Prognostic factors of visual acuity and macular morphology improvement after idiopathic epiretinal membrane surgery

Michał Post; Magdalena Durajczyk; Anna Okruszko; Maciej Mularczyk; Agnieszka Piwowarczyk; Wojciech Lubiński; Jacek P. Szaflik

doi:10.5114/ko.2022.113744

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Klinika Oczna / Acta Ophthalmologica Polonica

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3/2022
vol. 124

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abstract:

Original paper

Prognostic factors of visual acuity and macular morphology improvement after idiopathic epiretinal membrane surgery

Michał Post

¹

,

Magdalena Durajczyk

²

,

Anna Okruszko

¹

,

Maciej Mularczyk

³

,

Agnieszka Piwowarczyk

¹

,

Wojciech Lubiński

²

,

Jacek P. Szaflik

¹

Department of Ophthalmology, Independent Public Clinical Ophthalmology Hospital, Medical University of Warsaw, Warsaw, Poland
II Chair and Department of Ophthalmology, Pomeranian Medical University in Szczecin, Poland
Chair and Department of Normal and Clinical Anatomy, Pomeranian Medical University in Szczecin, Poland

KLINIKA OCZNA 2022, 124, 3: 142-149

DOI: https://doi.org/10.5114/ko.2022.113744

Online publish date: 2022/09/21

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AMA

Post M, Durajczyk M, Okruszko A, et al. Prognostic factors of visual acuity and macular morphology improvement after idiopathic epiretinal membrane surgery. Klinika Oczna / Acta Ophthalmologica Polonica. 2022;124(3):142-149. doi:10.5114/ko.2022.113744.

APA

Post, M., Durajczyk, M., Okruszko, A., Mularczyk, M., Piwowarczyk, A.,  & Lubiński, W. et al. (2022). Prognostic factors of visual acuity and macular morphology improvement after idiopathic epiretinal membrane surgery. Klinika Oczna / Acta Ophthalmologica Polonica, 124(3), 142-149. https://doi.org/10.5114/ko.2022.113744

Chicago

Post, Michał, Magdalena Durajczyk, Anna Okruszko, Maciej Mularczyk, Agnieszka Piwowarczyk, Wojciech Lubiński,  and Jacek P. Szaflik. 2022. "Prognostic factors of visual acuity and macular morphology improvement after idiopathic epiretinal membrane surgery". Klinika Oczna / Acta Ophthalmologica Polonica 124 (3): 142-149. doi:10.5114/ko.2022.113744.

Harvard

Post, M., Durajczyk, M., Okruszko, A., Mularczyk, M., Piwowarczyk, A., Lubiński, W.,  and Szaflik, J. (2022). Prognostic factors of visual acuity and macular morphology improvement after idiopathic epiretinal membrane surgery. Klinika Oczna / Acta Ophthalmologica Polonica, 124(3), pp.142-149. https://doi.org/10.5114/ko.2022.113744

MLA

Post, Michał et al. "Prognostic factors of visual acuity and macular morphology improvement after idiopathic epiretinal membrane surgery." Klinika Oczna / Acta Ophthalmologica Polonica, vol. 124, no. 3, 2022, pp. 142-149. doi:10.5114/ko.2022.113744.

Vancouver

Post M, Durajczyk M, Okruszko A, Mularczyk M, Piwowarczyk A, Lubiński W et al. Prognostic factors of visual acuity and macular morphology improvement after idiopathic epiretinal membrane surgery. Klinika Oczna / Acta Ophthalmologica Polonica. 2022;124(3):142-149. doi:10.5114/ko.2022.113744.

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Aim of the study
To assess the predictors of functional and anatomical improvement in patients with idiopathic epiretinal membrane (ERM).

Material and methods
A two-center retrospective cohort study. A review of consecutive patients with ERM who underwent pars plana vitrectomy with ERM peeling from January 2017 to December 2019. Best-corrected visual acuity (BCVA) and optical coherence tomography markers (central macular thickness [CMT], ectopic inner foveal layer [EIFL] thickness, outer nuclear layer [ONL] thickness, presence of cotton ball sign, ellipsoid zone disruption, cystoid macular edema [CME]) were collected at baseline and at one year, and included as covariates in a multivariate logistic regression model with final BCVA improvement as a binary outcome.

Results
One-hundred twenty eight eyes (125 patients) were enrolled in the study. At one-year follow-up, BCVA improvement was observed in 98 eyes (group 1 – 76.6%; BCVA 0.52 vs. 0.17, p < 0.001). BCVA stabilization or deterioration was observed in 30 eyes (group 2 – 23.4%; BCVA 0.34 vs. 0.38, p = 0.32). In group 1, preoperative BCVA was worse than in group 2 (0.52 vs. 0.34, p < 0.001). Good preoperative BCVA (OR = 2.16, p = 0.001) and young age (OR = 0.87, p = 0.011) were found to be predictors of postoperative BCVA improvement. Young age (OR = 0.81, p = 0.049) and high preoperative CMT (OR = 24.93, p = 0.048) had a positive effect on the normalization of CMT. The presence of CME had a negative effect on the normalization of CMT (OR = 0.02, p = 0.014), but no effect on the change in BCVA (OR = 0.4, p = 0.239).

Conclusions
None of the morphological signs included in this study precluded good visual recovery in long-term follow-up. Younger patients had better functional and anatomical gains.

keywords:

Prognostic factors of visual acuity and macular morphology improvement after idiopathic epiretinal membrane surgery

Michał Post 1 , Magdalena Durajczyk 2 , Anna Okruszko 1 , Maciej Mularczyk 3 , Agnieszka Piwowarczyk 1 , Wojciech Lubiński 2 , Jacek P. Szaflik 1

epiretinal membrane, optic coherence tomography, biomarkers, pars plana vitrectomy, OCT, ectopic inner foveal layer, EIFL

Michał Post

¹

,

Magdalena Durajczyk

²

,

Anna Okruszko

¹

,

Maciej Mularczyk

³

,

Agnieszka Piwowarczyk

¹

,

Wojciech Lubiński

²

,

Jacek P. Szaflik

¹