco, Eye Clin, Milan, Italy

De Angelis, Stefano
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Milan, Sacco Hosp, Dept Clin Sci Luigi Sacco, Eye Clin, Milan, Italy Univ Milan, Sacco Hosp, Dept Clin Sci Luigi Sacco, Eye Clin, Milan, Italy

Luccarelli, Saverio
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Milan, Sacco Hosp, Dept Clin Sci Luigi Sacco, Eye Clin, Milan, Italy Univ Milan, Sacco Hosp, Dept Clin Sci Luigi Sacco, Eye Clin, Milan, Italy

Cigada, Mario
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Milan, Sacco Hosp, Dept Clin Sci Luigi Sacco, Eye Clin, Milan, Italy Univ Milan, Sacco Hosp, Dept Clin Sci Luigi Sacco, Eye Clin, Milan, Italy

Staurenghi, Giovanni
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Milan, Sacco Hosp, Dept Clin Sci Luigi Sacco, Eye Clin, Milan, Italy Univ Milan, Sacco Hosp, Dept Clin Sci Luigi Sacco, Eye Clin, Milan, Italy
[2]
Macular hole surgery with and without internal limiting membrane peeling
[J].
Brooks, HL
.
OPHTHALMOLOGY,
2000, 107 (10)
:1939-1948

Brooks, HL
论文数: 0 引用数: 0
h-index: 0
机构:
So Vitreoretinal Associates, Tallahassee, FL USA So Vitreoretinal Associates, Tallahassee, FL USA
[3]
Vitrectomy with Internal Limiting Membrane Peeling versus No Peeling for Idiopathic Full-Thickness Macular Hole
[J].
Cornish, Kurt Spiteri
;
Lois, Noemi
;
Scott, Neil W.
;
Burr, Jennifer
;
Cook, Jonathan
;
Boachie, Charles
;
Tadayoni, Ramin
;
la Cour, Morten
;
Christensen, Ulrik
;
Kwok, Alvin K. H.
.
OPHTHALMOLOGY,
2014, 121 (03)
:649-655

Cornish, Kurt Spiteri
论文数: 0 引用数: 0
h-index: 0
机构:
Grampian Univ Hosp NHS Trust, Dept Ophthalmol, Aberdeen, Scotland Grampian Univ Hosp NHS Trust, Dept Ophthalmol, Aberdeen, Scotland

论文数: 引用数:
h-index:
机构:

Scott, Neil W.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Aberdeen, Med Stat Team, Aberdeen, Scotland Grampian Univ Hosp NHS Trust, Dept Ophthalmol, Aberdeen, Scotland

Burr, Jennifer
论文数: 0 引用数: 0
h-index: 0
机构:
Univ St Andrews, Sch Med Med & Biol Sci Bldg, St Andrews KY16 9AJ, Fife, Scotland Grampian Univ Hosp NHS Trust, Dept Ophthalmol, Aberdeen, Scotland

Cook, Jonathan
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Aberdeen, Hlth Serv Res Unit, Aberdeen, Scotland Grampian Univ Hosp NHS Trust, Dept Ophthalmol, Aberdeen, Scotland

Boachie, Charles
论文数: 0 引用数: 0
h-index: 0
机构:
AP HP, Paris, France Grampian Univ Hosp NHS Trust, Dept Ophthalmol, Aberdeen, Scotland

Tadayoni, Ramin
论文数: 0 引用数: 0
h-index: 0
机构:
AP HP, Paris, France Grampian Univ Hosp NHS Trust, Dept Ophthalmol, Aberdeen, Scotland

论文数: 引用数:
h-index:
机构:

Christensen, Ulrik
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Copenhagen, Glostrup Hosp, Copenhagen, Denmark Grampian Univ Hosp NHS Trust, Dept Ophthalmol, Aberdeen, Scotland

