Novel Optical Coherence Tomography Parameters as Prognostic Factors for Stage 3 Epiretinal Membranes
Purpose. We aimed to describe the visual prognosis of eyes with ectopic inner foveal layers (EIFLs) after epiretinal membrane (ERM) surgery. Methods. This retrospective study enrolled patients diagnosed with stage 3 ERM based on the EIFL staging scheme who underwent ERM surgery with a minimum follow...
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Wiley
2020-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2020/9861086 |
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| author | Young Gun Park Seo Yeon Hong Young-Jung Roh |
| author_facet | Young Gun Park Seo Yeon Hong Young-Jung Roh |
| author_sort | Young Gun Park |
| collection | DOAJ |
| description | Purpose. We aimed to describe the visual prognosis of eyes with ectopic inner foveal layers (EIFLs) after epiretinal membrane (ERM) surgery. Methods. This retrospective study enrolled patients diagnosed with stage 3 ERM based on the EIFL staging scheme who underwent ERM surgery with a minimum follow-up period of 12 months. Central foveal thickness (CFT), EIFL thickness, and the length of the ellipsoid zone defect were evaluated at baseline and at 1 month, 6 months, and 12 months after surgery based on pre- and postoperative swept-source optical coherence tomography (OCT) images. The association of EIFL thickness and other OCT parameters with pre- and postoperative best-corrected visual acuity (BCVA) was analyzed. Results. Sixty-nine eyes with stage 3 ERMs were analyzed. Preoperative BCVA was correlated with preoperative CFT (r = 0.517, p<0.001) and preoperative EIFL thickness (r = 0.652, p<0.001). At 12 months, postoperative BCVA was correlated negatively with preoperative CFT (r = 0.470, p=0.016) and preoperative EIFL thickness (r = 0.582, p=0.004). The improvement in BCVA was not associated with postoperative reduction in CFT p=0.06, although it was significantly associated with postoperative reduction in EIFL thickness (r = 0.635, p=0.007). Conclusions. EIFL thickness should be considered a negative prognostic factor for postoperative anatomical and functional recovery in patients with stage 3 ERMs. |
| format | Article |
| id | doaj-art-7a153733851e479181fef160c8d41fa7 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-7a153733851e479181fef160c8d41fa72025-02-03T01:00:18ZengWileyJournal of Ophthalmology2090-004X2090-00582020-01-01202010.1155/2020/98610869861086Novel Optical Coherence Tomography Parameters as Prognostic Factors for Stage 3 Epiretinal MembranesYoung Gun Park0Seo Yeon Hong1Young-Jung Roh2Department of Ophthalmology and Visual Science, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of KoreaDepartment of Ophthalmology and Visual Science, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of KoreaDepartment of Ophthalmology and Visual Science, Yeoido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of KoreaPurpose. We aimed to describe the visual prognosis of eyes with ectopic inner foveal layers (EIFLs) after epiretinal membrane (ERM) surgery. Methods. This retrospective study enrolled patients diagnosed with stage 3 ERM based on the EIFL staging scheme who underwent ERM surgery with a minimum follow-up period of 12 months. Central foveal thickness (CFT), EIFL thickness, and the length of the ellipsoid zone defect were evaluated at baseline and at 1 month, 6 months, and 12 months after surgery based on pre- and postoperative swept-source optical coherence tomography (OCT) images. The association of EIFL thickness and other OCT parameters with pre- and postoperative best-corrected visual acuity (BCVA) was analyzed. Results. Sixty-nine eyes with stage 3 ERMs were analyzed. Preoperative BCVA was correlated with preoperative CFT (r = 0.517, p<0.001) and preoperative EIFL thickness (r = 0.652, p<0.001). At 12 months, postoperative BCVA was correlated negatively with preoperative CFT (r = 0.470, p=0.016) and preoperative EIFL thickness (r = 0.582, p=0.004). The improvement in BCVA was not associated with postoperative reduction in CFT p=0.06, although it was significantly associated with postoperative reduction in EIFL thickness (r = 0.635, p=0.007). Conclusions. EIFL thickness should be considered a negative prognostic factor for postoperative anatomical and functional recovery in patients with stage 3 ERMs.http://dx.doi.org/10.1155/2020/9861086 |
| spellingShingle | Young Gun Park Seo Yeon Hong Young-Jung Roh Novel Optical Coherence Tomography Parameters as Prognostic Factors for Stage 3 Epiretinal Membranes Journal of Ophthalmology |
| title | Novel Optical Coherence Tomography Parameters as Prognostic Factors for Stage 3 Epiretinal Membranes |
| title_full | Novel Optical Coherence Tomography Parameters as Prognostic Factors for Stage 3 Epiretinal Membranes |
| title_fullStr | Novel Optical Coherence Tomography Parameters as Prognostic Factors for Stage 3 Epiretinal Membranes |
| title_full_unstemmed | Novel Optical Coherence Tomography Parameters as Prognostic Factors for Stage 3 Epiretinal Membranes |
| title_short | Novel Optical Coherence Tomography Parameters as Prognostic Factors for Stage 3 Epiretinal Membranes |
| title_sort | novel optical coherence tomography parameters as prognostic factors for stage 3 epiretinal membranes |
| url | http://dx.doi.org/10.1155/2020/9861086 |
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