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Visual prognostic factors following surgery for stage 3 idiopathic epiretinal membrane by Govetto classification.
Suzuki, Takafumi; Otaki, Chisato; Ueta, Yoshiki; Tate, Hideo; Tachi, Naoko; Nagahara, Masako; Azuma, Kunihiro; Ueta, Takashi; Aihara, Makoto.
Afiliación
  • Suzuki T; Department of Ophthalmology, Shinseikai Toyama Hospital, 89-10 Shimowaka, Imizu-shi, Toyama, 939-0243, Japan. etoile1914100@gmail.com.
  • Otaki C; Department of Ophthalmology, University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. etoile1914100@gmail.com.
  • Ueta Y; Department of Ophthalmology, Shinseikai Toyama Hospital, 89-10 Shimowaka, Imizu-shi, Toyama, 939-0243, Japan.
  • Tate H; Department of Ophthalmology, Shinseikai Toyama Hospital, 89-10 Shimowaka, Imizu-shi, Toyama, 939-0243, Japan.
  • Tachi N; Department of Ophthalmology, Shinseikai Toyama Hospital, 89-10 Shimowaka, Imizu-shi, Toyama, 939-0243, Japan.
  • Nagahara M; Department of Ophthalmology, Shinseikai Toyama Hospital, 89-10 Shimowaka, Imizu-shi, Toyama, 939-0243, Japan.
  • Azuma K; Tachi Eye Clinic, 1-2-3 Shintomi-cho, Toyama-shi, Toyama, 930-0002, Japan.
  • Ueta T; Department of Ophthalmology, University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
  • Aihara M; Department of Ophthalmology, University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.
Jpn J Ophthalmol ; 2024 Aug 31.
Article en En | MEDLINE | ID: mdl-39215879
ABSTRACT

PURPOSE:

To investigate the visual prognosis of metamorphopsia in patients undergoing surgery for stage 3 idiopathic epiretinal membrane (ERM) by Govetto classification using preoperative optical coherence tomography (OCT) parameters. STUDY

DESIGN:

Retrospective clinical study.

METHOD:

This study included 45 eyes of 45 patients with a minimum follow-up period of 3 months. The best-corrected visual acuity (BCVA) and metamorphopsia score using the M-CHARTS were recorded. Central foveal thickness (CFT), inner nuclear layer thickness (INL), ectopic inner retinal layer thickness (EIFL), outer retinal layer thickness, disruption of the ellipsoid zone, cotton ball sign, and intraretinal cystoid changes were measured based on spectral domain OCT. Preoperative and postoperative values and conditions were compared, and correlations between the preoperative values or conditions and postoperative metamorphopsia scores or BCVA were analyzed.

RESULTS:

After surgery, the horizontal, vertical, and mean metamorphopsia scores, as well as BCVA, CFT, INL, and EIFL significantly improved (p < 0.001). Using multivariate analysis, only preoperative CFT was a significant explanatory parameter for both the postoperative horizontal metamorphopsia scores and mean values of the postoperative horizontal and vertical metamorphopsia scores (p = 0.019 and p = 0.011, respectively). Age (p = 0.011) and preoperative CFT (p = 0.026) were significant explanatory parameters of postoperative BCVA.

CONCLUSION:

Preoperative CFT significantly correlated with postoperative metamorphopsia in patients undergoing surgery for stage 3 idiopathic ERM. This finding might help surgeons predict postoperative visual outcomes and make timely surgical decisions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Jpn J Ophthalmol Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Jpn J Ophthalmol Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón