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Idiopathic epiretinal membrane surgery: safety, efficacy and patient related outcomes

This review aims to give to the reader an overview selectively oriented on safety and efficacy of surgery, providing concise and direct answers about crucial questions of trainees and experts. Surgery for idiopathic epiretinal membrane (ERM) is a safe and effective procedure that can achieve long-te...

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Autores principales: Iuliano, Lorenzo, Fogliato, Giovanni, Gorgoni, Francesca, Corbelli, Eleonora, Bandello, Francesco, Codenotti, Marco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6643061/
https://www.ncbi.nlm.nih.gov/pubmed/31409964
http://dx.doi.org/10.2147/OPTH.S176120
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author Iuliano, Lorenzo
Fogliato, Giovanni
Gorgoni, Francesca
Corbelli, Eleonora
Bandello, Francesco
Codenotti, Marco
author_facet Iuliano, Lorenzo
Fogliato, Giovanni
Gorgoni, Francesca
Corbelli, Eleonora
Bandello, Francesco
Codenotti, Marco
author_sort Iuliano, Lorenzo
collection PubMed
description This review aims to give to the reader an overview selectively oriented on safety and efficacy of surgery, providing concise and direct answers about crucial questions of trainees and experts. Surgery for idiopathic epiretinal membrane (ERM) is a safe and effective procedure that can achieve long-term stable postoperative visual and anatomical improvement, with an overall low recurrence and complication rate. Young patients, with a short onset of symptoms and with better initial visual acuity achieve higher levels of visual outcome. The preoperative degree of metamorphopsia is the prognostic factor for their postoperative degree. Successful results may be obtained in eyes with specific optical coherence tomography criteria, such as thin ganglion cell layers, thin internal plexiform layer, longer photoreceptors outer segment, regular ellipsoid zone and cone outer segment tips line, and without ectopic inner foveal layer. Internal limiting membrane peeling demonstrates positive anatomical and functional outcomes, but final positions about its safety remain controversial.
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spelling pubmed-66430612019-08-13 Idiopathic epiretinal membrane surgery: safety, efficacy and patient related outcomes Iuliano, Lorenzo Fogliato, Giovanni Gorgoni, Francesca Corbelli, Eleonora Bandello, Francesco Codenotti, Marco Clin Ophthalmol Review This review aims to give to the reader an overview selectively oriented on safety and efficacy of surgery, providing concise and direct answers about crucial questions of trainees and experts. Surgery for idiopathic epiretinal membrane (ERM) is a safe and effective procedure that can achieve long-term stable postoperative visual and anatomical improvement, with an overall low recurrence and complication rate. Young patients, with a short onset of symptoms and with better initial visual acuity achieve higher levels of visual outcome. The preoperative degree of metamorphopsia is the prognostic factor for their postoperative degree. Successful results may be obtained in eyes with specific optical coherence tomography criteria, such as thin ganglion cell layers, thin internal plexiform layer, longer photoreceptors outer segment, regular ellipsoid zone and cone outer segment tips line, and without ectopic inner foveal layer. Internal limiting membrane peeling demonstrates positive anatomical and functional outcomes, but final positions about its safety remain controversial. Dove 2019-07-15 /pmc/articles/PMC6643061/ /pubmed/31409964 http://dx.doi.org/10.2147/OPTH.S176120 Text en © 2019 Iuliano et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Review
Iuliano, Lorenzo
Fogliato, Giovanni
Gorgoni, Francesca
Corbelli, Eleonora
Bandello, Francesco
Codenotti, Marco
Idiopathic epiretinal membrane surgery: safety, efficacy and patient related outcomes
title Idiopathic epiretinal membrane surgery: safety, efficacy and patient related outcomes
title_full Idiopathic epiretinal membrane surgery: safety, efficacy and patient related outcomes
title_fullStr Idiopathic epiretinal membrane surgery: safety, efficacy and patient related outcomes
title_full_unstemmed Idiopathic epiretinal membrane surgery: safety, efficacy and patient related outcomes
title_short Idiopathic epiretinal membrane surgery: safety, efficacy and patient related outcomes
title_sort idiopathic epiretinal membrane surgery: safety, efficacy and patient related outcomes
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6643061/
https://www.ncbi.nlm.nih.gov/pubmed/31409964
http://dx.doi.org/10.2147/OPTH.S176120
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