PMID- 26692297
OWN - NLM
STAT- MEDLINE
DCOM- 20160714
LR  - 20160223
IS  - 1549-4713 (Electronic)
IS  - 0161-6420 (Linking)
VI  - 123
IP  - 3
DP  - 2016 Mar
TI  - Evolution of Subfoveal Detachments Secondary to Idiopathic Epiretinal Membranes 
      after Surgery.
PG  - 583-9
LID - S0161-6420(15)01197-5 [pii]
LID - 10.1016/j.ophtha.2015.10.020 [doi]
AB  - PURPOSE: To study the characteristics of subfoveal abnormalities secondary to 
      idiopathic epiretinal membranes (ERM) using improved-resolution spectral-domain 
      optical coherence tomography (SD OCT) and their evolution after surgery. DESIGN: 
      Retrospective, observational cohort study. PARTICIPANTS: The files of 344 
      patients operated on consecutively for ERM over a 2-year period in a single 
      tertiary ophthalmologic center were reviewed. Patients with vitreomacular 
      traction syndrome, secondary ERM, or both were excluded. METHODS: In all, 293 
      eyes with idiopathic ERM were included in the final analysis. Fundus photographs 
      were reviewed to assess the presence of a yellow foveal spot, and SD OCT analysis 
      was performed. MAIN OUTCOME MEASURES: Presence or absence of a subfoveal 
      abnormality and its SD OCT characteristics before and after surgery at 1 month, 3 
      months, and at final visit; best-corrected visual acuity (BCVA) and central 
      macular thickness at baseline, 1 month, 3 months, and at the final visit. 
      RESULTS: Before surgery, a subfoveal detachment (SD) corresponding to the yellow 
      deposit was present in 59 of 293 eyes (20%). No difference was found for the 
      postoperative BCVA between the 59 eyes with SD before surgery and the 234 eyes 
      without SD (0.253 +/- 0.14 logarithm of the minimum angle of resolution [logMAR] 
      vs. 0.262 +/- 0.24 logMAR, respectively; P = 0.6). Sixty-eight percent (n = 40/59) 
      of SD disappeared after surgery during a mean follow-up of 4.8 +/- 3.2 months, most 
      of them (62%) before month 3. Among eyes with preoperative SD, no difference was 
      found for the postoperative BCVA between eyes with disappeared SD and those with 
      persistent SD. CONCLUSIONS: Subfoveal detachments secondary to idiopathic ERM 
      were observed in 20% of these eyes. They disappeared after surgery in more than 
      two thirds of cases, usually early during postoperative course. Subfoveal 
      detachments do not affect visual outcome and should not interfere with surgical 
      decision making.
CI  - Copyright (c) 2016 American Academy of Ophthalmology. Published by Elsevier Inc. 
      All rights reserved.
FAU - Pison, Aurelie
AU  - Pison A
AD  - Service d'Ophtalmologie, Groupe Hospitalier Cochin-Hotel-Dieu de Paris, AP-HP, 
      Universite Paris V Descartes, France.
FAU - Dupas, Benedicte
AU  - Dupas B
AD  - Service d'Ophtalmologie, Hopital Lariboisiere, AP-HP, Universite Paris 
      VII-Sorbonne Paris Cite, Paris, France. Electronic address: 
      benedicte.dupas@aphp.fr.
FAU - Couturier, Aude
AU  - Couturier A
AD  - Service d'Ophtalmologie, Hopital Lariboisiere, AP-HP, Universite Paris 
      VII-Sorbonne Paris Cite, Paris, France.
FAU - Rothschild, Pierre-Raphael
AU  - Rothschild PR
AD  - Service d'Ophtalmologie, Hotel Dieu, AP-HP, Universite Paris V-Paris-Descartes, 
      Paris, France.
FAU - Tadayoni, Ramin
AU  - Tadayoni R
AD  - Service d'Ophtalmologie, Hopital Lariboisiere, AP-HP, Universite Paris 
      VII-Sorbonne Paris Cite, Paris, France.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20151212
PL  - United States
TA  - Ophthalmology
JT  - Ophthalmology
JID - 7802443
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Epiretinal Membrane/complications/*surgery
MH  - Female
MH  - Fovea Centralis
MH  - Humans
MH  - Male
MH  - Ophthalmologic Surgical Procedures
MH  - *Postoperative Complications
MH  - Retinal Detachment/*diagnosis/*etiology/physiopathology
MH  - Retrospective Studies
MH  - Tomography, Optical Coherence
MH  - Visual Acuity/physiology
EDAT- 2015/12/23 06:00
MHDA- 2016/07/15 06:00
CRDT- 2015/12/23 06:00
PHST- 2015/07/05 00:00 [received]
PHST- 2015/10/08 00:00 [revised]
PHST- 2015/10/12 00:00 [accepted]
PHST- 2015/12/23 06:00 [entrez]
PHST- 2015/12/23 06:00 [pubmed]
PHST- 2016/07/15 06:00 [medline]
AID - S0161-6420(15)01197-5 [pii]
AID - 10.1016/j.ophtha.2015.10.020 [doi]
PST - ppublish
SO  - Ophthalmology. 2016 Mar;123(3):583-9. doi: 10.1016/j.ophtha.2015.10.020. Epub 
      2015 Dec 12.