Kwok, Alvin K. H.
论文数: 0 引用数: 0
h-index: 0
机构:
Hong Kong Sanat & Hosp, Dept Ophthalmol, Hong Kong, Hong Kong, Peoples R China Grampian Univ Hosp NHS Trust, Dept Ophthalmol, Aberdeen, Scotland
[4]
The International Vitreomacular Traction Study Group Classification of Vitreomacular Adhesion, Traction, and Macular Hole
[J].
Duker, Jay S.
;
Kaiser, Peter K.
;
Binder, Susanne
;
de Smet, Marc D.
;
Gaudric, Alain
;
Reichel, Elias
;
Sadda, SriniVas R.
;
Sebag, Jerry
;
Spaide, Richard F.
;
Stalmans, Peter
.
OPHTHALMOLOGY,
2013, 120 (12)
:2611-2619

Duker, Jay S.
论文数: 0 引用数: 0
h-index: 0
机构:
Tufts Univ, Sch Med, Tufts Med Ctr, New England Eye Ctr, Boston, MA 02111 USA Tufts Univ, Sch Med, Tufts Med Ctr, New England Eye Ctr, Boston, MA 02111 USA

Kaiser, Peter K.
论文数: 0 引用数: 0
h-index: 0
机构:
Cleveland Clin, Cole Eye Inst, Cleveland, OH 44106 USA Tufts Univ, Sch Med, Tufts Med Ctr, New England Eye Ctr, Boston, MA 02111 USA

Binder, Susanne
论文数: 0 引用数: 0
h-index: 0
机构:
Ludwig Boltzmann Inst Retinol & Biomicroscop Lase, Vienna, Austria
Rudolph Fdn Clin, Dept Ophthalmol, Vienna, Austria Tufts Univ, Sch Med, Tufts Med Ctr, New England Eye Ctr, Boston, MA 02111 USA

de Smet, Marc D.
论文数: 0 引用数: 0
h-index: 0
机构:
MIOS, Specialized Eye Ctr, Retina & Inflammat Unit, Lausanne, Switzerland Tufts Univ, Sch Med, Tufts Med Ctr, New England Eye Ctr, Boston, MA 02111 USA

Gaudric, Alain
论文数: 0 引用数: 0
h-index: 0
机构:
Hop Lariboisiere, Dept Ophthalmol, F-75475 Paris, France Tufts Univ, Sch Med, Tufts Med Ctr, New England Eye Ctr, Boston, MA 02111 USA

Reichel, Elias
论文数: 0 引用数: 0
h-index: 0
机构:
Tufts Univ, Sch Med, Tufts Med Ctr, New England Eye Ctr, Boston, MA 02111 USA Tufts Univ, Sch Med, Tufts Med Ctr, New England Eye Ctr, Boston, MA 02111 USA

Sadda, SriniVas R.
论文数: 0 引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Doheny Eye Inst, Los Angeles, CA 90033 USA Tufts Univ, Sch Med, Tufts Med Ctr, New England Eye Ctr, Boston, MA 02111 USA

Sebag, Jerry
论文数: 0 引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Doheny Eye Inst, Los Angeles, CA 90033 USA
VMR Inst, Huntington Beach, CA USA Tufts Univ, Sch Med, Tufts Med Ctr, New England Eye Ctr, Boston, MA 02111 USA

Spaide, Richard F.
论文数: 0 引用数: 0
h-index: 0
机构:
Vitreous Retina Macula Consultants New York, New York, NY USA Tufts Univ, Sch Med, Tufts Med Ctr, New England Eye Ctr, Boston, MA 02111 USA

Stalmans, Peter
论文数: 0 引用数: 0
h-index: 0
机构:
Katholieke Univ Leuven Hosp, Dept Ophthalmol, Louvain, Belgium Tufts Univ, Sch Med, Tufts Med Ctr, New England Eye Ctr, Boston, MA 02111 USA
[5]
Changes in Inner and Outer Retinal Layer Thicknesses after Vitrectomy for Idiopathic Macular Hole: Implications for Visual Prognosis
[J].
Hashimoto, Yuki
;
Saito, Wataru
;
Fujiya, Akio
;
Yoshizawa, Chikako
;
Hirooka, Kiriko
;
Mori, Shohei
;
Noda, Kousuke
;
Ishida, Susumu
.
PLOS ONE,
2015, 10 (08)

