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Diabetic Retinopathy01:27

Diabetic Retinopathy

DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...

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Epiretinal Membrane Progression Following Cataract Surgery.

Bita Momenaei1, Abtin Shahlaee1,2, Michael K Nguyen3

  • 1The Retina Service of Wills Eye Hospital, Wills Eye Physicians Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, PA, USA.

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|September 29, 2025
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Summary
This summary is machine-generated.

Cataract surgery in eyes with early epiretinal membrane (ERM) generally leads to stable visual acuity (VA) over four years without significant ERM progression, especially in mild cases.

Keywords:
cataractepiretinal membraneoptical coherence tomographyphacoemulsification

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Area of Science:

  • Ophthalmology
  • Retinal Diseases

Background:

  • Epiretinal membrane (ERM) is a common condition affecting vision.
  • Cataract surgery is frequently performed in patients with ERM.

Purpose of the Study:

  • To evaluate the progression of epiretinal membrane (ERM) after cataract surgery.
  • To identify optical coherence tomography (OCT)-based biomarkers for ERM progression.
  • To assess visual outcomes in eyes with ERM post-cataract surgery.

Main Methods:

  • Retrospective review of 67 eyes with preexisting idiopathic ERM undergoing uncomplicated cataract surgery.
  • Utilized an established ERM grading scale and OCT features for evaluation.
  • Followed patients for an average of 47.8 months postoperatively.

Main Results:

  • Most eyes (83.6%) had stage 1 ERM initially.
  • Nonsignificant ERM progression observed at 59 weeks.
  • 16.1% of stage 1 ERM progressed to stage 2; 11.1% of stage 2 to stage 3; 50% of stage 3 to stage 4.
  • 10.4% developed macular edema; 6% required vitrectomy.
  • Visual acuity improved at 1 month and remained stable for 4 years in eyes not requiring vitrectomy.

Conclusions:

  • Mild-stage ERM eyes with improved visual acuity post-cataract surgery tend to maintain gains.
  • Significant ERM progression is uncommon in these eyes over a 4-year period.
  • Cataract surgery can be beneficial for visual function in ERM patients.