Long-Term Outcomes After Idiopathic Epiretinal Membrane Surgery
Abdelrahman M Elhusseiny,1,2 Harry W Flynn Jr,1 William E Smiddy1 1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA; 2Department of Ophthalmology, Kasr Al-Ainy School of Medicine, Cairo University, Cairo, EgyptCorrespondence: Wil...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2020-03-01
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| Series: | Clinical Ophthalmology |
| Subjects: | |
| Online Access: | https://www.dovepress.com/long-term-outcomes-after-idiopathic-epiretinal-membrane-surgery-peer-reviewed-article-OPTH |
| _version_ | 1818684595990691840 |
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| author | Elhusseiny AM Flynn Jr HW Smiddy WE |
| author_facet | Elhusseiny AM Flynn Jr HW Smiddy WE |
| author_sort | Elhusseiny AM |
| collection | DOAJ |
| description | Abdelrahman M Elhusseiny,1,2 Harry W Flynn Jr,1 William E Smiddy1 1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA; 2Department of Ophthalmology, Kasr Al-Ainy School of Medicine, Cairo University, Cairo, EgyptCorrespondence: William E SmiddyDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 900 NW 17 Street, Miami, FL 33136, USAEmail wsmiddy@med.miami.eduPurpose: To report anatomic and logMAR best-corrected visual acuity (BCVA) outcomes with long-term follow-up after pars-plana vitrectomy and epiretinal membrane peeling (PPV-MP).Design: A retrospective case-series.Participants: Patients with epiretinal membrane (ERM) who underwent PPV-MP performed by one surgeon.Methods: Best-corrected visual acuity (BCVA) was recorded as a logMAR preoperatively and, when available, at 1, 2, 3, 5, 8, 10 years after surgery. The integrity of outer retinal layers was evaluated using spectral domain optical coherence tomography (SD-OCT).Main Outcome Measures: Postoperative BCVA at different follow-up visits and its correlation with different OCT parameters.Results: Fifty-five eyes of 49 patients were followed postoperatively with a mean of 8.6± 2.6 years (median: 9 years, range 5– 16 years). The mean BCVA improved from 0.56± 0.29 (20/72) preoperatively to 0.33± 0.25 (20/42) at 1 year, 0.29± 0.27 (20/38) at 2 years, 0.25± 0.28 (20/35) at 3 years, 0.29± 0.32 (20/38) at 5 years, 0.28± 0.31 (20/38) at 8 years, and 0.28± 0.25 (20/38) at 10 years (p< 0.001). The BCVA improved at each of the first 3 years postoperatively and remained stable at 5, 8, and 10 years. Postoperative improvement in the integrity of ELM, and EZ, on SD-OCT correlated with improved BCVA.Conclusion: BCVA continues to improve after PPV-MP during the first 3 years postoperatively and remains stable. Improved anatomic integrity of outer retinal layers correlated with improved BCVA.Keywords: idiopathic epiretinal membrane, outer retinal layer integrity, optical coherence tomography, visual outcomes |
| first_indexed | 2024-12-17T10:53:08Z |
| format | Article |
| id | doaj.art-30d2a74f50fc4077869f23976a60c538 |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-12-17T10:53:08Z |
| publishDate | 2020-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-30d2a74f50fc4077869f23976a60c5382022-12-21T21:51:54ZengDove Medical PressClinical Ophthalmology1177-54832020-03-01Volume 14995100252825Long-Term Outcomes After Idiopathic Epiretinal Membrane SurgeryElhusseiny AMFlynn Jr HWSmiddy WEAbdelrahman M Elhusseiny,1,2 Harry W Flynn Jr,1 William E Smiddy1 1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA; 2Department of Ophthalmology, Kasr Al-Ainy School of Medicine, Cairo University, Cairo, EgyptCorrespondence: William E SmiddyDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 900 NW 17 Street, Miami, FL 33136, USAEmail wsmiddy@med.miami.eduPurpose: To report anatomic and logMAR best-corrected visual acuity (BCVA) outcomes with long-term follow-up after pars-plana vitrectomy and epiretinal membrane peeling (PPV-MP).Design: A retrospective case-series.Participants: Patients with epiretinal membrane (ERM) who underwent PPV-MP performed by one surgeon.Methods: Best-corrected visual acuity (BCVA) was recorded as a logMAR preoperatively and, when available, at 1, 2, 3, 5, 8, 10 years after surgery. The integrity of outer retinal layers was evaluated using spectral domain optical coherence tomography (SD-OCT).Main Outcome Measures: Postoperative BCVA at different follow-up visits and its correlation with different OCT parameters.Results: Fifty-five eyes of 49 patients were followed postoperatively with a mean of 8.6± 2.6 years (median: 9 years, range 5– 16 years). The mean BCVA improved from 0.56± 0.29 (20/72) preoperatively to 0.33± 0.25 (20/42) at 1 year, 0.29± 0.27 (20/38) at 2 years, 0.25± 0.28 (20/35) at 3 years, 0.29± 0.32 (20/38) at 5 years, 0.28± 0.31 (20/38) at 8 years, and 0.28± 0.25 (20/38) at 10 years (p< 0.001). The BCVA improved at each of the first 3 years postoperatively and remained stable at 5, 8, and 10 years. Postoperative improvement in the integrity of ELM, and EZ, on SD-OCT correlated with improved BCVA.Conclusion: BCVA continues to improve after PPV-MP during the first 3 years postoperatively and remains stable. Improved anatomic integrity of outer retinal layers correlated with improved BCVA.Keywords: idiopathic epiretinal membrane, outer retinal layer integrity, optical coherence tomography, visual outcomeshttps://www.dovepress.com/long-term-outcomes-after-idiopathic-epiretinal-membrane-surgery-peer-reviewed-article-OPTHidiopathic epiretinal membrane-outer retinal layer integrity- optical coherence tomography-visual outcomes. |
| spellingShingle | Elhusseiny AM Flynn Jr HW Smiddy WE Long-Term Outcomes After Idiopathic Epiretinal Membrane Surgery Clinical Ophthalmology idiopathic epiretinal membrane-outer retinal layer integrity- optical coherence tomography-visual outcomes. |
| title | Long-Term Outcomes After Idiopathic Epiretinal Membrane Surgery |
| title_full | Long-Term Outcomes After Idiopathic Epiretinal Membrane Surgery |
| title_fullStr | Long-Term Outcomes After Idiopathic Epiretinal Membrane Surgery |
| title_full_unstemmed | Long-Term Outcomes After Idiopathic Epiretinal Membrane Surgery |
| title_short | Long-Term Outcomes After Idiopathic Epiretinal Membrane Surgery |
| title_sort | long term outcomes after idiopathic epiretinal membrane surgery |
| topic | idiopathic epiretinal membrane-outer retinal layer integrity- optical coherence tomography-visual outcomes. |
| url | https://www.dovepress.com/long-term-outcomes-after-idiopathic-epiretinal-membrane-surgery-peer-reviewed-article-OPTH |
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