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Post-operative visual outcomes based on morphological staging of idiopathic epiretinal membranes on OCT

International Journal of Ophthalmology(English edition) 2022年第12期15卷 1966-1970页

作者： sehrish nizar ali momin Roha Ahmad Choudhary MARehman Siddiqui Shiraz Hashmi Abdul Sami Memon Haroon Tayyab Department of Ophthalmology and Visual Sciences the Aga Khan University HospitalKarachiSindh 74800Pakistan

AIM:To evaluate the recently described optical coherence tomography(OCT)based classification of epiretinal membrane(ERM)and its usefulness in predicting the functional ***:A retrospective observational review of OCT scans of patients with the diagnosis of idiopathic ERM was carried out from January 2016 to June *** consecutive images diagnosed with any stage of idiopathic ERM and fulfilled the eligibility criteria were included in the *** was identified on OCT scans as a thin hyperreflective layer over the inner layers of *** scans of patients with ERM who underwent vitrectomy,were independently staged as per the new classification by two independent retinal surgeons to form a consensus on *** corrected visual acuity(BCVA)in logMAR scale and central subfield thickness(CST)on pre-and post-operative spectral domain OCT scans were the variables noted for all patients at the time of diagnosis and at 6 and 12 mo follow up visit after undergoing *** correlation coefficient was computed between BCVA(logMAR)and CST by ERM stage adjusting by baseline ***:Clinical charts of 74 patients with idiopathic ERM were *** significant improvement in BCVA overtime was observed with significant difference in median visual acuity of patients with StageⅡ-ⅣERM with Palization of CST in stageⅡ.We found a decrease in CST with difference of 166μm and 151μm in stageⅢand stageⅣ*** results remained consistent with the hypothesis of improved visual outcomes with all stages of ERM with adjusted moderate linear correlation between visual acuity and CST in stageⅡ-Ⅳ(r>0.3).CONCLUSION:Equally significant visual outcomes of patients with ERM stagedⅡ-Ⅳand therefore can be couns

关键词： optical coherence tomography epiretinal membrane cotton ball sign vitreoschisis vitrectomy

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