Author:
Kwon Soonil,Kim Boyun,Jeon Sohee
Abstract
AbstractWhile the precise diagnosis of early stage epiretinal membrane (ERM) at the time of cataract surgery and evaluation of risk factors for development or progression of ERM after cataract surgery is increasingly important, there is only limited information. In the present study, we evaluated the risk factors for onset or progression of ERM on spectral domain optical coherence tomography (SD-OCT) after cataract surgery. The univariate analysis showed that eyes with partial posterior vitreous detachment (PVD; p < 0.001), hyper-reflective foci (HF) on the inner retinal surface (p < 0.001), vitreoschisis (p = 0.014), and discrete margin of different retinal reflectivity (DMDRR; p = 0.007) on ultra-widefield fundus photography (UWF-FP) had significant risk for the onset or progression of ERM after cataract surgery. The multivariate analysis showed that partial PVD (HR, 3.743; 95% confidence interval [CI], 1.956–7.162; p < 0.001), HF (HR, 2.330; 95% CI, 1.281–4.239; p = 0.006), and DMDRR on UWF-FP (HR, 3.392; 95% CI, 1.522–7.558; p = 0.003) were the independent risk factors for the onset or progression of ERM after cataract surgery after adjustment for other confounding factors. Our study shows that the onset or progression of ERM after cataract surgery depends on an abnormal vitreoretinal interface (VRI) represented by partial PVD, HF on SD-OCT, and DMDRR on UWF-FP, not on age, axial length, or presence of ERM at the time of surgery. A meticulous funduscopic evaluation of the VRI would help to predict the ERM risk before cataract surgery.
Funder
National Research Foundation of Korea
Publisher
Springer Science and Business Media LLC
Reference27 articles.
1. Appiah, A. P. & Hirose, T. Secondary causes of premacular fibrosis. Ophthalmology 96, 389–392 (1989).
2. Klein, R. et al. The epidemiology of epiretinal membranes. Trans. Am. Ophthalmol. Soc. 92, 403–425 (1994).
3. Bu, S. C., Kuijer, R., Li, X. R., Hooymans, J. M. & Los, L. I. Idiopathic epiretinal membrane. Retina 12, 2317–2335 (2014).
4. Fong, C. S. et al. Incidence and progression of epiretinal membranes in eyes after cataract surgery. Am. J. Ophthalmol. 156, 312–318 (2013).
5. Jahn, C. E. et al. Epiretinal membranes after extracapsular cataract surgery. J. Cataract Refract. Surg. 27, 753–760 (2001).
Cited by
7 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献