Observational studyBMC ophthalmology2025
Evaluation by M-charts and Microperimeter-MP3 after broad internal limiting membrane peeling for idiopathic epiretinal membrane.
Observational study in BMC ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
7 authors.
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Abstract
purposeTo assess the impact of broad-internal limiting membrane (ILM) peeling on retinal sensitivity (RS) and metamorphopsia assessed using M-CHARTS in patients with idiopathic epiretinal membrane (ERM).
designRetrospective observational case series.
methodsThe study analyzed 20 eyes treated with broad-ILM peeling within the vascular arcades area for ERM, over a 6-month follow-up. Outcomes measured included best-corrected visual acuity (BCVA), vertical M-CHARTS scores(MV) and horizontal M-CHARTS scores (MV), central macular thickness (CMT), and RS. RS was evaluated using Microperimeter-MP3 at specified central degrees, and points below 10 dB were considered microscotomas (MS).
resultsPostoperative BCVA improved significantly at 1 month, 3 months, and 6 months(all p < 0.01).No significant changes in CMT were noted.MH score improvements were significant at 6 months (P = 0.03), whereas MV scores remained unchanged (P > 0.05).RS notably improved within the central 4° at 3 months (P = 0.04) and 6 months (P = 0.05), but remained unchanged in the central 10° and 20° regions (P > 0.05). MS did not increase significantly at 1 month postoperatively and remained stable through 3 and 6 months (all P > 0.05).
conclusionBroad ILM peeling suggests potential for improving visual acuity and metamorphopsia in ERM patients without causing long-term detrimental effects on retinal sensitivity or increasing the occurrence of MS.
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