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

AbstractWe evaluated predictive factors for visual outcomes in patients with idiopathic epiretinal membrane (iERM) after pars plana vitrectomy (PPV). Clinical records for 114 eyes (114 patients, mean age: 70.6 years) with iERM treated by PPV between March 2012 and March 2018 were retrospectively reviewed. Overall, the mean postoperative best-corrected visual acuity (BCVA) and central retinal thickness measured by optical coherence tomography improved as early as 1 month after surgery, and further improved until 3 months (P < 0.01). Multiple linear regression analyses adjusted for the preoperative BCVA showed that older age (B, 0.010; 95% confidence interval, 0.003 to 0.016; P = 0.003) and a shorter axial length (AL; B, −0.059; 95% confidence interval, −0.099 to −0.019; P = 0.005) predicted worse postoperative BCVA. The Mann-Whitney U test showed that the postoperative BCVA was worse in eyes with AL < 23.6 mm than in eyes with AL ≥ 23.6 mm (P = 0.037), and in patients aged ≥69 years than in patients aged <69 years (P = 0.024). The findings may help in evaluating surgical indications for each patient to obtain satisfactory outcomes, irrespective of the preoperative BCVA.

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Correlation of Foveal Photoreceptor Integrity with Visual Outcome in Idiopathic Epiretinal Membrane

Current Eye Research ◽

10.3109/02713683.2013.860990 ◽

2014 ◽

Vol 39 (6) ◽

pp. 626-633 ◽

Cited By ~ 21

Author(s):

Hyung Jun Kim ◽

Joon-Won Kang ◽

Hyewon Chung ◽

Hyung Chan Kim

Keyword(s):

Epiretinal Membrane ◽

Visual Outcome ◽

Idiopathic Epiretinal Membrane

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Comparison of Visual Outcome and Morphologic Change between Different Surgical Techniques in Idiopathic Epiretinal Membrane Surgery

Journal of Ophthalmology ◽

10.1155/2018/4595062 ◽

2018 ◽

Vol 2018 ◽

pp. 1-9 ◽

Cited By ~ 1

Author(s):

Yo-Chen Chang ◽

Chia-Ling Lee ◽

Kuo-Jen Chen ◽

Li-Yi Chiu ◽

Tzu-En Kao ◽

...

Keyword(s):

Visual Acuity ◽

Epiretinal Membrane ◽

Surgical Techniques ◽

Visual Outcome ◽

Morphologic Change ◽

Ilm Peeling ◽

Idiopathic Epiretinal Membrane ◽

Group Iii ◽

Group I ◽

Group Ii

Purpose. To investigate the morphological and functional outcomes of idiopathic epiretinal membrane (ERM) surgery between three different surgical techniques: ERM peeling only, whole-piece ILM peeling, and maculorrhexis ILM peeling. Patients and Methods. This is a retrospective, consecutive, and comparative study enrolling 60 patients from Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. Surgery performed between July 2011 and June 2012 was done with ERM peeling only (group I). ERM peeling and ILM peeling as a whole piece (group II) were performed between July 2012 and July 2013. Surgery performed between August 2013 and December 2014 was done with maculorrhexis ILM peeling (group III). Main outcome measures include visual acuity change (BCVA) and central foveal thickness (CFT). Results. At 12 months postoperation, the mean BCVA in group III was significantly better than in group I and group II. Comparison of CFT reduction between the three groups revealed significantly more reduction in group III than in group II at all postoperative follow-up periods. Eyes with restoration of foveal depression were observed in 52.6% in group I, 52.4% in group III, but only 20% of eyes in group II. None of the eyes in both ILM peeling groups encountered recurrence of macular pucker formation. Conclusion. All three techniques can achieve visual acuity improvement and macular thickness reduction. Maculorrhexis ILM peeling achieves more rapid improvement of visual function, better final visual outcome, and a higher rate of normal foveal contour than whole-piece ILM peeling.

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Prognostic Factors Associated with Visual Outcome after Pars Plana Vitrectomy with Internal Limiting Membrane Peeling for Idiopathic Epiretinal Membrane

Ophthalmologica ◽

10.1159/000438677 ◽

2015 ◽

Vol 234 (3) ◽

pp. 119-126 ◽

Cited By ~ 13

Author(s):

Kamil G. Laban ◽

Laura M.E. Scheerlinck ◽

Redmer van Leeuwen

Keyword(s):

Epiretinal Membrane ◽

Pars Plana Vitrectomy ◽

Linear Regression Analysis ◽

Visual Outcome ◽

Internal Limiting Membrane ◽

Internal Limiting Membrane Peeling ◽

Idiopathic Epiretinal Membrane ◽

Factors Associated ◽

Membrane Peeling ◽

Pars Plana

Purpose: Pars plana vitrectomy with internal limiting membrane peeling for idiopathic epiretinal membrane has shown varying results. More data are needed on the factors associated with visual outcome. Methods: We extracted baseline clinical characteristics, optical coherence tomography (OCT) characteristics and 3-month postoperative best-corrected visual acuity (BCVA). Linear regression analysis was used to evaluate whether baseline and OCT characteristics are associated with BCVA at 3 months as well as BCVA difference. Results: Out of 82 operated eyes, 66 (80%) had a 3-month follow-up, and 47 (71%) showed a 3-month postoperative improvement. Preoperative BCVA was an independent determinant of postoperative BCVA (r = 0.31; p < 0.01) and BCVA difference (r = 0.68; p < 0.01). Other baseline and OCT characteristics showed no independent associations with postoperative outcome. Conclusion: Better preoperative BCVA predicts better postoperative BCVA. Other baseline and OCT characteristics are not associated with visual outcome 3 months after surgery.

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