Prognostic Factors in Vitrectomy for Macular Epiretinal Membrane. |
Pyung Lee, Tae Gon Lee, Moo Sang Kim, Eung Suk Kim, Seung Young Yu, Hyung Woo Kwak |
1Department of Ophthalmology, Kyung Hee University School of Medicine, Seoul, Korea. syyu@khu.ac.kr 2Department of Ophthalmology, College of Medicine, Konyang University, Daejeon, Korea. 3Department of Ophthalmology, Inje University College of Medicine, Busan, Korea. 4Department of Ophthalmology, Chung-Ang University College of Medicine, Seoul, Korea. |
황반부 망막앞막 환자에서 유리체절제술 시 시력 호전에 관련된 예후인자 |
이 평1⋅이태곤2⋅김무상3⋅김응석4⋅유승영1⋅곽형우1 |
Department of Ophthalmology, Kyung Hee University School of Medicine1, Seoul, Korea Department of Ophthalmology, College of Medicine, Konyang University 2, Daejeon, Korea Department of Ophthalmology, Inje University College of Medicine3, Busan, Korea Department of Ophthalmology, Chung-Ang University College of Medicine4, Seoul, Korea |
|
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. |
Key Words:
Cirrus HD-OCT;Macular epiretinal membrane;Prognostic factors |
|