Hashimoto, Yuki
论文数: 0 引用数: 0
h-index: 0
机构:
Hokkaido Univ, Grad Sch Med, Dept Ophthalmol, Sapporo, Hokkaido, Japan Hokkaido Univ, Grad Sch Med, Dept Ophthalmol, Sapporo, Hokkaido, Japan

Saito, Wataru
论文数: 0 引用数: 0
h-index: 0
机构:
Hokkaido Univ, Grad Sch Med, Dept Ophthalmol, Sapporo, Hokkaido, Japan
Hokkaido Univ, Grad Sch Med, Dept Ocular Circulat & Metab, Sapporo, Hokkaido, Japan Hokkaido Univ, Grad Sch Med, Dept Ophthalmol, Sapporo, Hokkaido, Japan

Fujiya, Akio
论文数: 0 引用数: 0
h-index: 0
机构:
Hokkaido Univ, Grad Sch Med, Dept Ophthalmol, Sapporo, Hokkaido, Japan Hokkaido Univ, Grad Sch Med, Dept Ophthalmol, Sapporo, Hokkaido, Japan

Yoshizawa, Chikako
论文数: 0 引用数: 0
h-index: 0
机构:
Hokkaido Univ, Grad Sch Med, Dept Ophthalmol, Sapporo, Hokkaido, Japan Hokkaido Univ, Grad Sch Med, Dept Ophthalmol, Sapporo, Hokkaido, Japan

Hirooka, Kiriko
论文数: 0 引用数: 0
h-index: 0
机构:
Hokkaido Univ, Grad Sch Med, Dept Ophthalmol, Sapporo, Hokkaido, Japan Hokkaido Univ, Grad Sch Med, Dept Ophthalmol, Sapporo, Hokkaido, Japan

Mori, Shohei
论文数: 0 引用数: 0
h-index: 0
机构:
Hokkaido Univ, Grad Sch Med, Dept Ophthalmol, Sapporo, Hokkaido, Japan Hokkaido Univ, Grad Sch Med, Dept Ophthalmol, Sapporo, Hokkaido, Japan

Noda, Kousuke
论文数: 0 引用数: 0
h-index: 0
机构:
Hokkaido Univ, Grad Sch Med, Dept Ophthalmol, Sapporo, Hokkaido, Japan
Hokkaido Univ, Grad Sch Med, Dept Ocular Circulat & Metab, Sapporo, Hokkaido, Japan Hokkaido Univ, Grad Sch Med, Dept Ophthalmol, Sapporo, Hokkaido, Japan

Ishida, Susumu
论文数: 0 引用数: 0
h-index: 0
机构:
Hokkaido Univ, Grad Sch Med, Dept Ophthalmol, Sapporo, Hokkaido, Japan
Hokkaido Univ, Grad Sch Med, Dept Ocular Circulat & Metab, Sapporo, Hokkaido, Japan Hokkaido Univ, Grad Sch Med, Dept Ophthalmol, Sapporo, Hokkaido, Japan
[6]
Spectral-domain optical coherence tomography images of inner/outer segment junctions and macular hole surgery outcomes
[J].
Inoue, Maiko
;
Watanabe, Yoichiro
;
Arakawa, Akira
;
Sato, Shimpei
;
Kobayashi, Satoshi
;
Kadonosono, Kazuaki
.
GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY,
2009, 247 (03)
:325-330

Inoue, Maiko
论文数: 0 引用数: 0
h-index: 0
机构:
Yokohama City Univ, Med Ctr, Dept Ophthalmol, Yokohama, Kanagawa 232, Japan Seamans Insurance Hosp, Dept Ophthalmol, Yokohama, Kanagawa, Japan

