Photoreceptor Change and Visual Outcome After Idiopathic Epiretinal Membrane Removal With or Without Additional Internal Limiting Membrane Peeling

Ahn, Seong Joon; Ahn, Jeeyun; Woo, Se Joon; Park, Kyu Hyung

doi:10.1097/iae.0b013e318295f798

Cited by 63 publications

(71 citation statements)

References 36 publications

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“…The lack of visual acuity change is likely a ceiling effect: there is less possibility for improvement if the acuity is already 6/9 (for example). Our results are similar to those of many other authors [6,8,10,19,23,29,38,[40][41][42][43]. This apparent contradiction reinforces the importance of setting appropriate surgical goals.…”

Section: Discussionsupporting

confidence: 82%

“…Our study appears to contradicts this: we failed to observe an association with postoperative acuity, and indeed, observed that attenuation of the ellipsoid band was associated with greater changes in acuity. Studies have reported that visual acuity continues to improve up to 12 months postoperatively and even beyond [7,20,29,38,39]. These studies had longer follow-up, and observed that visual acuity improved as the outer retinal bands slowly regenerated in the postoperative period.…”

Section: Discussionmentioning

confidence: 90%

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Associations between preoperative OCT parameters and visual outcome 3 months postoperatively in patients undergoing vitrectomy for idiopathic epiretinal membrane

Sheales

Kingston

Essex

2016

Graefes Arch Clin Exp Ophthalmol

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Preoperative maximum retinal thickness and retinal contraction were predictive of better postoperative visual acuity, while patients with a preoperative attenuated foveal ellipsoid zone were most likely to improve. Patients with preoperative pseudoholes had slightly worse visual acuity postoperatively. Although better preoperative vision was associated with better postoperative vision, it was associated with less change in visual acuity, emphasizing the importance of careful consideration of the desired surgical goals before advising surgery for ERM.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 90%

Associations between preoperative OCT parameters and visual outcome 3 months postoperatively in patients undergoing vitrectomy for idiopathic epiretinal membrane

Sheales

Kingston

Essex

2016

Graefes Arch Clin Exp Ophthalmol

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“…Ahn et al 25 suggested that in terms of visual outcome and photoreceptor integrity, ILM peeling in ERM surgery may not have an additional benefit. Kang et al 26 reported that removal of the ILM may lower recurrence rates in both idiopathic and secondary ERM cases.…”

Section: Discussionmentioning

confidence: 99%

Comparison of photoreceptor outer segment length in diabetic and idiopathic epiretinal membranes

Yüksel

Karaküçük

Özkaya

et al. 2015

Eye

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Purpose Idiopathic and diabetic epiretinal membranes (ERMs) differ significantly in terms of macular morphology. Our aim was to compare the photoreceptor outer segment (PROS) length in diabetic and idiopathic ERMs before and after surgery. Methods Fifty-two eyes of 50 patients who underwent pars plana vitrectomy (PPV) due to idiopathic and diabetic ERMs were included in this retrospective case series. All of the patients underwent ERM and internal limiting membrane (ILM) removal. The patients had been followed up 6 months postoperatively. Spectral-domain optical coherence tomography (OCT) was used to measure the PROS length, overall PR length and central foveal thickness (CFT). Results The PROS length, overall PR length, and CFT were statistically significantly lower at all the postoperative visits when compared to preoperative values in both the idiopathic and diabetic ERM groups (Po0.001). The amount of decrease in PROS and overall PR length were similar in both groups after surgery (P40.05). There was no relation between amount of PROS length change and visual acuity gain in both groups (P40.05). Conclusions Postoperative change of PROS length was similar in idiopathic and diabetic ERMs. PROS length change may not be an indicator of postoperative visual acuity.

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“…Specifically, studies have shown that disruption of the photoreceptor inner segment/outer segment (IS/OS) junction line (ellipsoid zone) is associated with impaired postoperative visual outcome 14–19. In addition, defects in the layer of the cone outer segment tips (COST) line (inderdigitation zone) have been correlated with postoperative best-corrected visual acuity (BCVA) 20 21. This correlation has, however, been inconsistent 21 22…”

Section: Introductionmentioning

confidence: 99%

The role of internal limiting membrane peeling in epiretinal membrane surgery: a randomised controlled trial

Tranos¹,

Koukoula²,

Charteris

et al. 2016

Br J Ophthalmol

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Photoreceptor Change and Visual Outcome After Idiopathic Epiretinal Membrane Removal With or Without Additional Internal Limiting Membrane Peeling

Cited by 63 publications

References 36 publications

Associations between preoperative OCT parameters and visual outcome 3 months postoperatively in patients undergoing vitrectomy for idiopathic epiretinal membrane

Associations between preoperative OCT parameters and visual outcome 3 months postoperatively in patients undergoing vitrectomy for idiopathic epiretinal membrane

Comparison of photoreceptor outer segment length in diabetic and idiopathic epiretinal membranes

The role of internal limiting membrane peeling in epiretinal membrane surgery: a randomised controlled trial

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