Risk factors for onset or progression of epiretinal membrane after cataract surgery

Abstract While the precise diagnosis of early stage epiretinal membrane (ERM) at the time of cataract surgery and evaluation of risk factors for development or progression of ERM after cataract surgery is increasingly important, there is only limited information. In the present study, we evaluated t...

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Autores principales:	Soonil Kwon, Boyun Kim, Sohee Jeon
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0d0e7fc1aa6345bba217808151d68037
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spelling	oai:doaj.org-article:0d0e7fc1aa6345bba217808151d680372021-12-02T17:57:15ZRisk factors for onset or progression of epiretinal membrane after cataract surgery10.1038/s41598-021-94352-92045-2322https://doaj.org/article/0d0e7fc1aa6345bba217808151d680372021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-94352-9https://doaj.org/toc/2045-2322Abstract While the precise diagnosis of early stage epiretinal membrane (ERM) at the time of cataract surgery and evaluation of risk factors for development or progression of ERM after cataract surgery is increasingly important, there is only limited information. In the present study, we evaluated the risk factors for onset or progression of ERM on spectral domain optical coherence tomography (SD-OCT) after cataract surgery. The univariate analysis showed that eyes with partial posterior vitreous detachment (PVD; p < 0.001), hyper-reflective foci (HF) on the inner retinal surface (p < 0.001), vitreoschisis (p = 0.014), and discrete margin of different retinal reflectivity (DMDRR; p = 0.007) on ultra-widefield fundus photography (UWF-FP) had significant risk for the onset or progression of ERM after cataract surgery. The multivariate analysis showed that partial PVD (HR, 3.743; 95% confidence interval [CI], 1.956–7.162; p < 0.001), HF (HR, 2.330; 95% CI, 1.281–4.239; p = 0.006), and DMDRR on UWF-FP (HR, 3.392; 95% CI, 1.522–7.558; p = 0.003) were the independent risk factors for the onset or progression of ERM after cataract surgery after adjustment for other confounding factors. Our study shows that the onset or progression of ERM after cataract surgery depends on an abnormal vitreoretinal interface (VRI) represented by partial PVD, HF on SD-OCT, and DMDRR on UWF-FP, not on age, axial length, or presence of ERM at the time of surgery. A meticulous funduscopic evaluation of the VRI would help to predict the ERM risk before cataract surgery.Soonil KwonBoyun KimSohee JeonNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Soonil Kwon Boyun Kim Sohee Jeon Risk factors for onset or progression of epiretinal membrane after cataract surgery
description	Abstract While the precise diagnosis of early stage epiretinal membrane (ERM) at the time of cataract surgery and evaluation of risk factors for development or progression of ERM after cataract surgery is increasingly important, there is only limited information. In the present study, we evaluated the risk factors for onset or progression of ERM on spectral domain optical coherence tomography (SD-OCT) after cataract surgery. The univariate analysis showed that eyes with partial posterior vitreous detachment (PVD; p < 0.001), hyper-reflective foci (HF) on the inner retinal surface (p < 0.001), vitreoschisis (p = 0.014), and discrete margin of different retinal reflectivity (DMDRR; p = 0.007) on ultra-widefield fundus photography (UWF-FP) had significant risk for the onset or progression of ERM after cataract surgery. The multivariate analysis showed that partial PVD (HR, 3.743; 95% confidence interval [CI], 1.956–7.162; p < 0.001), HF (HR, 2.330; 95% CI, 1.281–4.239; p = 0.006), and DMDRR on UWF-FP (HR, 3.392; 95% CI, 1.522–7.558; p = 0.003) were the independent risk factors for the onset or progression of ERM after cataract surgery after adjustment for other confounding factors. Our study shows that the onset or progression of ERM after cataract surgery depends on an abnormal vitreoretinal interface (VRI) represented by partial PVD, HF on SD-OCT, and DMDRR on UWF-FP, not on age, axial length, or presence of ERM at the time of surgery. A meticulous funduscopic evaluation of the VRI would help to predict the ERM risk before cataract surgery.
format	article
author	Soonil Kwon Boyun Kim Sohee Jeon
author_facet	Soonil Kwon Boyun Kim Sohee Jeon
author_sort	Soonil Kwon
title	Risk factors for onset or progression of epiretinal membrane after cataract surgery
title_short	Risk factors for onset or progression of epiretinal membrane after cataract surgery
title_full	Risk factors for onset or progression of epiretinal membrane after cataract surgery
title_fullStr	Risk factors for onset or progression of epiretinal membrane after cataract surgery
title_full_unstemmed	Risk factors for onset or progression of epiretinal membrane after cataract surgery
title_sort	risk factors for onset or progression of epiretinal membrane after cataract surgery
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/0d0e7fc1aa6345bba217808151d68037
work_keys_str_mv	AT soonilkwon riskfactorsforonsetorprogressionofepiretinalmembraneaftercataractsurgery AT boyunkim riskfactorsforonsetorprogressionofepiretinalmembraneaftercataractsurgery AT soheejeon riskfactorsforonsetorprogressionofepiretinalmembraneaftercataractsurgery
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Risk factors for onset or progression of epiretinal membrane after cataract surgery

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