Morphologic and Functional Evaluation before and after Vitrectomy in Idiopathic Epiretinal Membrane Patients Using Microperimetry.
10.3341/jkos.2013.54.6.893
- Author:
Sam SEO
1
;
Han Woong LIM
;
Yong Un SHIN
;
Min Ho KANG
;
Min Cheol SEONG
;
Hee Yoon CHO
Author Information
1. Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea. hycho@hanyang.ac.kr
- Publication Type:Original Article
- Keywords:
Idiopathic epiretinal membrane;
Macular sensitivity;
Microperimetry;
Spectral domain optical coherence tomography
- MeSH:
Epiretinal Membrane;
Eye;
Humans;
Prospective Studies;
Retinaldehyde;
Tomography, Optical Coherence;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
2013;54(6):893-901
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To investigate the relationship between photoreceptor inner/outer segment (IS/OS) integrity and macular sensitivity after epiretinal membrane (ERM) surgery using spectral-domain optical coherence tomography combined with microperimetry. METHODS: 20 eyes of 20 patients with idiopathic ERM who underwent pars plana vitrectomy for ERM removal were prospectively reviewed. The IS/OS defect diameter, BCVA, macular sensitivity, and fixation stability were measured using spectral-domain optical coherence tomography combined with microperimetry. The correlation of these factors was analyzed. RESULTS: The macular sensitivity improved after successful ERM surgery (p < 0.001), but the IS/OS defect diameter has not improved. The preoperative and postoperative macular sensitivity were negatively correlated with preoperative IS/OS defect diameter (p = 0.035, p = 0.006). The fixation stability was not correlated with preoperative IS/OS defect diameter. CONCLUSIONS: Macular sensitivity showed significant correlation with IS/OS defect diameter. Macular sensitivity is vital functional parameter allows subjective quantification of the retinal function and reflects morphologic changes.
