Influences of Central Bouquet Alterations on the Visual Outcome in Eyes Receiving Epiretinal Membrane Surgery
Background: Previous studies have shown that epiretinal membranes (ERMs) may be associated with abnormal outer retinal anatomy. However, long-term morphological and functional results of pars plana vitrectomy (PPV) with ERM and internal limiting membrane (ILM) peeling in eyes with central bouquet (C...
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MDPI AG
2021-01-01
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| Series: | Applied Sciences |
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| Online Access: | https://www.mdpi.com/2076-3417/11/3/926 |
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| author | Max Philipp Brinkmann Stephan Michels Carolin Brinkmann Mario Damiano Toro Nicole Graf Johansen Felix Rommel Mahdy Ranjbar Matthias Becker |
| author_facet | Max Philipp Brinkmann Stephan Michels Carolin Brinkmann Mario Damiano Toro Nicole Graf Johansen Felix Rommel Mahdy Ranjbar Matthias Becker |
| author_sort | Max Philipp Brinkmann |
| collection | DOAJ |
| description | Background: Previous studies have shown that epiretinal membranes (ERMs) may be associated with abnormal outer retinal anatomy. However, long-term morphological and functional results of pars plana vitrectomy (PPV) with ERM and internal limiting membrane (ILM) peeling in eyes with central bouquet (CB) alterations have not yet been investigated. Methods: In a retrospective, consecutive study all patients underwent best corrected visual acuity (BCVA) testing and spectral domain optical coherence tomography (SD-OCT) before and after a mean of 20 months (range 3–70 months) postoperatively. CB abnormalities and ERMs were classified according to Govetto’s staging systems. Results: Of the 67 eyes, 22 (34%) showed CB abnormalities at baseline. The mean BCVA increased from 0.42 at baseline to 0.20 LogMAR at final follow-up (<i>p</i> < 0.001). Neither ERM stage (<i>p</i> = 0.06) nor CB stage (<i>p</i> = 0.939) at baseline were significant predictors of vision improvement following surgery. Conclusions: Our results show that baseline BCVA, but not classification of CB changes and ERM at baseline, seems to be a useful predictor for functional outcomes following PPV with ERM and ILM peeling in the long-term. |
| first_indexed | 2024-03-09T04:12:19Z |
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| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-09T04:12:19Z |
| publishDate | 2021-01-01 |
| publisher | MDPI AG |
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| series | Applied Sciences |
| spelling | doaj.art-059074612a0a4f5699cb939244a9b8f62023-12-03T13:58:48ZengMDPI AGApplied Sciences2076-34172021-01-0111392610.3390/app11030926Influences of Central Bouquet Alterations on the Visual Outcome in Eyes Receiving Epiretinal Membrane SurgeryMax Philipp Brinkmann0Stephan Michels1Carolin Brinkmann2Mario Damiano Toro3Nicole Graf Johansen4Felix Rommel5Mahdy Ranjbar6Matthias Becker7Department of Ophthalmology, Stadtspital Waid und Triemli Zürich, 8063 Zürich, SwitzerlandDepartment of Ophthalmology, University of Zürich, 8091 Zürich, SwitzerlandLaboratory for Angiogenesis & Ocular Cell Transplantation, University of Lübeck, 23562 Lübeck, GermanyDepartment of Ophthalmology, University of Zürich, 8091 Zürich, SwitzerlandGraf Biostatistics, 8400 Winterthur, SwitzerlandLaboratory for Angiogenesis & Ocular Cell Transplantation, University of Lübeck, 23562 Lübeck, GermanyLaboratory for Angiogenesis & Ocular Cell Transplantation, University of Lübeck, 23562 Lübeck, GermanyDepartment of Ophthalmology, Stadtspital Waid und Triemli Zürich, 8063 Zürich, SwitzerlandBackground: Previous studies have shown that epiretinal membranes (ERMs) may be associated with abnormal outer retinal anatomy. However, long-term morphological and functional results of pars plana vitrectomy (PPV) with ERM and internal limiting membrane (ILM) peeling in eyes with central bouquet (CB) alterations have not yet been investigated. Methods: In a retrospective, consecutive study all patients underwent best corrected visual acuity (BCVA) testing and spectral domain optical coherence tomography (SD-OCT) before and after a mean of 20 months (range 3–70 months) postoperatively. CB abnormalities and ERMs were classified according to Govetto’s staging systems. Results: Of the 67 eyes, 22 (34%) showed CB abnormalities at baseline. The mean BCVA increased from 0.42 at baseline to 0.20 LogMAR at final follow-up (<i>p</i> < 0.001). Neither ERM stage (<i>p</i> = 0.06) nor CB stage (<i>p</i> = 0.939) at baseline were significant predictors of vision improvement following surgery. Conclusions: Our results show that baseline BCVA, but not classification of CB changes and ERM at baseline, seems to be a useful predictor for functional outcomes following PPV with ERM and ILM peeling in the long-term.https://www.mdpi.com/2076-3417/11/3/926acquired vitelliform lesionepiretinal membranefoveal bouquetmembrane peelingpredictive factorpars plana vitrectomy |
| spellingShingle | Max Philipp Brinkmann Stephan Michels Carolin Brinkmann Mario Damiano Toro Nicole Graf Johansen Felix Rommel Mahdy Ranjbar Matthias Becker Influences of Central Bouquet Alterations on the Visual Outcome in Eyes Receiving Epiretinal Membrane Surgery Applied Sciences acquired vitelliform lesion epiretinal membrane foveal bouquet membrane peeling predictive factor pars plana vitrectomy |
| title | Influences of Central Bouquet Alterations on the Visual Outcome in Eyes Receiving Epiretinal Membrane Surgery |
| title_full | Influences of Central Bouquet Alterations on the Visual Outcome in Eyes Receiving Epiretinal Membrane Surgery |
| title_fullStr | Influences of Central Bouquet Alterations on the Visual Outcome in Eyes Receiving Epiretinal Membrane Surgery |
| title_full_unstemmed | Influences of Central Bouquet Alterations on the Visual Outcome in Eyes Receiving Epiretinal Membrane Surgery |
| title_short | Influences of Central Bouquet Alterations on the Visual Outcome in Eyes Receiving Epiretinal Membrane Surgery |
| title_sort | influences of central bouquet alterations on the visual outcome in eyes receiving epiretinal membrane surgery |
| topic | acquired vitelliform lesion epiretinal membrane foveal bouquet membrane peeling predictive factor pars plana vitrectomy |
| url | https://www.mdpi.com/2076-3417/11/3/926 |
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