One year results of the follow-up of patients with asymptomatic idiopathic epiretinal membrane

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Ferrero, Arthur | Bonnabel, Arnaud | Gascard, L. | Bron, Alain M. | Creuzot-Garcher, Catherine

Edité par CCSD ; Wiley-Blackwell -

National audience. Purpose: To determine anatomical and functional retinal modifications in patients with idiopathic epiretinal membrane (ERM) without objective symptoms. Methods: This prospective monocentric study included 28 eyes of 28 patients with ERM having a best corrected visual acuity greater than 20/25. All patients underwent a complete ophthalmic examination, including the measurement of the visual acuity on the ETDRS scale, a macular SD‐OCT and a microperimetry at 0, 6 and 12 months. We assessed macular abnormalities on SD‐OCT namely: retinal folds, retrofoveolar deposits, cystoid cavities and external retinal layers alterations. Results: At baseline the mean visual acuity was 85±4 letters, the mean macular sensitivity was 14.3±1.3 decibels, the mean macular thickness was 357±32 micrometers and the score of the SD‐OCT retinal abnormalities per patient was 2.5±0.8. At one year, the score of the SD‐OCT retinal abnormalities per patient was significantly higher: 3.3±1.3 (p=0.007). At one year, the mean visual acuity, the mean macular sensitivity and the mean macular thickness were stable at 84±5 letters (p=0.8), 14.4±1.7 decibels (p=0.8) and 356±43 micrometers (p=0.3), respectively. Conclusion: This study showed an increased number of retinal lesions observed on SD‐OCT with a stable visual acuity and a stable retinal sensitivity measured with the microperimetry after one year of follow‐up.

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