Visual acuity loss after vitrectomy for epiretinal membrane in eyes with glaucoma.

IF 2.3 2区医学 Q2 OPHTHALMOLOGY

Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2024-10-16 DOI:10.1097/IAE.0000000000004308

Tomomi Higashide, Sachiko Udagawa, Yoko Yamashita, Shunsuke Tsuchiya, Tetsuhiko Okuda, Kazuaki Kadonosono, Kazuhisa Sugiyama

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引用次数: 0

Abstract

Purpose: To investigate the incidence and predictors of visual acuity (VA) loss after surgery for epiretinal membrane (ERM) in glaucomatous eyes.

Methods: A prospective cohort study examining VA and central visual fields (VFs, Humphrey 10-2) at baseline and 3, 6, and 12 months after vitrectomy with internal limiting membrane peeling for ERM in the glaucoma (47 eyes of 43 patients) and control (46 eyes of 46 patients) groups. VA and VF tests were repeated for ≥1.5 years only for the glaucoma group. Factors associated with substantial VA loss [>0.2 logMAR (about >2 lines on the Snellen chart) from baseline] were determined using a Cox proportional hazards model.

Results: Until 1 year postoperatively, no substantial VA loss occurred and postoperative VA improved significantly and similarly in both groups (P<0.001 vs. baseline, P>0.15 between two groups). Substantial VA loss occurred in eight eyes (17%) with glaucoma ≥1.5 years postoperatively, which was associated with worse preoperative VF mean deviation and 1-year mean decrease in postoperative VF mean deviation (hazard ratio = 0.83, 0.72; P = 0.018, <0.001, respectively).

Conclusions: Substantial VA loss occurred long after ERM surgery in eyes with glaucoma, which was associated with worse preoperative central VFs and greater central VF deterioration during the first postoperative year.

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青光眼眼球视网膜外膜玻璃体切除术后视力下降。

目的：研究青光眼视网膜外膜（ERM）手术后视力（VA）下降的发生率和预测因素：一项前瞻性队列研究，检查青光眼组（43 名患者中的 47 只眼睛）和对照组（46 名患者中的 46 只眼睛）的基线视力和中心视野（VFs，Humphrey 10-2），以及玻璃体切除术后 3、6 和 12 个月的视力和中心视野（VFs，Humphrey 10-2）。仅青光眼组在≥1.5年后重复进行视力和视力测试。使用 Cox 比例危险度模型确定了与视力大幅下降[与基线相比>0.2 logMAR（约在斯奈伦视力表上>2行）]相关的因素：直到术后 1 年，两组患者的视力均未出现大幅下降，术后视力改善显著且相似（两组间 P0.15）。术后≥1.5年的青光眼患者中有8只眼睛（17%）出现了视力严重下降，这与术前视力平均偏差较差和术后1年视力平均偏差下降有关（危险比=0.83，0.72；P=0.018，结论：术后1年视力平均偏差较差与术后1年视力平均偏差下降有关：青光眼患者在ERM手术后很长时间内会出现大量视力损失，这与术前中心VF较差和术后第一年中心VF恶化程度较大有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Retina-The Journal of Retinal and Vitreous Diseases 医学-眼科学

CiteScore

5.70

自引率

9.10%

发文量

554

审稿时长

3-6 weeks

期刊介绍： RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice. In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color. Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.