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Anand B. Bhatt, David Callanan; Comparison Of Outcomes In Eyes Undergoing Epiretinal Membrane Peeling In Patients With And Without Pre-existing Age-related Macular Degeneration. Invest. Ophthalmol. Vis. Sci. 2011;52(14):4480.
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There is a significant group of patients with coexisting epiretinalmembrane (ERM) and age related macular degeneration (AMD). Thesepatient’s may theoretically have poorer visual acuityoutcomes from surgery to remove an ERM. To date, no study hasinvestigated whether this group of patients enjoys the samebenefit from surgery for ERM peeling as otherwise healthy eyesof age matched patients.
31 eyes undergoing ERM peeling with pre-existing AMD were comparedto 33 eyes of otherwise healthy age matched control eyes undergoingERM peeling. Pre and post operative best corrected visual acuity(BCVA) in LogMAR notation and pre and post operative centralmacular thickness (CMT) by optical coherence tomography (OCT)were compared. Post operative data was collected in a window4 to 6 months after surgery to allow adequate healing time andboth metrics were collected on the same visit.
There was an average improvement in logMAR acuity of 0.188 inthe disease group, and an average improvement of logMAR 0.105in the control group. The average difference in the CMT wasan improvement of 73um in eyes with AMD and 72um in the controleyes. These differences were not statistically significant.
Eyes with AMD are likely to derive the same benefit of epiretinalmembrane peeling as otherwise healthy eyes.
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