PMID- 31013497 OWN - NLM STAT- MEDLINE DCOM- 20200210 LR - 20200210 IS - 1423-0259 (Electronic) IS - 0030-3747 (Linking) VI - 63 IP - 1 DP - 2020 TI - The Role of Disorganization of Retinal Inner Layers as Predictive Factor of Postoperative Outcome in Patients with Epiretinal Membrane. PG - 13-17 LID - 10.1159/000499370 [doi] AB - PURPOSE: The purpose of this retrospective study was to evaluate the disorganization of the retinal inner layers (DRIL) as a potential predictive factor of postoperative visual outcome in patients with idiopathic epiretinal membrane (iERM), treated with pars plana vitrectomy (PPV). METHODS: Participants in the study were 46 consecutive patients diagnosed with iERM, who underwent PPV. Best corrected visual acuity (BCVA) measurement and spectral-domain optical coherence tomography (SD-OCT) were performed at baseline (preoperatively), and at months 3 and 6 postoperatively. DRIL and additional OCT parameters were assessed at 1-mm-wide foveal centered area. RESULTS: DRIL was observed in 47.8% of patients at baseline. There was statistically significant improvement in BCVA and central retinal thickness (CRT) between baseline and months 6 and 12 in all patients. There was a statistically significant difference in BCVA and CRT change between patients with and without DRIL at months 6 and 12 compared to baseline, showing that there was a correlation between change in BCVA or CRT and baseline DRIL. Ellipsoid zone and external limiting membrane were intact in 91.3 and 95.7%, respectively, not affecting our results. CONCLUSIONS: Baseline DRIL has been shown to be predictive of postoperative visual outcome in patients with iERM, treated with PPV. CI - (c) 2019 S. Karger AG, Basel. FAU - Garnavou-Xirou, Christina AU - Garnavou-Xirou C AD - Red Cross Hospital, Athens, Greece. FAU - Xirou, Tina AU - Xirou T AD - Red Cross Hospital, Athens, Greece. FAU - Gkizis, Ilias AU - Gkizis I AD - Red Cross Hospital, Athens, Greece. FAU - Kabanarou, Stamatina A AU - Kabanarou SA AD - Red Cross Hospital, Athens, Greece. FAU - Dimitriou, Eleni AU - Dimitriou E AD - 2nd Department of Ophthalmology, University of Athens, Athens, Greece. FAU - Theodossiadis, Panagiotis AU - Theodossiadis P AD - 2nd Department of Ophthalmology, University of Athens, Athens, Greece. FAU - Chatziralli, Irini AU - Chatziralli I AD - 2nd Department of Ophthalmology, University of Athens, Athens, Greece, eirchat@yahoo.gr. LA - eng PT - Journal Article DEP - 20190423 PL - Switzerland TA - Ophthalmic Res JT - Ophthalmic research JID - 0267442 SB - IM MH - Aged MH - Aged, 80 and over MH - *Epiretinal Membrane/pathology/surgery MH - Female MH - Fluorescein Angiography MH - Humans MH - Male MH - Middle Aged MH - Predictive Value of Tests MH - Retina/*pathology MH - Retrospective Studies MH - Tomography, Optical Coherence MH - *Vitrectomy OTO - NOTNLM OT - Disorganization of retinal inner layers OT - Epiretinal membrane OT - Optical coherence tomography OT - Vitrectomy EDAT- 2019/04/24 06:00 MHDA- 2020/02/11 06:00 CRDT- 2019/04/24 06:00 PHST- 2018/12/31 00:00 [received] PHST- 2019/02/26 00:00 [accepted] PHST- 2019/04/24 06:00 [pubmed] PHST- 2020/02/11 06:00 [medline] PHST- 2019/04/24 06:00 [entrez] AID - 000499370 [pii] AID - 10.1159/000499370 [doi] PST - ppublish SO - Ophthalmic Res. 2020;63(1):13-17. doi: 10.1159/000499370. Epub 2019 Apr 23.