Long-Term Course Following Vitreous Surgery for Epiretinal Membrane

Ophthalmic Surg Lasers Imaging Retina. 2019 Apr 1;50(4):e105-e111. doi: 10.3928/23258160-20190401-14.

Abstract

Background and objective: To follow the long-term course of visual acuity (VA) and central retinal thickness (CRT) over at least a 3-year follow-up after vitreous surgery in patients with epiretinal membrane (ERM).

Patients and methods: This study examined 43 eyes of patients who underwent 23- or 25-gauge vitreous surgery for ERM.

Results: There was significant improvement of the VA at 3 months after surgery compared with baseline, with the improvements maintained for 5 years (analysis of variance [ANOVA]; P < .05). There was a significant decrease in the mean CRT from 1 month up to 5 years (ANOVA; P < .05). There was also a significantly worse mean VA found for cases exhibiting an outer retinal layer disorder before surgery.

Conclusion: Disorders of the outer layer of the retina before surgery have an influence on the VA outcome, with changes sometimes occurring even after the long-term postoperative follow-ups. [Ophthalmic Surg Lasers Imaging Retina. 2019;50:e105-e111.].

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Epiretinal Membrane / diagnosis
  • Epiretinal Membrane / physiopathology
  • Epiretinal Membrane / surgery*
  • Female
  • Follow-Up Studies
  • Humans
  • Intraocular Pressure / physiology
  • Male
  • Postoperative Period
  • Retina / diagnostic imaging*
  • Retrospective Studies
  • Time Factors
  • Tomography, Optical Coherence
  • Treatment Outcome
  • Visual Acuity*
  • Vitrectomy / methods*