Epiretinal membranes in uveitic macular edema: Effect on vision and response to therapy

Brian Lehpamer, Erin Moshier, Patricia Pahk, Naomi Goldberg, Jessica Ackert, James Godbold, Douglas A. Jabs

Research output: Contribution to journalArticle

Abstract

Purpose To evaluate the effects of epiretinal membranes on the response of uveitic macular edema to therapy and on visual acuity outcomes. Design Retrospective case series. Methods One hundred four eyes of 77 patients with uveitic macular edema were identified at a tertiary care center. Epiretinal membranes were diagnosed when identified by 2 investigators' grading of spectral-domain optical coherence tomography and scored for the presence or absence of surface wrinkling. Outcomes included best-corrected visual acuity, central subfield thickness, and rates of macular edema improvement (>20% reduction in central subfield thickness) and resolution (reduction of central subfield thickness to <315 μm) at 3 and 6 months follow-up. Results Seventy-two eyes of 59 patients had an epiretinal membrane on presentation. Eyes without epiretinal membranes and with epiretinal membranes without surface wrinkling were not significantly different at presentation or at 3 and 6 months follow-up. Conversely, eyes with an epiretinal membrane with retinal surface wrinkling had a greater proportion of eyes with 20/200 or worse visual acuity at presentation, and had worse mean acuities at 3 months (20/94 vs 20/35 for eyes without an epiretinal membrane, P =.002) and at 6 months follow-up (20/110 vs 20/36 for eyes without an epiretinal membrane, P =.02). At 6 months of follow-up the mean central subfield thicknesses were: eyes without an epiretinal membrane, 338 ± 23 μm; and eyes with an epiretinal membrane and surface wrinkling, 405 ± 22 μm (P =.05). Conclusions In eyes with epiretinal membranes and retinal surface wrinkling, uveitic macular edema had a poorer visual acuity response to medical therapy and thicker maculae at 6 months.

Original languageEnglish (US)
Pages (from-to)1048-1055
Number of pages8
JournalAmerican journal of ophthalmology
Volume157
Issue number5
DOIs
StatePublished - May 2014

ASJC Scopus subject areas

  • Ophthalmology

Fingerprint Dive into the research topics of 'Epiretinal membranes in uveitic macular edema: Effect on vision and response to therapy'. Together they form a unique fingerprint.

  • Cite this