Microperimetric Assessment after Epiretinal Membrane Surgery: 4-Year Follow-Up
Purpose. To investigate retinal function using microperimetry in patients affected by idiopathic epiretinal membrane (iERM) and cataract who underwent combined surgery: 4-year follow-up. Design. Prospective, interventional case series. Methods. 30 eyes of 30 consecutive patients with iERM and age-re...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2016/7030791 |
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| _version_ | 1841524637795614720 |
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| author | Marco Dal Vecchio Carlo Lavia Marco Nassisi Federico M. Grignolo Antonio M. Fea |
| author_facet | Marco Dal Vecchio Carlo Lavia Marco Nassisi Federico M. Grignolo Antonio M. Fea |
| author_sort | Marco Dal Vecchio |
| collection | DOAJ |
| description | Purpose. To investigate retinal function using microperimetry in patients affected by idiopathic epiretinal membrane (iERM) and cataract who underwent combined surgery: 4-year follow-up. Design. Prospective, interventional case series. Methods. 30 eyes of 30 consecutive patients with iERM and age-related cataract underwent 25-gauge vitrectomy and cataract surgery. At baseline, 90 and 180 days, and 1 and 4 years, we examined retinal mean sensitivity (MS), retinal mean defect (MD), fixation stability, and frequency of microscotomas using MP1 microperimetry. Best-corrected visual acuity (BCVA) and central retinal thickness (CRT) using a spectral domain optical coherence tomography (SD-OCT) were also performed. Results. All patients completed 1-year follow-up, while 23 patients reached last follow-up. Baseline MS and MD (10.48 ± 4.17 and −9.18 ± 4.40 dB) significantly changed at one year (12.33 ± 3.66 and −7.49 ± 3.31 dB, p<0.01), at four years (14.18 ± 3.46 and −4.66 ± 2.85, p<0.01), and between one and four years (p<0.01) after surgery. Compared to baseline, CRT and BCVA significantly changed at one year and remained stable at four years. No variations were observed in fixation stability and frequency of microscotomas compared to baseline. Conclusions. Long-term follow-up using microperimetry seems useful to evaluate patients after iERM surgery: retinal sensitivity changes even when BCVA and CRT remain stable. |
| format | Article |
| id | doaj-art-797180b22e93499b97d09ada75248263 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-797180b22e93499b97d09ada752482632025-02-03T05:47:47ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/70307917030791Microperimetric Assessment after Epiretinal Membrane Surgery: 4-Year Follow-UpMarco Dal Vecchio0Carlo Lavia1Marco Nassisi2Federico M. Grignolo3Antonio M. Fea4Department of Surgical Sciences, Eye Clinic, University of Turin, 10122 Turin, ItalyDepartment of Surgical Sciences, Eye Clinic, University of Turin, 10122 Turin, ItalyDepartment of Surgical Sciences, Eye Clinic, University of Turin, 10122 Turin, ItalyDepartment of Surgical Sciences, Eye Clinic, University of Turin, 10122 Turin, ItalyDepartment of Surgical Sciences, Eye Clinic, University of Turin, 10122 Turin, ItalyPurpose. To investigate retinal function using microperimetry in patients affected by idiopathic epiretinal membrane (iERM) and cataract who underwent combined surgery: 4-year follow-up. Design. Prospective, interventional case series. Methods. 30 eyes of 30 consecutive patients with iERM and age-related cataract underwent 25-gauge vitrectomy and cataract surgery. At baseline, 90 and 180 days, and 1 and 4 years, we examined retinal mean sensitivity (MS), retinal mean defect (MD), fixation stability, and frequency of microscotomas using MP1 microperimetry. Best-corrected visual acuity (BCVA) and central retinal thickness (CRT) using a spectral domain optical coherence tomography (SD-OCT) were also performed. Results. All patients completed 1-year follow-up, while 23 patients reached last follow-up. Baseline MS and MD (10.48 ± 4.17 and −9.18 ± 4.40 dB) significantly changed at one year (12.33 ± 3.66 and −7.49 ± 3.31 dB, p<0.01), at four years (14.18 ± 3.46 and −4.66 ± 2.85, p<0.01), and between one and four years (p<0.01) after surgery. Compared to baseline, CRT and BCVA significantly changed at one year and remained stable at four years. No variations were observed in fixation stability and frequency of microscotomas compared to baseline. Conclusions. Long-term follow-up using microperimetry seems useful to evaluate patients after iERM surgery: retinal sensitivity changes even when BCVA and CRT remain stable.http://dx.doi.org/10.1155/2016/7030791 |
| spellingShingle | Marco Dal Vecchio Carlo Lavia Marco Nassisi Federico M. Grignolo Antonio M. Fea Microperimetric Assessment after Epiretinal Membrane Surgery: 4-Year Follow-Up Journal of Ophthalmology |
| title | Microperimetric Assessment after Epiretinal Membrane Surgery: 4-Year Follow-Up |
| title_full | Microperimetric Assessment after Epiretinal Membrane Surgery: 4-Year Follow-Up |
| title_fullStr | Microperimetric Assessment after Epiretinal Membrane Surgery: 4-Year Follow-Up |
| title_full_unstemmed | Microperimetric Assessment after Epiretinal Membrane Surgery: 4-Year Follow-Up |
| title_short | Microperimetric Assessment after Epiretinal Membrane Surgery: 4-Year Follow-Up |
| title_sort | microperimetric assessment after epiretinal membrane surgery 4 year follow up |
| url | http://dx.doi.org/10.1155/2016/7030791 |
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