Long-Term Changes in Retinal Nerve Fiber Layer Thickness after Vitrectomy for Epiretinal Membrane Using Optical Coherence Tomography Images

This study investigated the long-term effects of epiretinal membrane (ERM) surgery on peripapillary retinal nerve fiber layer (RNFL) thickness using optical coherence tomography (OCT) images. We included 30 patients with idiopathic ERM who underwent a vitrectomy for ERM removal with internal limitin...

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Main Authors: Ki Woong Bae, Dong Ik Kim, Daniel Duck-Jin Hwang
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/13/9/1804
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author Ki Woong Bae
Dong Ik Kim
Daniel Duck-Jin Hwang
author_facet Ki Woong Bae
Dong Ik Kim
Daniel Duck-Jin Hwang
author_sort Ki Woong Bae
collection DOAJ
description This study investigated the long-term effects of epiretinal membrane (ERM) surgery on peripapillary retinal nerve fiber layer (RNFL) thickness using optical coherence tomography (OCT) images. We included 30 patients with idiopathic ERM who underwent a vitrectomy for ERM removal with internal limiting membrane peeling. The patients were followed up for 5 years after surgery, and their medical records were reviewed for best-corrected visual acuity (BCVA) and OCT parameters. The study population comprised 24 females (80.0%), and the mean age was 65.4 ± 7.2 years. The baseline BCVA significantly improved from 0.28 ± 0.24 to 0.12 ± 0.09 logMAR (<i>p</i> < 0.001) 1 year after surgery and continued to improve for 5 years after surgery. The peripapillary RNFL thickness initially increased after surgery and then gradually decreased. The peripapillary RNFL thicknesses of the global and temporal sectors showed significant reductions 2 years after surgery, whereas those of the nasal sectors did not significantly change. The peripapillary RNFL thickness was thinner in the global and temporal areas of the operated eyes than in those of the fellow eyes 4 and 5 years after surgery. In conclusion, peripapillary RNFL thicknesses decreased in the global and temporal areas after ERM surgery, whereas peripapillary RNFL thicknesses in the nasal sectors did not change significantly during the long-term follow-up.
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spelling doaj.art-3af47b4ac90b4afabda169d879f5ecff2023-11-19T11:36:32ZengMDPI AGLife2075-17292023-08-01139180410.3390/life13091804Long-Term Changes in Retinal Nerve Fiber Layer Thickness after Vitrectomy for Epiretinal Membrane Using Optical Coherence Tomography ImagesKi Woong Bae0Dong Ik Kim1Daniel Duck-Jin Hwang2Department of Ophthalmology, Hangil Eye Hospital, Incheon 21388, Republic of KoreaDepartment of Ophthalmology, Hangil Eye Hospital, Incheon 21388, Republic of KoreaDepartment of Ophthalmology, Hangil Eye Hospital, Incheon 21388, Republic of KoreaThis study investigated the long-term effects of epiretinal membrane (ERM) surgery on peripapillary retinal nerve fiber layer (RNFL) thickness using optical coherence tomography (OCT) images. We included 30 patients with idiopathic ERM who underwent a vitrectomy for ERM removal with internal limiting membrane peeling. The patients were followed up for 5 years after surgery, and their medical records were reviewed for best-corrected visual acuity (BCVA) and OCT parameters. The study population comprised 24 females (80.0%), and the mean age was 65.4 ± 7.2 years. The baseline BCVA significantly improved from 0.28 ± 0.24 to 0.12 ± 0.09 logMAR (<i>p</i> < 0.001) 1 year after surgery and continued to improve for 5 years after surgery. The peripapillary RNFL thickness initially increased after surgery and then gradually decreased. The peripapillary RNFL thicknesses of the global and temporal sectors showed significant reductions 2 years after surgery, whereas those of the nasal sectors did not significantly change. The peripapillary RNFL thickness was thinner in the global and temporal areas of the operated eyes than in those of the fellow eyes 4 and 5 years after surgery. In conclusion, peripapillary RNFL thicknesses decreased in the global and temporal areas after ERM surgery, whereas peripapillary RNFL thicknesses in the nasal sectors did not change significantly during the long-term follow-up.https://www.mdpi.com/2075-1729/13/9/1804epiretinal membraneoptical coherence tomographyretinal nerve fiber layervitrectomy
spellingShingle Ki Woong Bae
Dong Ik Kim
Daniel Duck-Jin Hwang
Long-Term Changes in Retinal Nerve Fiber Layer Thickness after Vitrectomy for Epiretinal Membrane Using Optical Coherence Tomography Images
Life
epiretinal membrane
optical coherence tomography
retinal nerve fiber layer
vitrectomy
title Long-Term Changes in Retinal Nerve Fiber Layer Thickness after Vitrectomy for Epiretinal Membrane Using Optical Coherence Tomography Images
title_full Long-Term Changes in Retinal Nerve Fiber Layer Thickness after Vitrectomy for Epiretinal Membrane Using Optical Coherence Tomography Images
title_fullStr Long-Term Changes in Retinal Nerve Fiber Layer Thickness after Vitrectomy for Epiretinal Membrane Using Optical Coherence Tomography Images
title_full_unstemmed Long-Term Changes in Retinal Nerve Fiber Layer Thickness after Vitrectomy for Epiretinal Membrane Using Optical Coherence Tomography Images
title_short Long-Term Changes in Retinal Nerve Fiber Layer Thickness after Vitrectomy for Epiretinal Membrane Using Optical Coherence Tomography Images
title_sort long term changes in retinal nerve fiber layer thickness after vitrectomy for epiretinal membrane using optical coherence tomography images
topic epiretinal membrane
optical coherence tomography
retinal nerve fiber layer
vitrectomy
url https://www.mdpi.com/2075-1729/13/9/1804
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AT dongikkim longtermchangesinretinalnervefiberlayerthicknessaftervitrectomyforepiretinalmembraneusingopticalcoherencetomographyimages
AT danielduckjinhwang longtermchangesinretinalnervefiberlayerthicknessaftervitrectomyforepiretinalmembraneusingopticalcoherencetomographyimages