Peripheral Retinal Degenerations and Idiopathic Epiretinal Membrane: Analysis with Ultra-Wide-Field Scanning Laser Ophthalmoscopy
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Participants
2.2. Examination Procedure
2.3. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
- In most people, ERM coexists with peripheral retinal changes.
- Some of these changes promote retinal detachment. Thus, surgeons should consider the risk of retinal tear during vitrectomy, which increases the scope of surgery and may adversely affect prognosis. According to the results obtained in our study, we strongly suggest examining patients before the vitrectomy (ILM peeling) procedure with a Goldmann triple mirror.
- Ultra-wide field ophthalmoscopy is a valuable diagnostic method. It enabled the detection of nearly 87% of all peripheral retinal lesions in patients with ERM, but it cannot replace fundus examination with a Goldmann triple mirror or ophthalmoscopy with scleral indentation.
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
ERM | Epiretinal Membrane |
OCT | Optical Coherence Tomography |
OCT-A | Optical Coherence Tomography Angiography |
UWFP | Ultra-Wide Field Laser Opthalmoscopy |
BCVA | Best Corrected Visual Acuity |
ILM | Internal Limiting Membrane |
AMD | Age-Related Macular Degeneration |
DR | Diabetic Retinopathy |
RD | Retinal Detachment |
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Lattice Degeneration | Snail Track Degeneration | Paving Stone Degeneration | Retinoschisis | Microcystoid Degeneration | Retinal Break | |
---|---|---|---|---|---|---|
ERM group | 14 (14.58%) | 12 (12.5%) | 33 (34.37%) | 7 (7.29%) | 11 (11.45%) | 19 (19.79%) |
Control group | 7 (16.66%) | 6 (14.28%) | 15 (35.71%) | 5 (11.90%) | 5 (11.90%) | 4 (9.52%) |
Statistical comparison | p = 0.29 | p = 0.33 | p = 0.047 | p = 0.85 | p = 0.28 | p = 0.006 |
Lattice Degeneration | Snail Track Degeneration | Paving Stone Degeneration | Retinoschisis | Microcystoid Degeneration | Retinal Break | |
---|---|---|---|---|---|---|
ERM group | 11 (13.0%) | 9 (10.7%) | 31 (36.90%) | 5 (5.95%) | 10 (11.90%) | 18 (21.42%) |
Control group | 4 (14.28%) | 2 (7.14%) | 11 (39.28%) | 3 (10.71%) | 5 (17.85%) | 4 (14.28%) |
Statistical comparison | p = 0.16 | p = 0.077 | p = 0.01 | p = 0.40 | p = 0.38 | p = 0.01 |
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Ulfik-Dembska, K.; Teper, S.; Dembski, M.; Nowińska, A.; Wylęgała, E. Peripheral Retinal Degenerations and Idiopathic Epiretinal Membrane: Analysis with Ultra-Wide-Field Scanning Laser Ophthalmoscopy. J. Clin. Med. 2021, 10, 3876. https://doi.org/10.3390/jcm10173876
Ulfik-Dembska K, Teper S, Dembski M, Nowińska A, Wylęgała E. Peripheral Retinal Degenerations and Idiopathic Epiretinal Membrane: Analysis with Ultra-Wide-Field Scanning Laser Ophthalmoscopy. Journal of Clinical Medicine. 2021; 10(17):3876. https://doi.org/10.3390/jcm10173876
Chicago/Turabian StyleUlfik-Dembska, Klaudia, Sławomir Teper, Michał Dembski, Anna Nowińska, and Edward Wylęgała. 2021. "Peripheral Retinal Degenerations and Idiopathic Epiretinal Membrane: Analysis with Ultra-Wide-Field Scanning Laser Ophthalmoscopy" Journal of Clinical Medicine 10, no. 17: 3876. https://doi.org/10.3390/jcm10173876