Preoperative study of the inner segment/outer segment junction of photoreceptors by spectral-domain optical coherence tomography as a prognostic factor in patients with epiretinal membranes

E Cobos,1 L Arias,1 JM Ruiz-Moreno,2,3 MJ Rubio,1 P Garcia-Bru,1 JM Caminal,1 J Catala,1 J Arruga11Department of Ophthalmology, Bellvitge University Hospital, Barcelona, Spain; 2Department of Ophthalmology, Castilla La Mancha University, Albacete, Spain; 3Alicante Institute of Ophthalmology, VISSUM,...

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Autores principales: Cobos E, Arias L, Ruiz-Moreno JM, Rubio MJ, Garcia-Bru P, Caminal JM, Catala-Mora J, Arruga J
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Publicado: Dove Medical Press 2013
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spelling oai:doaj.org-article:70b4fb38a57a42c081f0b5dbdbfadc522021-12-02T07:24:09ZPreoperative study of the inner segment/outer segment junction of photoreceptors by spectral-domain optical coherence tomography as a prognostic factor in patients with epiretinal membranes1177-54671177-5483https://doaj.org/article/70b4fb38a57a42c081f0b5dbdbfadc522013-07-01T00:00:00Zhttp://www.dovepress.com/preoperative-study-of-the-inner-segmentouter-segment-junction-of-photo-a13711https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483E Cobos,1 L Arias,1 JM Ruiz-Moreno,2,3 MJ Rubio,1 P Garcia-Bru,1 JM Caminal,1 J Catala,1 J Arruga11Department of Ophthalmology, Bellvitge University Hospital, Barcelona, Spain; 2Department of Ophthalmology, Castilla La Mancha University, Albacete, Spain; 3Alicante Institute of Ophthalmology, VISSUM, Vitreo-Retinal Unit, Alicante, SpainObjective: To demonstrate whether the preoperative integrity of the inner segment/outer segment (IS/OS) junction of photoreceptors studied by spectral-domain optical coherence tomography (SD-OCT) is a prognostic factor in epiretinal membrane surgery.Methods: We retrospectively studied patients with an idiopathic epiretinal membrane who underwent a 23-gauge vitrectomy to remove this membrane. Best-corrected visual acuity (BCVA) and SD-OCT scans were examined before and 6 months after the surgery. We studied the retinal microstructure, especially the IS/OS junction of the photoreceptors, and evaluated the intergroup differences between patients with an intact layer and those with an irregular or disrupted layer. We applied both the Wilcoxon and Mann&ndash;Whitney tests for statistical analysis.Results: In total, 51 eyes from 51 enrolled patients were examined in this study. The postoperative BCVA was significantly better for eyes that had an intact IS/OS junction than for eyes that had an irregular or disrupted IS/OS junction, as preoperatively observed with SD-OCT scans (P < 0.001). We also observed an important association between disrupted IS/OS junctions and the presence of cystic macular edema (P < 0.01).Conclusion: The presence of an intact IS/OS junction on the preoperative SD-OCT scan was an important predictor of better visual recovery after epiretinal membrane surgery. Keywords: epiretinal membrane, photoreceptors, inner segment/outer segment junction, spectral-domain optical coherence tomographyCobos EArias LRuiz-Moreno JMRubio MJGarcia-Bru PCaminal JMCatala-Mora JArruga JDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 1467-1470 (2013)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Cobos E
Arias L
Ruiz-Moreno JM
Rubio MJ
Garcia-Bru P
Caminal JM
Catala-Mora J
Arruga J
Preoperative study of the inner segment/outer segment junction of photoreceptors by spectral-domain optical coherence tomography as a prognostic factor in patients with epiretinal membranes
description E Cobos,1 L Arias,1 JM Ruiz-Moreno,2,3 MJ Rubio,1 P Garcia-Bru,1 JM Caminal,1 J Catala,1 J Arruga11Department of Ophthalmology, Bellvitge University Hospital, Barcelona, Spain; 2Department of Ophthalmology, Castilla La Mancha University, Albacete, Spain; 3Alicante Institute of Ophthalmology, VISSUM, Vitreo-Retinal Unit, Alicante, SpainObjective: To demonstrate whether the preoperative integrity of the inner segment/outer segment (IS/OS) junction of photoreceptors studied by spectral-domain optical coherence tomography (SD-OCT) is a prognostic factor in epiretinal membrane surgery.Methods: We retrospectively studied patients with an idiopathic epiretinal membrane who underwent a 23-gauge vitrectomy to remove this membrane. Best-corrected visual acuity (BCVA) and SD-OCT scans were examined before and 6 months after the surgery. We studied the retinal microstructure, especially the IS/OS junction of the photoreceptors, and evaluated the intergroup differences between patients with an intact layer and those with an irregular or disrupted layer. We applied both the Wilcoxon and Mann&ndash;Whitney tests for statistical analysis.Results: In total, 51 eyes from 51 enrolled patients were examined in this study. The postoperative BCVA was significantly better for eyes that had an intact IS/OS junction than for eyes that had an irregular or disrupted IS/OS junction, as preoperatively observed with SD-OCT scans (P < 0.001). We also observed an important association between disrupted IS/OS junctions and the presence of cystic macular edema (P < 0.01).Conclusion: The presence of an intact IS/OS junction on the preoperative SD-OCT scan was an important predictor of better visual recovery after epiretinal membrane surgery. Keywords: epiretinal membrane, photoreceptors, inner segment/outer segment junction, spectral-domain optical coherence tomography
format article
author Cobos E
Arias L
Ruiz-Moreno JM
Rubio MJ
Garcia-Bru P
Caminal JM
Catala-Mora J
Arruga J
author_facet Cobos E
Arias L
Ruiz-Moreno JM
Rubio MJ
Garcia-Bru P
Caminal JM
Catala-Mora J
Arruga J
author_sort Cobos E
title Preoperative study of the inner segment/outer segment junction of photoreceptors by spectral-domain optical coherence tomography as a prognostic factor in patients with epiretinal membranes
title_short Preoperative study of the inner segment/outer segment junction of photoreceptors by spectral-domain optical coherence tomography as a prognostic factor in patients with epiretinal membranes
title_full Preoperative study of the inner segment/outer segment junction of photoreceptors by spectral-domain optical coherence tomography as a prognostic factor in patients with epiretinal membranes
title_fullStr Preoperative study of the inner segment/outer segment junction of photoreceptors by spectral-domain optical coherence tomography as a prognostic factor in patients with epiretinal membranes
title_full_unstemmed Preoperative study of the inner segment/outer segment junction of photoreceptors by spectral-domain optical coherence tomography as a prognostic factor in patients with epiretinal membranes
title_sort preoperative study of the inner segment/outer segment junction of photoreceptors by spectral-domain optical coherence tomography as a prognostic factor in patients with epiretinal membranes
publisher Dove Medical Press
publishDate 2013
url https://doaj.org/article/70b4fb38a57a42c081f0b5dbdbfadc52
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