Preoperative Vision, Gender, and Operation Time Predict Visual Improvement After Epiretinal Membrane Vitrectomy: A Retrospective Study

Henry Bair,1,2 Wei-Hsun Kung,1 Chun-Ting Lai,1,* Chun-Ju Lin,1,3,4,* Huan-Sheng Chen,5 Cheng-Hsien Chang,1 Jane-Ming Lin,1 Ning-Yi Hsia,1 Wen-Lu Chen,1 Peng-Tai Tien,1,6 Wen-Chuan Wu,1 Yi-Yu Tsai1,3,4 1Department of Ophthalmology, China Medical University Hospital, China Medical University, Taichung...

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Autores principales:	Bair H, Kung WH, Lai CT, Lin CJ, Chen HS, Chang CH, Lin JM, Hsia NY, Chen WL, Tien PT, Wu WC, Tsai YY
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	fovea-attached type epiretinal membrane gender micro-incision vitrectomy surgery operation time preoperative vision wide-angle viewing system Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/630bfa9856034b85a235b2d7e8c7d929
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spelling	oai:doaj.org-article:630bfa9856034b85a235b2d7e8c7d9292021-12-02T10:59:34ZPreoperative Vision, Gender, and Operation Time Predict Visual Improvement After Epiretinal Membrane Vitrectomy: A Retrospective Study1177-5483https://doaj.org/article/630bfa9856034b85a235b2d7e8c7d9292021-02-01T00:00:00Zhttps://www.dovepress.com/preoperative-vision-gender-and-operation-time-predict-visual-improveme-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Henry Bair,1,2 Wei-Hsun Kung,1 Chun-Ting Lai,1,* Chun-Ju Lin,1,3,4,* Huan-Sheng Chen,5 Cheng-Hsien Chang,1 Jane-Ming Lin,1 Ning-Yi Hsia,1 Wen-Lu Chen,1 Peng-Tai Tien,1,6 Wen-Chuan Wu,1 Yi-Yu Tsai1,3,4 1Department of Ophthalmology, China Medical University Hospital, China Medical University, Taichung, Taiwan; 2Stanford University School of Medicine, Stanford, CA, USA; 3School of Medicine, College of Medicine, China Medical University, Taichung, Taiwan; 4Department of Optometry, Asia University, Taichung, Taiwan; 5An-Shin Dialysis Center, NephroCare Ltd., Fresenius Medical Care, Taichung, Taiwan; 6Graduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan*These authors contributed equally to this workCorrespondence: Chun-Ju Lin; Chun-Ting LaiDepartment of Ophthalmology, China Medical University Hospital, 2 Yuh-Der Road, Taichung City, 40447, TaiwanTel +886-4-22052121, ext. 1141Fax +886-4-22059265Email doctoraga@gmail.com; withwind037@yahoo.com.twBackground: To evaluate the efficacy of micro-incision vitrectomy surgery using a non-contact wide-angle viewing system for fovea-attached type epiretinal membrane, and to report the factors influencing the outcome.Methods: A retrospective, comparative case series that included 50 patients with fovea-attached type epiretinal membrane who received micro-incision vitrectomy surgery using a non-contact wide-angle viewing system.Results: All patients were followed-up for a minimum of 12 months. Seven cases were classified as group 1A (mainly outer retinal thickening), 17 were group 1B (more tenting of outer retina and distorted inner retina), and 26 were group 1C (prominent inner retina thickening and inward tenting of outer retina). Outcome measures included operation time, recurrent rate, postoperative BCVA, and CRT. The mean operative time was 26.2 minutes. The mean change of BCVA (LogMAR) was − 0.43 (p< 0.001). The mean change of CRT was 135.3 μm (p< 0.001). The mean change of CRT was significantly higher in group 1C. Worse preoperative BCVA, male gender, and longer operative time can predict better postoperative BCVA found by multivariate logistic regression and multiple regression models.Conclusion: Significant improvement in BCVA and CRT is noted after micro-incision vitrectomy surgery to operate fovea-attached type epiretinal membranes. Worse preoperative BCVA, male, and longer operation time could predict better improvement. These findings may assist surgeons in better evaluating the potential of this method to help their patients with epiretinal membranes.Keywords: fovea-attached type epiretinal membrane, gender, micro-incision vitrectomy surgery, operation time, preoperative vision, wide-angle viewing systemBair HKung WHLai CTLin CJChen HSChang CHLin JMHsia NYChen WLTien PTWu WCTsai YYDove Medical Pressarticlefovea-attached type epiretinal membranegendermicro-incision vitrectomy surgeryoperation timepreoperative visionwide-angle viewing systemOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 807-814 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	fovea-attached type epiretinal membrane gender micro-incision vitrectomy surgery operation time preoperative vision wide-angle viewing system Ophthalmology RE1-994
