Original articleAssociations Between Macular Findings by Optical Coherence Tomography and Visual Outcomes After Epiretinal Membrane Removal
Section snippets
Patients and Sample Collection
A total of 120 eyes of 120 patients operated on for idiopathic ERM removal between January 2004 and November 2006 were enrolled in this study. Patients were followed up for at least 3 months after surgery at Seoul National University Hospital (SNUH) and Seoul National University Bundang Hospital (SNUBH). Exclusion criteria included: 1) eyes with secondary ERM, such as diabetic retinopathy, venous occlusion, retinal detachment (RD), uveitis, or trauma; 2) myopia of more than 6 diopters; and 3)
Baseline Characteristics
Of the 120 patients who were enrolled in the study, 19 were excluded for various reasons, eg, loss before 3-month follow-up, incompletely removed ERM, or definite cystoid macular edema or leakage by postoperative fundus photography and FA. None of the 101 patients (101 eyes) included in this analysis experienced postoperative complications of glaucoma or RD during follow-up.
Our patients had a mean age of 63.1 ± 9.0 years and were composed of 78 men and 23 women. Preoperatively, 91 eyes (90.01%)
Discussion
The main objective of this study was to identify the factors that influence visual outcome after successful ERM surgery by utilizing OCT. According to our tomographic evaluation, postoperative photoreceptor integrity was strongly correlated with visual outcome by univariate linear regression analysis and was a potent predictor of visual prognosis by multivariate analysis. Moreover, all eyes except 1 eye in the “same” BCVA group demonstrated disruption of the IS/OS junction at 3 months after
Min Hee Suh, MD, is a Chief Resident of Ophthalmology at Seoul National University Hospital. Dr Suh received her MD from Seoul National University College of Medicine in 2004. Dr Suh completed an internship and continues her residency in Seoul National University Hospital. Her current research of interests includes ocular imaging with epiretinal membrane and optic disc hemorrhage in glaucoma patients.
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Min Hee Suh, MD, is a Chief Resident of Ophthalmology at Seoul National University Hospital. Dr Suh received her MD from Seoul National University College of Medicine in 2004. Dr Suh completed an internship and continues her residency in Seoul National University Hospital. Her current research of interests includes ocular imaging with epiretinal membrane and optic disc hemorrhage in glaucoma patients.
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