Retinal adherence and fibrillary surface changes correlate with surgical difficulty of epiretinal membrane removal.

ABSTRACT:

Purpose

To correlate surgical difficulty of epiretinal membrane (ERM) removal with characteristics of ERM adherence seen by spectral-domain optical coherence tomography (SD-OCT).

Design

Prospective observational case series.

Methods

Surgical difficulty was correlated with extent of ERM adherence by SD-OCT using masked observers in consecutive eyes undergoing ERM removal (N=31). Surgical videos were analyzed and difficulty of ERM removal (grade 1-3) was determined in 4 quadrants as well as the fovea by consensus of observers masked to SD-OCT findings. Extent of ERM adhesion was categorized (focal, broad, or complete) by masked observers using SD-OCT. The presence of fibrillary changes between the ERM and retinal nerve fiber layer (RNFL) was also evaluated. Surgical dif

SUBMITTER: Kim JS 

PROVIDER: S-EPMC3297697 | biostudies-literature | 2012 Apr

REPOSITORIES: biostudies-literature