Cargando…
Visual acuity and anatomical changes following vitrectomy for epiretinal membrane foveoschisis: a case series
PURPOSE: To evaluate the visual outcome and macular anatomic structures on spectral-domain optical coherence tomography (SD-OCT) of patients with epiretinal membrane (ERM) foveoschisis who underwent vitrectomy. METHODS: A retrospective cohort, interventional, case series. PARTICIPANTS: Fourteen pati...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8672529/ https://www.ncbi.nlm.nih.gov/pubmed/34911498 http://dx.doi.org/10.1186/s12886-021-02203-y |
_version_ | 1784615372652019712 |
---|---|
author | Photcharapongsakul, Chaiyaphot Chokesuwattanaskul, Susama Choovuthayakorn, Janejit Chaikitmongkol, Voraporn Kunavisarut, Paradee Watanachai, Nawat Patikulsila, Direk |
author_facet | Photcharapongsakul, Chaiyaphot Chokesuwattanaskul, Susama Choovuthayakorn, Janejit Chaikitmongkol, Voraporn Kunavisarut, Paradee Watanachai, Nawat Patikulsila, Direk |
author_sort | Photcharapongsakul, Chaiyaphot |
collection | PubMed |
description | PURPOSE: To evaluate the visual outcome and macular anatomic structures on spectral-domain optical coherence tomography (SD-OCT) of patients with epiretinal membrane (ERM) foveoschisis who underwent vitrectomy. METHODS: A retrospective cohort, interventional, case series. PARTICIPANTS: Fourteen patients (14 eyes) with central vision loss from an ERM foveoschisis underwent vitrectomy at Chiang Mai University Hospital from 2017 to 2018 and had a follow-up period of 12 months. INTERVENTIONS: The 23G vitrectomy with ERM and internal limiting membrane (ILM) peeling was performed by a single surgeon. MAIN OUTCOMES: Best-corrected visual acuity (BCVA) and anatomic appearance on SD-OCT were assessed at the time of preoperative evaluations and post-operative follow-ups at 1, 3, 6, and 12 months. RESULTS: Fourteen patients with a mean (SD) age of 67.9 (7.9) years and a mean (SD) visual acuity (VA) of 0.6 (0.1) LogMAR units were included in this study. Significant VA improvements were observed at the 3-month (0.43 (0.14) LogMAR unit), 6-month (0.45 (0.16) LogMAR unit) and 12-month (0.37 (0.21) LogMAR unit) post-operative visits compared to baseline, all with P-values < 0.001. At month 12, there were vision improvements of ≥3 lines in 8 (57.2%) patients, vision improvements of 1 or 2 lines in 2 (14.3%) patients, vision remained at the same line of pre-operation in 3 (21.4%) patients, and vision decreased by 1 line in 1 (7.1%) patient. Regarding the anatomical outcomes, 13 (92.9%) patients achieved anatomical foveal restoration, while one had persistent intraretinal schisis at the 12-month follow-up. The median time to achieve a foveal restoration was 3 months. No significant visual impairments were observed post-operatively. CONCLUSION: In patients with central vision loss from ERM foveoschisis, vitrectomy with ILM stripping tended to improve both visual and anatomical outcomes. |
format | Online Article Text |
id | pubmed-8672529 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-86725292021-12-15 Visual acuity and anatomical changes following vitrectomy for epiretinal membrane foveoschisis: a case series Photcharapongsakul, Chaiyaphot Chokesuwattanaskul, Susama Choovuthayakorn, Janejit Chaikitmongkol, Voraporn Kunavisarut, Paradee Watanachai, Nawat Patikulsila, Direk BMC Ophthalmol Research PURPOSE: To evaluate the visual outcome and macular anatomic structures on spectral-domain optical coherence tomography (SD-OCT) of patients with epiretinal membrane (ERM) foveoschisis who underwent vitrectomy. METHODS: A retrospective cohort, interventional, case series. PARTICIPANTS: Fourteen patients (14 eyes) with central vision loss from an ERM foveoschisis