spellingShingle	fovea-attached type epiretinal membrane gender micro-incision vitrectomy surgery operation time preoperative vision wide-angle viewing system Ophthalmology RE1-994 Bair H Kung WH Lai CT Lin CJ Chen HS Chang CH Lin JM Hsia NY Chen WL Tien PT Wu WC Tsai YY Preoperative Vision, Gender, and Operation Time Predict Visual Improvement After Epiretinal Membrane Vitrectomy: A Retrospective Study
description	Henry Bair,1,2 Wei-Hsun Kung,1 Chun-Ting Lai,1,* Chun-Ju Lin,1,3,4,* Huan-Sheng Chen,5 Cheng-Hsien Chang,1 Jane-Ming Lin,1 Ning-Yi Hsia,1 Wen-Lu Chen,1 Peng-Tai Tien,1,6 Wen-Chuan Wu,1 Yi-Yu Tsai1,3,4 1Department of Ophthalmology, China Medical University Hospital, China Medical University, Taichung, Taiwan; 2Stanford University School of Medicine, Stanford, CA, USA; 3School of Medicine, College of Medicine, China Medical University, Taichung, Taiwan; 4Department of Optometry, Asia University, Taichung, Taiwan; 5An-Shin Dialysis Center, NephroCare Ltd., Fresenius Medical Care, Taichung, Taiwan; 6Graduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan*These authors contributed equally to this workCorrespondence: Chun-Ju Lin; Chun-Ting LaiDepartment of Ophthalmology, China Medical University Hospital, 2 Yuh-Der Road, Taichung City, 40447, TaiwanTel +886-4-22052121, ext. 1141Fax +886-4-22059265Email doctoraga@gmail.com; withwind037@yahoo.com.twBackground: To evaluate the efficacy of micro-incision vitrectomy surgery using a non-contact wide-angle viewing system for fovea-attached type epiretinal membrane, and to report the factors influencing the outcome.Methods: A retrospective, comparative case series that included 50 patients with fovea-attached type epiretinal membrane who received micro-incision vitrectomy surgery using a non-contact wide-angle viewing system.Results: All patients were followed-up for a minimum of 12 months. Seven cases were classified as group 1A (mainly outer retinal thickening), 17 were group 1B (more tenting of outer retina and distorted inner retina), and 26 were group 1C (prominent inner retina thickening and inward tenting of outer retina). Outcome measures included operation time, recurrent rate, postoperative BCVA, and CRT. The mean operative time was 26.2 minutes. The mean change of BCVA (LogMAR) was − 0.43 (p< 0.001). The mean change of CRT was 135.3 μm (p< 0.001). The mean change of CRT was significantly higher in group 1C. Worse preoperative BCVA, male gender, and longer operative time can predict better postoperative BCVA found by multivariate logistic regression and multiple regression models.Conclusion: Significant improvement in BCVA and CRT is noted after micro-incision vitrectomy surgery to operate fovea-attached type epiretinal membranes. Worse preoperative BCVA, male, and longer operation time could predict better improvement. These findings may assist surgeons in better evaluating the potential of this method to help their patients with epiretinal membranes.Keywords: fovea-attached type epiretinal membrane, gender, micro-incision vitrectomy surgery, operation time, preoperative vision, wide-angle viewing system
format	article
author	Bair H Kung WH Lai CT Lin CJ Chen HS Chang CH Lin JM Hsia NY Chen WL Tien PT Wu WC Tsai YY
author_facet	Bair H Kung WH Lai CT Lin CJ Chen HS Chang CH Lin JM Hsia NY Chen WL Tien PT Wu WC Tsai YY
author_sort	Bair H
title	Preoperative Vision, Gender, and Operation Time Predict Visual Improvement After Epiretinal Membrane Vitrectomy: A Retrospective Study
title_short	Preoperative Vision, Gender, and Operation Time Predict Visual Improvement After Epiretinal Membrane Vitrectomy: A Retrospective Study
title_full	Preoperative Vision, Gender, and Operation Time Predict Visual Improvement After Epiretinal Membrane Vitrectomy: A Retrospective Study
title_fullStr	Preoperative Vision, Gender, and Operation Time Predict Visual Improvement After Epiretinal Membrane Vitrectomy: A Retrospective Study
title_full_unstemmed	Preoperative Vision, Gender, and Operation Time Predict Visual Improvement After Epiretinal Membrane Vitrectomy: A Retrospective Study
title_sort	preoperative vision, gender, and operation time predict visual improvement after epiretinal membrane vitrectomy: a retrospective study
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/630bfa9856034b85a235b2d7e8c7d929
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Preoperative Vision, Gender, and Operation Time Predict Visual Improvement After Epiretinal Membrane Vitrectomy: A Retrospective Study

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