Influencing factors of visual function in patients with idiopathic macular epiretinal membrane after internal limiting membrane peeling
AIM: To explore the risk factors that affect visual function recovery in patients with idiopathic macular epiretinal membrane(IMEM)undergoing internal limiting membrane peeling(ILMP).METHODS: This study retrospectively reviewed 118 patients(118 eyes)with IMEM who underwent ILMP in the hospital betwe...
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| Format: | Article |
| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2021-09-01
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| Series: | Guoji Yanke Zazhi |
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| Online Access: | http://ies.ijo.cn/cn_publish/2021/9/202109022.pdf |
| _version_ | 1819134335281790976 |
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| author | Hua Liu Jia Sun Xia Zhao Ling-Di Bai |
| author_facet | Hua Liu Jia Sun Xia Zhao Ling-Di Bai |
| author_sort | Hua Liu |
| collection | DOAJ |
| description | AIM: To explore the risk factors that affect visual function recovery in patients with idiopathic macular epiretinal membrane(IMEM)undergoing internal limiting membrane peeling(ILMP).METHODS: This study retrospectively reviewed 118 patients(118 eyes)with IMEM who underwent ILMP in the hospital between January 2016 and April 2020. The patients were followed up for 6mo after surgery to evaluate curative effect. Changes in visual acuity before surgery and at 1, 3 and 6mo after surgery, metamorphopsia degree, mean central foveal thickness and volume of macular area were observed. The correlation of mean central foveal thickness and volume of macular area before and after surgery with postoperative visual acuity and metamorphopsia scores was analyzed. The risk factors for poor visual function recovery after surgery were evaluated.RESULTS: In this study, 96 eyes obtained good visual function recovery, and the improvement rate was 81.4%. At 1, 3 and 6mo after surgery, visual acuity was significantly improved(P<0.05), metamorphopsia score in horizontal direction, mean central foveal thickness and volume of macular area were significantly reduced(P<0.05). The mean central foveal thickness and volume of macular area before surgery and at 6mo after surgery were negatively correlated with visual acuity at 6mo after surgery(P<0.05), but positively correlated with metamorphopsia score in horizontal direction(P<0.05). The course of IMEM, preoperative corrected visual acuity, preoperative horizontal or vertical metamorphopsia, and preoperative macular edema were influencing factors of visual function recovery after surgery(all P<0.05). Poor preoperative corrected visual acuity(OR=3.062), horizontal metamorphopsia(OR=2.438)and preoperative macular edema(OR=2.000)were risk factors for poor visual function recovery.CONCLUSION: The curative of ILMP is effect on IMEM, which can effectively improve visual acuity of operative eyes and reduce metamorphopsia. The longer the course of disease, the worse the preoperative corrected visual acuity, and the more severe the preoperative metamorphopsia, the worse the visual function recovery in patients with preoperative macular edema after ILMP. |
| first_indexed | 2024-12-22T10:01:33Z |
| format | Article |
| id | doaj.art-cb59ea6cf36c4e4ab414d28518add87a |
| institution | Directory Open Access Journal |
| issn | 1672-5123 |
| language | English |
| last_indexed | 2024-12-22T10:01:33Z |
| publishDate | 2021-09-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | Guoji Yanke Zazhi |
| spelling | doaj.art-cb59ea6cf36c4e4ab414d28518add87a2022-12-21T18:30:07ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232021-09-012191601160610.3980/j.issn.1672-5123.2021.9.22202109022Influencing factors of visual function in patients with idiopathic macular epiretinal membrane after internal limiting membrane peelingHua Liu0Jia Sun1Xia Zhao2Ling-Di Bai3Ophthalmic Hospital of Tangshan, Tangshan 063000, Hebei Province, ChinaOphthalmic Hospital of Tangshan, Tangshan 063000, Hebei Province, ChinaOphthalmic Hospital of Tangshan, Tangshan 063000, Hebei Province, ChinaOphthalmic Hospital of Tangshan, Tangshan 063000, Hebei Province, ChinaAIM: To explore the risk factors that affect visual function recovery in patients with idiopathic macular epiretinal membrane(IMEM)undergoing internal limiting membrane peeling(ILMP).METHODS: This study retrospectively reviewed 118 patients(118 eyes)with IMEM who underwent ILMP in the hospital between January 2016 and April 2020. The patients were followed up for 6mo after surgery to evaluate curative effect. Changes in visual acuity before surgery and at 1, 3 and 6mo after surgery, metamorphopsia degree, mean central foveal thickness and volume of macular area were observed. The correlation of mean central foveal thickness and volume of macular area before and after surgery with postoperative visual acuity and metamorphopsia scores was analyzed. The risk factors for poor visual function recovery after surgery were evaluated.RESULTS: In this study, 96 eyes obtained good visual function recovery, and the improvement rate was 81.4%. At 1, 3 and 6mo after surgery, visual acuity was significantly improved(P<0.05), metamorphopsia score in horizontal direction, mean central foveal thickness and volume of macular area were significantly reduced(P<0.05). The mean central foveal thickness and volume of macular area before surgery and at 6mo after surgery were negatively correlated with visual acuity at 6mo after surgery(P<0.05), but positively correlated with metamorphopsia score in horizontal direction(P<0.05). The course of IMEM, preoperative corrected visual acuity, preoperative horizontal or vertical metamorphopsia, and preoperative macular edema were influencing factors of visual function recovery after surgery(all P<0.05). Poor preoperative corrected visual acuity(OR=3.062), horizontal metamorphopsia(OR=2.438)and preoperative macular edema(OR=2.000)were risk factors for poor visual function recovery.CONCLUSION: The curative of ILMP is effect on IMEM, which can effectively improve visual acuity of operative eyes and reduce metamorphopsia. The longer the course of disease, the worse the preoperative corrected visual acuity, and the more severe the preoperative metamorphopsia, the worse the visual function recovery in patients with preoperative macular edema after ILMP.http://ies.ijo.cn/cn_publish/2021/9/202109022.pdfidiopathic macular epiretinal membraneinternal limiting membrane peelingvisual acuitymetamorphopsiavisual function |
| spellingShingle | Hua Liu Jia Sun Xia Zhao Ling-Di Bai Influencing factors of visual function in patients with idiopathic macular epiretinal membrane after internal limiting membrane peeling Guoji Yanke Zazhi idiopathic macular epiretinal membrane internal limiting membrane peeling visual acuity metamorphopsia visual function |
| title | Influencing factors of visual function in patients with idiopathic macular epiretinal membrane after internal limiting membrane peeling |
| title_full | Influencing factors of visual function in patients with idiopathic macular epiretinal membrane after internal limiting membrane peeling |
| title_fullStr | Influencing factors of visual function in patients with idiopathic macular epiretinal membrane after internal limiting membrane peeling |
| title_full_unstemmed | Influencing factors of visual function in patients with idiopathic macular epiretinal membrane after internal limiting membrane peeling |
| title_short | Influencing factors of visual function in patients with idiopathic macular epiretinal membrane after internal limiting membrane peeling |
| title_sort | influencing factors of visual function in patients with idiopathic macular epiretinal membrane after internal limiting membrane peeling |
| topic | idiopathic macular epiretinal membrane internal limiting membrane peeling visual acuity metamorphopsia visual function |
| url | http://ies.ijo.cn/cn_publish/2021/9/202109022.pdf |
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