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학술저널
저자정보
임준현 (고신대학교 의과대학 안과학교실) 한용섭 (경상대학교 의과대학 안과학교실 창원경상대학교병원 안과) 임형빈 (충남대학교 의과대학 안과학교실 국군수도병원 안과) 이상준 (고신대학교 의과대학 안과학교실) 남기엽 (창원경상대학교병원 안과)
저널정보
한국망막학회 Journal of Retina Journal of Retina Vol.5 No.1
발행연도
2020.1
수록면
29 - 36 (8page)

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Purpose: We investigated correlations between early foveal contour recovery after idiopathic epiretinal membrane (iERM) surgery and visual improvement. Methods: We retrospectively reviewed the medical records of patients who had iERM surgery between June 2015 and June 2017. The patients were sorted into two groups (recovery and non-recovery groups) according to foveal changes within 1 month of surgery. We compared the best-corrected visual acuity (logarithm of the minimum angle of resolution) and central macular thickness (CMT) and their changes from the pre-operative state at 1, 2, 3, 6, and 12 months after surgery for the two groups. The pre-operative optical coherence tomography and fluorescein angiography features were also compared. Results: A total of 43 patients were enrolled. There were 16 patients in the recovery group, and 27 patients in the non-recovery group. There was greater visual improvement in the recovery group at all time points compared to that in the non-recovery group. The differences were statistically significant at post-operative 2, 6, and 12 months (p = 0.036, p = 0.023, and p = 0.008, respectively). In addition, there were a significantly larger CMT reductions in the recovery group at all time points compared to that in the non-recovery group (p = 0.006, p = 0.010, p < 0.001, p = 0.010, and p = 0.015, respectively). Pre-operative inner retinal thickening on optical coherence tomography was significantly associated with foveal contour recovery. Conclusions: During one year of follow-up, better visual improvement was observed in patients with early foveal pit contour recovery after iERM surgery.

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