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FIVE-YEAR FOLLOW-UP AFTER EPIRETINAL MEMBRANE SURGERY: A Single-Center Experience
Efrat Fleissig1, Dinah Zur, Elad Moisseiev
1Ophthalmology Division, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Epiretinal membrane (ERM) recurrence after peeling surgery was 58% in this 5-year study, much higher than previously reported rates. However, visual acuity remained unaffected by the recurrent ERM.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Epiretinal membrane (ERM) is a common condition affecting the macula.
- ERM peeling surgery aims to restore visual function.
- Long-term recurrence rates after ERM surgery require further investigation.
Purpose of the Study:
- To determine the rate of epiretinal membrane recurrence in eyes that underwent ERM peeling surgery at least 5 years prior.
Main Methods:
- Retrospective case series of 37 patients with a minimum 5-year follow-up.
- Evaluated visual acuity, ophthalmic examination, and optical coherence tomography (OCT) preoperatively, postoperatively, and at 5 years.
Main Results:
- Visual acuity improved significantly at 1 year and was maintained at 5 years.
- Central macular thickness decreased significantly by year 5.
- The 5-year ERM recurrence rate was 58%, with 28% being extrafoveal.
Conclusions:
- The observed ERM recurrence rate of 58% is substantially higher than previously reported (5-12%).
- Despite high recurrence, visual acuity was generally unaffected, suggesting mild nature of recurrent ERMs.
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