Choroidal macrovessel and persistent metamorphopsia after epiretinal membrane surgery

Purpose: Epiretinal membrane (ERM) is a common retinal finding for patients older than 50 years. Disorganization of the retinal inner layers (DRIL) has emerged as a novel predictor of poor visual acuity (VA) in eyes with inner retinal pathology. The aim of our study is to correlate preoperative DRIL with visual outcomes after ERM surgery. Methods: Medical records and optical coherence tomography (OCT) images of 81 pseudophakic patients who underwent treatment of idiopathic ERM were reviewed. Preoperative DRIL on OCT was correlated with VA at baseline and at 3 and 6 months after ERM surgery. DRIL was defined as the loss of distinction between the ganglion cell–inner plexiform layer complex, inner nuclear layer, and outer plexiform layer. DRIL severity was based on its extent within the central 2-mm region of a transfoveal B-scan (absent/mild: <one-third, severe: >one-third horizontal width). Results: Review of preoperative OCT showed severe DRIL in 41% and absent/mild DRIL in 59%. Severe DRIL was associated with worse baseline VA ( P < .001). Preoperative VA and DRIL status at baseline were both predictors of postoperative VA at follow-up time points ( P < .001). Severe DRIL was associated with significantly less improvement in VA at 6 months (–0.23 logMAR for absent/mild vs –0.14 for severe DRIL). Conclusions: Presence of severe preoperative DRIL correlates with worse baseline VA in patients with ERM and reduced VA improvement at 6 months. DRIL can be a strong predictor of long-term poor visual outcomes in ERM surgery.

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Prediction of Post-operative Visual Outcome in Patients with Idiopathic Epiretinal Membrane

Ophthalmologica ◽

10.1159/000517193 ◽

2021 ◽

Author(s):

Vasileia Chatzistergiou ◽

Ioannis Papasavvas ◽

Aude Ambresin ◽

Jean-Antoine C Pournaras

Keyword(s):

Epiretinal Membrane ◽

Visual Outcome ◽

Idiopathic Epiretinal Membrane

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Functional and Morphological Results of Epiretinal Membrane Surgery in Idiopathic versus Diabetic Epiretinal Membranes

Seminars in Ophthalmology ◽

10.1080/08820538.2021.1890143 ◽

2021 ◽

pp. 1-7

Author(s):

Mine Ozturk ◽

Dilek Guven ◽

Hakan Kacar ◽

Murat Karapapak ◽

Mehmet Demir

Keyword(s):

Epiretinal Membrane ◽

Epiretinal Membranes

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Epiretinal membrane: A review

Clinical and Experimental Ophthalmology ◽

10.1111/ceo.13914 ◽

2021 ◽

Author(s):

Adrian T. Fung ◽

Justin Galvin ◽

Tuan Tran

Keyword(s):

Epiretinal Membrane

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The visual outcomes of idiopathic epiretinal membrane removal in eyes with ectopic inner foveal layers and preserved macular segmentation

Graefe s Archive for Clinical and Experimental Ophthalmology ◽

10.1007/s00417-021-05102-6 ◽

2021 ◽

Author(s):

Michele Coppola ◽

Maria Brambati ◽

Maria Vittoria Cicinelli ◽

Alessandro Marchese ◽

Emma Clara Zanzottera ◽

...

Keyword(s):

Epiretinal Membrane ◽

Idiopathic Epiretinal Membrane ◽

Visual Outcomes

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Intraoperative efficacy and clinical outcomes of two commercial staining solutions used in idiopathic epiretinal membrane surgery

International Ophthalmology ◽

10.1007/s10792-020-01660-6 ◽

2021 ◽

Author(s):

Lorenzo Iuliano ◽

Erika Kacerik ◽

Eleonora Corbelli ◽

Francesco Bandello ◽

Marco Codenotti

Keyword(s):

Clinical Outcomes ◽

Epiretinal Membrane ◽

Idiopathic Epiretinal Membrane

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Vitreous from idiopathic epiretinal membrane patients induces glial-to-mesenchymal transition in Müller cells

Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease ◽

10.1016/j.bbadis.2021.166181 ◽

2021 ◽

pp. 166181

Author(s):

Adwaid Manu Krishna Chandran ◽

Daniela Coltrini ◽

Mirella Belleri ◽

Sara Rezzola ◽

Elena Gambicorti ◽

...

Keyword(s):

Epiretinal Membrane ◽

Müller Cells ◽

Muller Cells ◽

Mesenchymal Transition ◽

Idiopathic Epiretinal Membrane

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