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Correlation of visual recovery with presence of photoreceptor inner/outer segment junction in optical coherence images after epiretinal membrane surgery.
Br J Ophthalmol. 2009 Feb; 93(2):171-5.BJ

Abstract

AIMS

To investigate the relationship between the presence of the photoreceptor inner and outer segment (IS/OS) junction and visual acuity after epiretinal membrane (ERM) surgery.

METHODS

Seventy eyes of 70 consecutive patients who had undergone vitrectomy for idiopathic ERM were examined by optical coherence tomography before and 3 and 6 months after surgery. The IS/OS junction was graded into three grades. The time course of recovery of the IS/OS junction, central foveal thickness (CFT) and best corrected visual acuity (BCVA) during the postoperative period was studied.

RESULTS

A normal IS/OS junction was detected in 47.1% of the eyes before surgery and in 65.7% at 3 months and 75.7% at 6 months after. There was a significant correlation between the IS/OS grade and BCVA before and at 3 and 6 months after the operation (p = 0.0001, p<0.0001, p<0.0001, respectively). The preoperative IS/OS junction grade correlated significantly with BCVA at 6 months (p = 0.0239). CFT did not correlate significantly with BCVA at 3 and 6 months.

CONCLUSIONS

The presence of a normal IS/OS junction was associated with good visual acuity after ERM surgery. A normal IS/OS junction probably indicates morphological and functional recovery of the photoreceptors.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Mitamura Y
Department of Ophthalmology and Visual Science, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba, Japan. ymita@faculty.chiba-u.jp
Hirano K
No affiliation info available
Baba T
No affiliation info available
Yamamoto S
No affiliation info available

MeSH

AgedAged, 80 and overEpiretinal MembraneFemaleFovea CentralisHumansMaleMiddle AgedPostoperative PeriodRetinal Photoreceptor Cell Inner SegmentRetinal Photoreceptor Cell Outer SegmentTomography, Optical CoherenceVisual AcuityVitrectomy

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18971234

Citation

Mitamura, Y, et al. "Correlation of Visual Recovery With Presence of Photoreceptor Inner/outer Segment Junction in Optical Coherence Images After Epiretinal Membrane Surgery." The British Journal of Ophthalmology, vol. 93, no. 2, 2009, pp. 171-5.
Mitamura Y, Hirano K, Baba T, et al. Correlation of visual recovery with presence of photoreceptor inner/outer segment junction in optical coherence images after epiretinal membrane surgery. Br J Ophthalmol. 2009;93(2):171-5.
Mitamura, Y., Hirano, K., Baba, T., & Yamamoto, S. (2009). Correlation of visual recovery with presence of photoreceptor inner/outer segment junction in optical coherence images after epiretinal membrane surgery. The British Journal of Ophthalmology, 93(2), 171-5. https://doi.org/10.1136/bjo.2008.146381
Mitamura Y, et al. Correlation of Visual Recovery With Presence of Photoreceptor Inner/outer Segment Junction in Optical Coherence Images After Epiretinal Membrane Surgery. Br J Ophthalmol. 2009;93(2):171-5. PubMed PMID: 18971234.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Correlation of visual recovery with presence of photoreceptor inner/outer segment junction in optical coherence images after epiretinal membrane surgery. AU - Mitamura,Y, AU - Hirano,K, AU - Baba,T, AU - Yamamoto,S, Y1 - 2008/10/29/ PY - 2008/10/31/pubmed PY - 2009/2/28/medline PY - 2008/10/31/entrez SP - 171 EP - 5 JF - The British journal of ophthalmology JO - Br J Ophthalmol VL - 93 IS - 2 N2 - AIMS: To investigate the relationship between the presence of the photoreceptor inner and outer segment (IS/OS) junction and visual acuity after epiretinal membrane (ERM) surgery. METHODS: Seventy eyes of 70 consecutive patients who had undergone vitrectomy for idiopathic ERM were examined by optical coherence tomography before and 3 and 6 months after surgery. The IS/OS junction was graded into three grades. The time course of recovery of the IS/OS junction, central foveal thickness (CFT) and best corrected visual acuity (BCVA) during the postoperative period was studied. RESULTS: A normal IS/OS junction was detected in 47.1% of the eyes before surgery and in 65.7% at 3 months and 75.7% at 6 months after. There was a significant correlation between the IS/OS grade and BCVA before and at 3 and 6 months after the operation (p = 0.0001, p<0.0001, p<0.0001, respectively). The preoperative IS/OS junction grade correlated significantly with BCVA at 6 months (p = 0.0239). CFT did not correlate significantly with BCVA at 3 and 6 months. CONCLUSIONS: The presence of a normal IS/OS junction was associated with good visual acuity after ERM surgery. A normal IS/OS junction probably indicates morphological and functional recovery of the photoreceptors. SN - 1468-2079 UR - https://www.unboundmedicine.com/medline/citation/18971234/Correlation_of_visual_recovery_with_presence_of_photoreceptor_inner/outer_segment_junction_in_optical_coherence_images_after_epiretinal_membrane_surgery_ DB - PRIME DP - Unbound Medicine ER -