Prognostic Factors in Vitrectomy for Macular Epiretinal Membrane.
10.3341/jkos.2011.52.11.1302
- Author:
Pyung LEE
1
;
Tae Gon LEE
;
Moo Sang KIM
;
Eung Suk KIM
;
Seung Young YU
;
Hyung Woo KWAK
Author Information
1. Department of Ophthalmology, Kyung Hee University School of Medicine, Seoul, Korea. syyu@khu.ac.kr
- Publication Type:Original Article
- Keywords:
Cirrus HD-OCT;
Macular epiretinal membrane;
Prognostic factors
- MeSH:
Epiretinal Membrane;
Eye;
Follow-Up Studies;
Humans;
Multivariate Analysis;
Retinaldehyde;
Retrospective Studies;
Traction;
Visual Acuity;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
2011;52(11):1302-1307
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To identify prognostic factors associated with a favorable outcome after vitrectomy for patients with macular epiretinal membrane (ERM). METHODS: The authors retrospectively reviewed the records of 63 patients (64 eyes) with macular ERM, who were treated by vitrectomy between 2003 and 2008, and followed for more than 6 months. RESULTS: The mean follow-up period was 13.21 +/- 9.11 months and the mean best corrected visual acuity after vitrectomy was log MAR 0.32 +/- 0.34. Univariate analysis revealed the patients in the group with a postoperative log MAR of 0.3 or better had better preoperative visual acuity and shorter symptom duration; multivariate analysis revealed the same results. In 24 eyes, intraretinal structures which contained pseudoholes, intraretinal cysts, retinal folds and vitreoretinal traction were analyzed with Cirrus HD-OCT, however, there was no correlation with visual acuity after vitrectomy. CONCLUSIONS: The present study demonstrated vitrectomy for macular ERM resulted in favorable visual improvement. The preoperative visual acuity and symptom duration were a significant prognostic factor.
