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Graefe's Archive for Clinical and Experimental Ophthalmology

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01-04-2013 | Retinal Disorders

Assessment of retinal layers and visual rehabilitation after epiretinal membrane removal

Authors: Jae Hui Kim, Se Woong Kang, Min Gui Kong, Hyo Shin Ha

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 4/2013

Abstract

Background

To evaluate the changes in visual acuity, metamorphopsia, and thickness of retinal layers after epiretinal membrane (ERM) removal and to investigate factors associated with visual function.

Methods

This prospective study included 52 eyes of 52 patients who underwent surgery for idiopathic ERM. Changes in visual acuity, metamorphopsia score (M-score) using M-chart, and parafoveal thickness of each retinal layer were evaluated preoperatively and at 2-month and 6-month postoperative follow-up visits. Factors associated with visual acuity and M-score were investigated.

Results

Although continuous improvement in visual acuity and decrease in the thickness of parafoveal retinal layers following ERM removal was observed, relatively slow improvement in M-score was noted with values of 0.32 ± 0.27, 0.44 ± 0.46, and 0.23 ± 0.23, respectively at the defined time points. A preoperative increase in the thickness of parafoveal retina was mainly caused by increased thickness of inner retinal layers. Preoperative thickness of inner nuclear layer (INL) were closely associated with preoperative, postoperative visual acuity, and preoperative M-score (p = 0.001, 0.012, and 0.027, respectively).

Conclusions

Compared with the postoperative improvement in visual acuity, the postoperative improvement in metamorphopsia was a rather slow process. Parafoveal INL thickness was found to be a significant structural factor for visual acuity and metamorphopsia in ERM.

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Title: Assessment of retinal layers and visual rehabilitation after epiretinal membrane removal
Authors: Jae Hui Kim
Se Woong Kang
Min Gui Kong
Hyo Shin Ha
Publication date: 01-04-2013
Publisher: Springer-Verlag
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 4/2013
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-012-2120-7

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Assessment of retinal layers and visual rehabilitation after epiretinal membrane removal

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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