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Preoperative inner segment/outer segment junction in spectral-domain optical coherence tomography as a prognostic factor in epiretinal membrane surgery.
Retina. 2011 Jul-Aug; 31(7):1366-72.R

Abstract

PURPOSE

To evaluate the macular structure on spectral-domain optical coherence tomographic (SD-OCT) images to predict the outcome of surgery for idiopathic epiretinal membrane.

METHODS

Forty-five eyes of 45 consecutive patients with idiopathic epiretinal membrane who had a preoperative visual acuity of ≤ 20/32 and were scheduled to undergo a transconjunctival 25-gauge vitrectomy were involved in this prospective cohort study. The best-corrected visual acuity (BCVA) and SD-OCT images of the fovea were examined before the surgery and at 3, 6, and 12 months after the surgery. Associations between the visual acuity parameters and the preoperative SD-OCT features, including the morphology of the photoreceptor inner segment/outer segment junction, macular thickness, presence/absence of retinal cysts, and presence/absence of a macular pseudohole, were investigated as predictors of the outcome of the surgery. The main outcome measures were the association between the macular microstructure on preoperative SD-OCT images and the visual acuity parameters, such as the BCVA, at 12 months after the surgery (postoperative BCVA) and the difference between the preoperative visual acuity and the postoperative BCVA.

RESULTS

A total of 45 patients were enrolled in this study. The postoperative visual acuity was significantly better for the eyes with an intact inner segment/outer segment junction on the preoperative SD-OCT images than for those with an irregular or a disrupted inner segment/outer segment junction on the images (P < 0.001). Better preoperative visual acuity was associated with better visual acuity at 12 months and a lesser degree of improvement in the visual acuity (P < 0.001, respectively).

CONCLUSION

The presence of an intact inner segment/outer segment junction on the preoperative SD-OCT images was found to be an important predictor of better visual recovery and better postoperative BCVA after epiretinal membrane surgery.

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Authors+Show Affiliations

Inoue M
Department of Ophthalmology, Yokohama City University Medical Center, Yokohama, Japan. maicoo@urahp.yokohama-cu.ac.jp
Morita S
No affiliation info available
Watanabe Y
No affiliation info available
Kaneko T
No affiliation info available
Yamane S
No affiliation info available
Kobayashi S
No affiliation info available
Arakawa A
No affiliation info available
Kadonosono K
No affiliation info available

MeSH

AdultAgedEpiretinal MembraneFemaleFollow-Up StudiesHumansMaleMiddle AgedPreoperative CarePrognosisRetinal Photoreceptor Cell Inner SegmentRetinal Photoreceptor Cell Outer SegmentTomography, Optical CoherenceVisual AcuityVitrectomy

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21233786

Citation

Inoue, Maiko, et al. "Preoperative Inner Segment/outer Segment Junction in Spectral-domain Optical Coherence Tomography as a Prognostic Factor in Epiretinal Membrane Surgery." Retina (Philadelphia, Pa.), vol. 31, no. 7, 2011, pp. 1366-72.
Inoue M, Morita S, Watanabe Y, et al. Preoperative inner segment/outer segment junction in spectral-domain optical coherence tomography as a prognostic factor in epiretinal membrane surgery. Retina. 2011;31(7):1366-72.
Inoue, M., Morita, S., Watanabe, Y., Kaneko, T., Yamane, S., Kobayashi, S., Arakawa, A., & Kadonosono, K. (2011). Preoperative inner segment/outer segment junction in spectral-domain optical coherence tomography as a prognostic factor in epiretinal membrane surgery. Retina (Philadelphia, Pa.), 31(7), 1366-72. https://doi.org/10.1097/IAE.0b013e318203c156
Inoue M, et al. Preoperative Inner Segment/outer Segment Junction in Spectral-domain Optical Coherence Tomography as a Prognostic Factor in Epiretinal Membrane Surgery. Retina. 2011 Jul-Aug;31(7):1366-72. PubMed PMID: 21233786.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Preoperative inner segment/outer segment junction in spectral-domain optical coherence tomography as a prognostic factor in epiretinal membrane surgery. AU - Inoue,Maiko, AU - Morita,Satoshi, AU - Watanabe,Yoichiro, AU - Kaneko,Tetsuji, AU - Yamane,Shin, AU - Kobayashi,Satoshi, AU - Arakawa,Akira, AU - Kadonosono,Kazuaki, PY - 2011/1/15/entrez PY - 2011/1/15/pubmed PY - 2011/12/15/medline SP - 1366 EP - 72 JF - Retina (Philadelphia, Pa.) JO - Retina VL - 31 IS - 7 N2 - PURPOSE: To evaluate the macular structure on spectral-domain optical coherence tomographic (SD-OCT) images to predict the outcome of surgery for idiopathic epiretinal membrane. METHODS: Forty-five eyes of 45 consecutive patients with idiopathic epiretinal membrane who had a preoperative visual acuity of ≤ 20/32 and were scheduled to undergo a transconjunctival 25-gauge vitrectomy were involved in this prospective cohort study. The best-corrected visual acuity (BCVA) and SD-OCT images of the fovea were examined before the surgery and at 3, 6, and 12 months after the surgery. Associations between the visual acuity parameters and the preoperative SD-OCT features, including the morphology of the photoreceptor inner segment/outer segment junction, macular thickness, presence/absence of retinal cysts, and presence/absence of a macular pseudohole, were investigated as predictors of the outcome of the surgery. The main outcome measures were the association between the macular microstructure on preoperative SD-OCT images and the visual acuity parameters, such as the BCVA, at 12 months after the surgery (postoperative BCVA) and the difference between the preoperative visual acuity and the postoperative BCVA. RESULTS: A total of 45 patients were enrolled in this study. The postoperative visual acuity was significantly better for the eyes with an intact inner segment/outer segment junction on the preoperative SD-OCT images than for those with an irregular or a disrupted inner segment/outer segment junction on the images (P < 0.001). Better preoperative visual acuity was associated with better visual acuity at 12 months and a lesser degree of improvement in the visual acuity (P < 0.001, respectively). CONCLUSION: The presence of an intact inner segment/outer segment junction on the preoperative SD-OCT images was found to be an important predictor of better visual recovery and better postoperative BCVA after epiretinal membrane surgery. SN - 1539-2864 UR - https://www.unboundmedicine.com/medline/citation/21233786/Preoperative_inner_segment/outer_segment_junction_in_spectral_domain_optical_coherence_tomography_as_a_prognostic_factor_in_epiretinal_membrane_surgery_ L2 - https://doi.org/10.1097/IAE.0b013e318203c156 DB - PRIME DP - Unbound Medicine ER -