Idiopathic epiretinal membrane surgery: safety, efficacy and patient related outcomes

Lorenzo Iuliano,1 Giovanni Fogliato,1 Francesca Gorgoni,2 Eleonora Corbelli,1 Francesco Bandello,1 Marco Codenotti11Ospedale San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy; 2Ospedali Riuniti di Ancona, Università Politecnica Delle Marche, Ancona, ItalyAbstract: Th...

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Autores principales:	Iuliano L, Fogliato G, Gorgoni F, Corbelli E, Bandello F, Codenotti M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	idiopathic epiretinal membrane outcome safety efficacy prognostic factor Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/5abcda000b0b496a9690537bd057f98c
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spelling	oai:doaj.org-article:5abcda000b0b496a9690537bd057f98c2021-12-02T07:02:39ZIdiopathic epiretinal membrane surgery: safety, efficacy and patient related outcomes1177-5483https://doaj.org/article/5abcda000b0b496a9690537bd057f98c2019-07-01T00:00:00Zhttps://www.dovepress.com/idiopathic-epiretinal-membrane-surgery-safety-efficacy-and-patient-rel-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Lorenzo Iuliano,1 Giovanni Fogliato,1 Francesca Gorgoni,2 Eleonora Corbelli,1 Francesco Bandello,1 Marco Codenotti11Ospedale San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy; 2Ospedali Riuniti di Ancona, Università Politecnica Delle Marche, Ancona, ItalyAbstract: This review aims to give to the reader an overview selectively oriented on safety and efficacy of surgery, providing concise and direct answers about crucial questions of trainees and experts. Surgery for idiopathic epiretinal membrane (ERM) is a safe and effective procedure that can achieve long-term stable postoperative visual and anatomical improvement, with an overall low recurrence and complication rate. Young patients, with a short onset of symptoms and with better initial visual acuity achieve higher levels of visual outcome. The preoperative degree of metamorphopsia is the prognostic factor for their postoperative degree. Successful results may be obtained in eyes with specific optical coherence tomography criteria, such as thin ganglion cell layers, thin internal plexiform layer, longer photoreceptors outer segment, regular ellipsoid zone and cone outer segment tips line, and without ectopic inner foveal layer. Internal limiting membrane peeling demonstrates positive anatomical and functional outcomes, but final positions about its safety remain controversial.Keywords: idiopathic epiretinal membrane, outcome, safety, efficacy, prognostic factorIuliano LFogliato GGorgoni FCorbelli EBandello FCodenotti MDove Medical Pressarticleidiopathic epiretinal membraneoutcomesafetyefficacyprognostic factorOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 1253-1265 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	idiopathic epiretinal membrane outcome safety efficacy prognostic factor Ophthalmology RE1-994
spellingShingle	idiopathic epiretinal membrane outcome safety efficacy prognostic factor Ophthalmology RE1-994 Iuliano L Fogliato G Gorgoni F Corbelli E Bandello F Codenotti M Idiopathic epiretinal membrane surgery: safety, efficacy and patient related outcomes
description	Lorenzo Iuliano,1 Giovanni Fogliato,1 Francesca Gorgoni,2 Eleonora Corbelli,1 Francesco Bandello,1 Marco Codenotti11Ospedale San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy; 2Ospedali Riuniti di Ancona, Università Politecnica Delle Marche, Ancona, ItalyAbstract: This review aims to give to the reader an overview selectively oriented on safety and efficacy of surgery, providing concise and direct answers about crucial questions of trainees and experts. Surgery for idiopathic epiretinal membrane (ERM) is a safe and effective procedure that can achieve long-term stable postoperative visual and anatomical improvement, with an overall low recurrence and complication rate. Young patients, with a short onset of symptoms and with better initial visual acuity achieve higher levels of visual outcome. The preoperative degree of metamorphopsia is the prognostic factor for their postoperative degree. Successful results may be obtained in eyes with specific optical coherence tomography criteria, such as thin ganglion cell layers, thin internal plexiform layer, longer photoreceptors outer segment, regular ellipsoid zone and cone outer segment tips line, and without ectopic inner foveal layer. Internal limiting membrane peeling demonstrates positive anatomical and functional outcomes, but final positions about its safety remain controversial.Keywords: idiopathic epiretinal membrane, outcome, safety, efficacy, prognostic factor
format	article
author	Iuliano L Fogliato G Gorgoni F Corbelli E Bandello F Codenotti M
author_facet	Iuliano L Fogliato G Gorgoni F Corbelli E Bandello F Codenotti M
author_sort	Iuliano L
title	Idiopathic epiretinal membrane surgery: safety, efficacy and patient related outcomes
title_short	Idiopathic epiretinal membrane surgery: safety, efficacy and patient related outcomes
title_full	Idiopathic epiretinal membrane surgery: safety, efficacy and patient related outcomes
title_fullStr	Idiopathic epiretinal membrane surgery: safety, efficacy and patient related outcomes
title_full_unstemmed	Idiopathic epiretinal membrane surgery: safety, efficacy and patient related outcomes
title_sort	idiopathic epiretinal membrane surgery: safety, efficacy and patient related outcomes
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/5abcda000b0b496a9690537bd057f98c
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Idiopathic epiretinal membrane surgery: safety, efficacy and patient related outcomes

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