Long-Term Outcomes After Idiopathic Epiretinal Membrane Surgery

Abdelrahman M Elhusseiny,1,2 Harry W Flynn Jr,1 William E Smiddy1 1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA; 2Department of Ophthalmology, Kasr Al-Ainy School of Medicine, Cairo University, Cairo, EgyptCorrespondence: Wil...

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Autores principales:	Elhusseiny AM, Flynn Jr HW, Smiddy WE
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	idiopathic epiretinal membrane-outer retinal layer integrity- optical coherence tomography-visual outcomes. Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/30d2a74f50fc4077869f23976a60c538
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spelling	oai:doaj.org-article:30d2a74f50fc4077869f23976a60c5382021-12-02T05:12:04ZLong-Term Outcomes After Idiopathic Epiretinal Membrane Surgery1177-5483https://doaj.org/article/30d2a74f50fc4077869f23976a60c5382020-03-01T00:00:00Zhttps://www.dovepress.com/long-term-outcomes-after-idiopathic-epiretinal-membrane-surgery-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Abdelrahman M Elhusseiny,1,2 Harry W Flynn Jr,1 William E Smiddy1 1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA; 2Department of Ophthalmology, Kasr Al-Ainy School of Medicine, Cairo University, Cairo, EgyptCorrespondence: William E SmiddyDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 900 NW 17 Street, Miami, FL 33136, USAEmail wsmiddy@med.miami.eduPurpose: To report anatomic and logMAR best-corrected visual acuity (BCVA) outcomes with long-term follow-up after pars-plana vitrectomy and epiretinal membrane peeling (PPV-MP).Design: A retrospective case-series.Participants: Patients with epiretinal membrane (ERM) who underwent PPV-MP performed by one surgeon.Methods: Best-corrected visual acuity (BCVA) was recorded as a logMAR preoperatively and, when available, at 1, 2, 3, 5, 8, 10 years after surgery. The integrity of outer retinal layers was evaluated using spectral domain optical coherence tomography (SD-OCT).Main Outcome Measures: Postoperative BCVA at different follow-up visits and its correlation with different OCT parameters.Results: Fifty-five eyes of 49 patients were followed postoperatively with a mean of 8.6± 2.6 years (median: 9 years, range 5– 16 years). The mean BCVA improved from 0.56± 0.29 (20/72) preoperatively to 0.33± 0.25 (20/42) at 1 year, 0.29± 0.27 (20/38) at 2 years, 0.25± 0.28 (20/35) at 3 years, 0.29± 0.32 (20/38) at 5 years, 0.28± 0.31 (20/38) at 8 years, and  0.28± 0.25 (20/38) at 10 years (p< 0.001). The BCVA improved at each of the first 3 years postoperatively and remained stable at 5, 8, and 10 years. Postoperative improvement in the integrity of ELM, and EZ, on SD-OCT correlated with improved BCVA.Conclusion: BCVA continues to improve after PPV-MP during the first 3 years postoperatively and remains stable. Improved anatomic integrity of outer retinal layers correlated with improved BCVA.Keywords: idiopathic epiretinal membrane, outer retinal layer integrity, optical coherence tomography, visual outcomesElhusseiny AMFlynn Jr HWSmiddy WEDove Medical Pressarticleidiopathic epiretinal membrane-outer retinal layer integrity- optical coherence tomography-visual outcomes.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 995-1002 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	idiopathic epiretinal membrane-outer retinal layer integrity- optical coherence tomography-visual outcomes. Ophthalmology RE1-994
spellingShingle	idiopathic epiretinal membrane-outer retinal layer integrity- optical coherence tomography-visual outcomes. Ophthalmology RE1-994 Elhusseiny AM Flynn Jr HW Smiddy WE Long-Term Outcomes After Idiopathic Epiretinal Membrane Surgery
description	Abdelrahman M Elhusseiny,1,2 Harry W Flynn Jr,1 William E Smiddy1 1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA; 2Department of Ophthalmology, Kasr Al-Ainy School of Medicine, Cairo University, Cairo, EgyptCorrespondence: William E SmiddyDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 900 NW 17 Street, Miami, FL 33136, USAEmail wsmiddy@med.miami.eduPurpose: To report anatomic and logMAR best-corrected visual acuity (BCVA) outcomes with long-term follow-up after pars-plana vitrectomy and epiretinal membrane peeling (PPV-MP).Design: A retrospective case-series.Participants: Patients with epiretinal membrane (ERM) who underwent PPV-MP performed by one surgeon.Methods: Best-corrected visual acuity (BCVA) was recorded as a logMAR preoperatively and, when available, at 1, 2, 3, 5, 8, 10 years after surgery. The integrity of outer retinal layers was evaluated using spectral domain optical coherence tomography (SD-OCT).Main Outcome Measures: Postoperative BCVA at different follow-up visits and its correlation with different OCT parameters.Results: Fifty-five eyes of 49 patients were followed postoperatively with a mean of 8.6± 2.6 years (median: 9 years, range 5– 16 years). The mean BCVA improved from 0.56± 0.29 (20/72) preoperatively to 0.33± 0.25 (20/42) at 1 year, 0.29± 0.27 (20/38) at 2 years, 0.25± 0.28 (20/35) at 3 years, 0.29± 0.32 (20/38) at 5 years, 0.28± 0.31 (20/38) at 8 years, and  0.28± 0.25 (20/38) at 10 years (p< 0.001). The BCVA improved at each of the first 3 years postoperatively and remained stable at 5, 8, and 10 years. Postoperative improvement in the integrity of ELM, and EZ, on SD-OCT correlated with improved BCVA.Conclusion: BCVA continues to improve after PPV-MP during the first 3 years postoperatively and remains stable. Improved anatomic integrity of outer retinal layers correlated with improved BCVA.Keywords: idiopathic epiretinal membrane, outer retinal layer integrity, optical coherence tomography, visual outcomes
format	article
author	Elhusseiny AM Flynn Jr HW Smiddy WE
author_facet	Elhusseiny AM Flynn Jr HW Smiddy WE
author_sort	Elhusseiny AM
title	Long-Term Outcomes After Idiopathic Epiretinal Membrane Surgery
title_short	Long-Term Outcomes After Idiopathic Epiretinal Membrane Surgery
title_full	Long-Term Outcomes After Idiopathic Epiretinal Membrane Surgery
title_fullStr	Long-Term Outcomes After Idiopathic Epiretinal Membrane Surgery
title_full_unstemmed	Long-Term Outcomes After Idiopathic Epiretinal Membrane Surgery
title_sort	long-term outcomes after idiopathic epiretinal membrane surgery
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/30d2a74f50fc4077869f23976a60c538
work_keys_str_mv	AT elhusseinyam longtermoutcomesafteridiopathicepiretinalmembranesurgery AT flynnjrhw longtermoutcomesafteridiopathicepiretinalmembranesurgery AT smiddywe longtermoutcomesafteridiopathicepiretinalmembranesurgery
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Long-Term Outcomes After Idiopathic Epiretinal Membrane Surgery

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