Watanabe, Yoichiro
论文数: 0 引用数: 0
h-index: 0
机构:
Yokohama City Univ, Med Ctr, Dept Ophthalmol, Yokohama, Kanagawa 232, Japan Seamans Insurance Hosp, Dept Ophthalmol, Yokohama, Kanagawa, Japan

Arakawa, Akira
论文数: 0 引用数: 0
h-index: 0
机构:
Seamans Insurance Hosp, Dept Ophthalmol, Yokohama, Kanagawa, Japan Seamans Insurance Hosp, Dept Ophthalmol, Yokohama, Kanagawa, Japan

Sato, Shimpei
论文数: 0 引用数: 0
h-index: 0
机构:
Yokohama City Univ, Med Ctr, Dept Ophthalmol, Yokohama, Kanagawa 232, Japan Seamans Insurance Hosp, Dept Ophthalmol, Yokohama, Kanagawa, Japan

Kobayashi, Satoshi
论文数: 0 引用数: 0
h-index: 0
机构:
Yokohama City Univ, Med Ctr, Dept Ophthalmol, Yokohama, Kanagawa 232, Japan Seamans Insurance Hosp, Dept Ophthalmol, Yokohama, Kanagawa, Japan

Kadonosono, Kazuaki
论文数: 0 引用数: 0
h-index: 0
机构:
Yokohama City Univ, Med Ctr, Dept Ophthalmol, Yokohama, Kanagawa 232, Japan Seamans Insurance Hosp, Dept Ophthalmol, Yokohama, Kanagawa, Japan
[7]
Tomographic Features of Macula After Successful Macular Hole Surgery
[J].
Nukada, Kazuyuki
;
Hangai, Masanori
;
Ooto, Sotaro
;
Yoshikawa, Munemitsu
;
Yoshimura, Nagahisa
.
INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE,
2013, 54 (04)
:2417-2428

Nukada, Kazuyuki
论文数: 0 引用数: 0
h-index: 0
机构:
Kyoto Univ, Grad Sch Med, Dept Ophthalmol & Visual Sci, Kyoto 6068507, Japan Kyoto Univ, Grad Sch Med, Dept Ophthalmol & Visual Sci, Kyoto 6068507, Japan

Hangai, Masanori
论文数: 0 引用数: 0
h-index: 0
机构:
Kyoto Univ, Grad Sch Med, Dept Ophthalmol & Visual Sci, Kyoto 6068507, Japan Kyoto Univ, Grad Sch Med, Dept Ophthalmol & Visual Sci, Kyoto 6068507, Japan

Ooto, Sotaro
论文数: 0 引用数: 0
h-index: 0
机构:
Kyoto Univ, Grad Sch Med, Dept Ophthalmol & Visual Sci, Kyoto 6068507, Japan Kyoto Univ, Grad Sch Med, Dept Ophthalmol & Visual Sci, Kyoto 6068507, Japan

论文数: 引用数:
h-index:
机构:

Yoshimura, Nagahisa
论文数: 0 引用数: 0
h-index: 0
机构:
Kyoto Univ, Grad Sch Med, Dept Ophthalmol & Visual Sci, Kyoto 6068507, Japan Kyoto Univ, Grad Sch Med, Dept Ophthalmol & Visual Sci, Kyoto 6068507, Japan
[8]
Asymmetrical thickness of parafoveal retina around surgically closed macular hole
[J].
Ohta, K.
;
Sato, A.
;
Fukui, E.
.
BRITISH JOURNAL OF OPHTHALMOLOGY,
2010, 94 (11)
:1545-1546

Ohta, K.
论文数: 0 引用数: 0
h-index: 0
机构:
Matsumoto Dent Univ, Dept Ophthalmol, Shiojiri, Nagano 3990781, Japan Matsumoto Dent Univ, Dept Ophthalmol, Shiojiri, Nagano 3990781, Japan

Sato, A.
论文数: 0 引用数: 0
h-index: 0
机构:
Matsumoto Dent Univ, Dept Ophthalmol, Shiojiri, Nagano 3990781, Japan Matsumoto Dent Univ, Dept Ophthalmol, Shiojiri, Nagano 3990781, Japan

