Jongshin Kim, Kyoung Min Rhee, Se Joon Woo, Young Suk Yu, Hum Chung and Kyu Hyung Par

Chung, Hum

Kim, Jongshin

Park, Kyu Hyung

Rhee, Kyoung Min

Woo, Se Joon

Yu, Young Suk

American Journal of Ophthalmology

Adelaide Research &amp; Scholarship

Long-term temporal changes of macular thickness and visual outcome after vitrectomy for idiopathic epiretinal membrane

PURPOSE: To evaluate the long-term correlation of visual outcome and macular thickness after vitrectomy for idiopathic epiretinal membrane and to identify prognostic factors for good visual outcome. DESIGN: Retrospective, observational case series. METHODS: We reviewed the records of 52 patients with idiopathic epiretinal membrane who were treated with vitrectomy and could be followed up for more than 12 months. The main outcome measures were best-corrected visual acuity (BCVA) and central macular thickness at baseline; at 1, 3, 6, and 12 months after surgery; and at the final follow-up visit. The correlation between BCVA and central macular thickness was analyzed and the receiver operating characteristic curve analysis was performed to obtain cutoff values for visual prognosis. RESULTS: Most of the changes in BCVA and central macular thickness took place during the first 3 months and reached a plateau at 12 months after surgery. Despite the lack of changes in BCVA after 12 months of follow-up, significant reduction in central macular thickness could still be observed over 12 months after surgery. The final BCVA was correlated significantly with preoperative BCVA and central macular thickness and early postoperative central macular thickness. Among them, the postoperative central macular thickness at 1 month showed the largest area under the receiver operating characteristic curve. CONCLUSIONS: Given the removal of the confounding effect of cataract, postoperative follow-up of 12 months may be sufficient to reach the final BCVA after surgery. However, more time is needed to achieve final central macular thickness. Because of the significant correlation between final BCVA and early postoperative central macular thickness, serial optical coherence tomography images in the early postoperative period were needed to predict visual outcome after epiretinal membrane removal. (Am J Ophthalmol 2010;150:701-709. (C) 2010 by Elsevier Inc. All rights reserved.)Wolf-Schnurrbusch UEK, 2009, INVEST OPHTH VIS SCI, V50, P3432, DOI 10.1167/iovs.08-2970Aso H, 2009, ACTA OPHTHALMOL, V87, P419, DOI 10.1111/j.1755-3768.2008.01264.xSuh MH, 2009, AM J OPHTHALMOL, V147, P473, DOI 10.1016/j.ajo.2008.09.020Mitamura Y, 2009, BRIT J OPHTHALMOL, V93, P171, DOI 10.1136/bjo.2008.146381Snead DRJ, 2008, EYE, V22, P1310, DOI 10.1038/eye.2008.36Hassenstein A, 2005, OPHTHALMOLOGE, V102, P127, DOI 10.1007/s00347-004-1055-8ISHIDA M, 2004, NIPPON GANKA GAKKAI, V108, P18Massin P, 2000, AM J OPHTHALMOL, V130, P732Mitchell P, 1997, OPHTHALMOLOGY, V104, P1033Wilkins JR, 1996, OPHTHALMOLOGY, V103, P2142KLEIN R, 1994, T AM OPHTHAL SOC, V92, P403PESIN SR, 1991, OPHTHALMOLOGY, V98, P1109CHERFAN GM, 1991, AM J OPHTHALMOL, V111, P434*EARL TREATM DIAB, 1991, OPHTHALMOLOGY, V98, P741DEBUSTROS S, 1988, BRIT J OPHTHALMOL, V72, P692POLINER LS, 1988, ARCH OPHTHALMOL-CHIC, V106, P761DEBUSTROS S, 1988, AM J OPHTHALMOL, V105, P160RICE TA, 1986, OPHTHALMOLOGY, V93, P602MARGHERIO RR, 1985, OPHTHALMOLOGY, V92, P1075PEARLSTONE AD, 1985, ANN OPHTHALMOL, V17, P378TRESE M, 1983, GRAEF ARCH CLIN EXP, V221, P16

SNU Open Repository and Archive

Long-term Temporal Changes of Macular Thickness and Visual Outcome after Vitrectomy for Idiopathic Epiretinal Membrane

Long-term temporal changes of macular thickness and visual outcome after vitrectomy for idiopathic epiretinal membrane

Abstract

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Adelaide Research & Scholarship

SNU Open Repository and Archive

Long-term temporal changes of macular thickness and visual outcome after vitrectomy for idiopathic epiretinal membrane

Abstract

Similar works

Full text

Available Versions

Adelaide Research &amp; Scholarship

SNU Open Repository and Archive

Adelaide Research & Scholarship