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Comparison of Functional, Structural, and Microvascular Features in Different Stages of Idiopathic Epiretinal Membrane.
Marolo, Paola; Borrelli, Enrico; Caselgrandi, Paolo; Parisi, Guglielmo; Gelormini, Francesco; Ricardi, Federico; Ceroni, Luca; Fallico, Matteo; Toro, Mario Damiano; Ventre, Luca; Reibaldi, Michele.
Afiliação
  • Marolo P; Department of Ophthalmology, University of Turin, 10126 Turin, Italy.
  • Borrelli E; Department of Ophthalmology, University of Turin, 10126 Turin, Italy.
  • Caselgrandi P; Department of Ophthalmology, University of Turin, 10126 Turin, Italy.
  • Parisi G; Department of Ophthalmology, University of Turin, 10126 Turin, Italy.
  • Gelormini F; Department of Ophthalmology, University of Turin, 10126 Turin, Italy.
  • Ricardi F; Department of Ophthalmology, University of Turin, 10126 Turin, Italy.
  • Ceroni L; Department of Psychology, University of Turin, 10124 Turin, Italy.
  • Fallico M; Department of Ophthalmology, University of Catania, 95123 Catania, Italy.
  • Toro MD; Department of General Ophthalmology, Medical University of Lublin, 20079 Lublin, Poland.
  • Ventre L; Eye Clinic, Public Health Department, Federico II University, 80131 Naples, Italy.
  • Reibaldi M; Department of Ophthalmology, Beauregard Hospital, 11100 Aosta, Italy.
J Clin Med ; 13(11)2024 May 29.
Article em En | MEDLINE | ID: mdl-38892898
ABSTRACT

Background:

Idiopathic epiretinal membrane (ERM) often leads to visual symptoms such as metamorphopsia and decreased central vision. This study aimed to evaluate functional, structural, and microvascular characteristics in patients with different stages of idiopathic ERM who were candidates for surgery, with a focus on identifying potential indicators for surgical timing.

Methods:

A retrospective cohort study was conducted on consecutive patients with unilateral idiopathic ERM who were candidates for surgery. Patients underwent comprehensive ophthalmological assessments, including OCT grading, reading performance evaluation, and OCT angiography. Data analysis included comparisons between different ERM stages for functional, structural, and microvascular parameters.

Results:

A total of 44 eyes were included, classified into four ERM stages according to the Govetto grading system. Functional parameters, including distance and near visual acuity, worsened significantly with higher ERM stages, particularly in the transition from Stage 3 to Stage 4. Structural assessments revealed significant increases in central macular thickness (CMT) from Stage 3 to Stage 4. No significant differences were observed in microvascular features across different ERM stages.

Conclusions:

This study highlights the significant functional and anatomical impact of OCT staging in idiopathic ERM, particularly during the transition from Stage 3 to Stage 4, characterized by notable reductions in visual acuity and increases in CMT. These findings underscore the importance of considering both functional and structural parameters in surgical decision-making for ERM management. However, further research with larger cohorts is needed to confirm these observations and inform clinical practice.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article