underwent vitrectomy at Chiang Mai University Hospital from 2017 to 2018 and had a follow-up period of 12 months. INTERVENTIONS: The 23G vitrectomy with ERM and internal limiting membrane (ILM) peeling was performed by a single surgeon. MAIN OUTCOMES: Best-corrected visual acuity (BCVA) and anatomic appearance on SD-OCT were assessed at the time of preoperative evaluations and post-operative follow-ups at 1, 3, 6, and 12 months. RESULTS: Fourteen patients with a mean (SD) age of 67.9 (7.9) years and a mean (SD) visual acuity (VA) of 0.6 (0.1) LogMAR units were included in this study. Significant VA improvements were observed at the 3-month (0.43 (0.14) LogMAR unit), 6-month (0.45 (0.16) LogMAR unit) and 12-month (0.37 (0.21) LogMAR unit) post-operative visits compared to baseline, all with P-values < 0.001. At month 12, there were vision improvements of ≥3 lines in 8 (57.2%) patients, vision improvements of 1 or 2 lines in 2 (14.3%) patients, vision remained at the same line of pre-operation in 3 (21.4%) patients, and vision decreased by 1 line in 1 (7.1%) patient. Regarding the anatomical outcomes, 13 (92.9%) patients achieved anatomical foveal restoration, while one had persistent intraretinal schisis at the 12-month follow-up. The median time to achieve a foveal restoration was 3 months. No significant visual impairments were observed post-operatively. CONCLUSION: In patients with central vision loss from ERM foveoschisis, vitrectomy with ILM stripping tended to improve both visual and anatomical outcomes. BioMed Central 2021-12-15 /pmc/articles/PMC8672529/ /pubmed/34911498 http://dx.doi.org/10.1186/s12886-021-02203-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Photcharapongsakul, Chaiyaphot Chokesuwattanaskul, Susama Choovuthayakorn, Janejit Chaikitmongkol, Voraporn Kunavisarut, Paradee Watanachai, Nawat Patikulsila, Direk Visual acuity and anatomical changes following vitrectomy for epiretinal membrane foveoschisis: a case series |
title | Visual acuity and anatomical changes following vitrectomy for epiretinal membrane foveoschisis: a case series |
title_full | Visual acuity and anatomical changes following vitrectomy for epiretinal membrane foveoschisis: a case series |
title_fullStr | Visual acuity and anatomical changes following vitrectomy for epiretinal membrane foveoschisis: a case series |
title_full_unstemmed | Visual acuity and anatomical changes following vitrectomy for epiretinal membrane foveoschisis: a case series |
title_short | Visual acuity and anatomical changes following vitrectomy for epiretinal membrane foveoschisis: a case series |
title_sort | visual acuity and anatomical changes following vitrectomy for epiretinal membrane foveoschisis: a case series |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8672529/ https://www.ncbi.nlm.nih.gov/pubmed/34911498 http://dx.doi.org/10.1186/s12886-021-02203-y |
work_keys_str_mv | AT photcharapongsakulchaiyaphot visualacuityandanatomicalchangesfollowingvitrectomyforepiretinalmembranefoveoschisisacaseseries AT chokesuwattanaskulsusama visualacuityandanatomicalchangesfollowingvitrectomyforepiretinalmembranefoveoschisisacaseseries AT choovuthayakornjanejit visualacuityandanatomicalchangesfollowingvitrectomyforepiretinalmembranefoveoschisisacaseseries AT chaikitmongkolvoraporn visualacuityandanatomicalchangesfollowingvitrectomyforepiretinalmembranefoveoschisisacaseseries AT kunavisarutparadee visualacuityandanatomicalchangesfollowingvitrectomyforepiretinalmembranefoveoschisisacaseseries AT watanachainawat visualacuityandanatomicalchangesfollowingvitrectomyforepiretinalmembranefoveoschisisacaseseries AT patikulsiladirek visualacuityandanatomicalchangesfollowingvitrectomyforepiretinalmembranefoveoschisisacaseseries |