Abstract
BackgroundTo evaluate the surgical outcomes of vitrectomy in patients with foveal herniation associated with epiretinal membrane (ERM).MethodsThis was a retrospective case series. The patients who had a foveal herniation associated with ERM, underwent vitrectomy, and had a minimum follow-up period of 12 months were included. The visual and anatomical outcomes were assessed during the first 12 months of follow-up and at the last follow-up visit. The main outcome measure was the reorganization pattern of foveal pit at month 12.ResultsEleven eyes of 11 patients were included. The mean postoperative follow-up period was 14.8 ± 2.6 months. The foveal contour was completely restored in 5 eyes (45.5%), partially restored in 5 eyes (45.5%), and was not restored in 1 eye (9.1%) at postoperative month 12 follow-up visit. The mean preoperative best corrected visual acuity was 0.61 ± 0.16 LogMAR and increased to 0.49 ± 0.16 LogMAR at month 12 (p < 0.0001). The mean preoperative central retinal thickness was 476 ± 128 micrometers and decreased to 302 ± 70 micrometers at month 12 (p < 0.0001).ConclusionThe foveal contour was restored in 45.5% of the eyes and visual acuity was significantly increased by a mean of 1.2 LogMAR lines at month 12 in patients with foveal herniation associated with ERM.
Highlights
To evaluate the surgical outcomes of vitrectomy in patients with foveal herniation associated with epiretinal membrane (ERM)
We reviewed the outcomes of vitrectomy in 11 patients with ERM associated with foveal herniation
In a previous study by our group, we evaluated the outcomes of subtotal vitrectomy in patients with ERM and macular hole [11]
Summary
The records of the ERM patients who underwent 23-gauge vitrectomy between January 2016 and February 2017 were reviewed for this retrospective case series. A total of 11 patients showed foveal herniation and were included in the study. The patients with a diagnosis of idiopathic ERM and who showed foveal herniation and had a minimum postoperative follow-up period of 12 months were included (Fig. 1). The patients who showed a protruded retinal tissue through the ERM were diagnosed with foveal herniation (Fig. 2). Primary outcome measure was the formation pattern of foveal contour at month 12 after the surgery. As the distribution of the data was normal, visual acuity and the CRT values between baseline and the other time points were assessed with repeated measures test. A p value < 0.05 was considered statistically significant
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