Fukui, E.
论文数: 0 引用数: 0
h-index: 0
机构:
Matsumoto Dent Univ, Dept Ophthalmol, Shiojiri, Nagano 3990781, Japan Matsumoto Dent Univ, Dept Ophthalmol, Shiojiri, Nagano 3990781, Japan
[9]
Foveal Microstructure on Spectral-Domain Optical Coherence Tomographic Images and Visual Function After Macular Hole Surgery
[J].
Ooka, Emi
;
Mitamura, Yoshinori
;
Baba, Takayuki
;
Kitahashi, Masayasu
;
Oshitari, Toshiyuki
;
Yamamoto, Shuichi
.
AMERICAN JOURNAL OF OPHTHALMOLOGY,
2011, 152 (02)
:283-290

Ooka, Emi
论文数: 0 引用数: 0
h-index: 0
机构:
Chiba Univ, Dept Ophthalmol & Visual Sci, Grad Sch Med, Chiba, Japan Univ Tokushima, Dept Ophthalmol, Inst Hlth Biosci, Grad Sch, Tokushima 7708503, Japan

Mitamura, Yoshinori
论文数: 0 引用数: 0
h-index: 0
机构:
Univ Tokushima, Dept Ophthalmol, Inst Hlth Biosci, Grad Sch, Tokushima 7708503, Japan
Chiba Univ, Dept Ophthalmol & Visual Sci, Grad Sch Med, Chiba, Japan Univ Tokushima, Dept Ophthalmol, Inst Hlth Biosci, Grad Sch, Tokushima 7708503, Japan

Baba, Takayuki
论文数: 0 引用数: 0
h-index: 0
机构:
Chiba Univ, Dept Ophthalmol & Visual Sci, Grad Sch Med, Chiba, Japan Univ Tokushima, Dept Ophthalmol, Inst Hlth Biosci, Grad Sch, Tokushima 7708503, Japan

Kitahashi, Masayasu
论文数: 0 引用数: 0
h-index: 0
机构:
Chiba Univ, Dept Ophthalmol & Visual Sci, Grad Sch Med, Chiba, Japan Univ Tokushima, Dept Ophthalmol, Inst Hlth Biosci, Grad Sch, Tokushima 7708503, Japan

Oshitari, Toshiyuki
论文数: 0 引用数: 0
h-index: 0
机构:
Chiba Univ, Dept Ophthalmol & Visual Sci, Grad Sch Med, Chiba, Japan Univ Tokushima, Dept Ophthalmol, Inst Hlth Biosci, Grad Sch, Tokushima 7708503, Japan

Yamamoto, Shuichi
论文数: 0 引用数: 0
h-index: 0
机构:
Chiba Univ, Dept Ophthalmol & Visual Sci, Grad Sch Med, Chiba, Japan Univ Tokushima, Dept Ophthalmol, Inst Hlth Biosci, Grad Sch, Tokushima 7708503, Japan
[10]
RETINAL GANGLION-CELL ATROPHY CORRELATED WITH AUTOMATED PERIMETRY IN HUMAN EYES WITH GLAUCOMA
[J].
QUIGLEY, HA
;
DUNKELBERGER, GR
;
GREEN, WR
.
AMERICAN JOURNAL OF OPHTHALMOLOGY,
1989, 107 (05)
:453-464

QUIGLEY, HA
论文数: 0 引用数: 0
h-index: 0
机构: JOHNS HOPKINS UNIV,SCH MED,WILMER INST,GLAUCOMA SERV,BALTIMORE,MD 21205

DUNKELBERGER, GR
论文数: 0 引用数: 0
h-index: 0
机构: JOHNS HOPKINS UNIV,SCH MED,WILMER INST,GLAUCOMA SERV,BALTIMORE,MD 21205

GREEN, WR
论文数: 0 引用数: 0
h-index: 0
机构: JOHNS HOPKINS UNIV,SCH MED,WILMER INST,GLAUCOMA SERV,BALTIMORE,MD 21205