Backgroud: To evaluate the efficacy of epiretinal membrane removal in patients with good best-corrected visual acuity (BCVA) for improving visual function and quality of life (QOL). Methods: This prospective case study compared 37 subjects with preoperative BCVA ≦ 0.046 logMAR (Good group) to 35 patients with 0.10 - 0.52 logMAR (Moderate group) at 3 and 6 months. Linear mixed-effect models were used for statistical analysis. The primary outcome was the horizontal metamorphopsia score (MH) at 6 months postoperatively (post-6 M), while secondary outcomes were postoperative BCVA, vertical metamorphopsia score (MV), aniseikonia, stereopsis and central foveal thickness. In the Good group, QOL was assessed using the National Eye Institute Visual Functioning Questionnaire-25 (NEI VFQ-25) at 6 and 12 months. Results: MH was significantly improved at post-3 M and post-6 M in the both groups but there were no significant differences between the two groups. MV showed no improvement at the final observation in either group. LogMAR BCVA was significantly improved at post-6 M in the Good group, which had significantly better vision than the Moderate group. Preoperative vertical and horizontal aniseikonia scores remained unchanged in the Good group at post-6 M but worsened in the Moderate group. The NEI VFQ-25 score improved in the Good group, reflecting improved general health, general vision, and mental health. Conclusions: Early epiretinal surgery for patients with BCVA ≦ 0.046 logMAR was effective for improvement of HM, BCVA, and QOL and prevented worsening of aniseikonia.

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On 07 Nov, 2019
On 26 Jul, 2019
Posted 30 Jul, 2019
On 16 Jul, 2019
On 15 Jul, 2019
On 14 Jul, 2019
On 14 Jul, 2019
On 11 Jul, 2019
Received 01 Jul, 2019
Invitations sent on 23 Jun, 2019
On 23 Jun, 2019
On 23 Jun, 2019
Received 23 Jun, 2019
On 20 Jun, 2019
On 20 Jun, 2019
On 20 Jun, 2019
On 29 May, 2019
Received 28 May, 2019
On 18 May, 2019
Received 18 May, 2019
Invitations sent on 17 May, 2019
On 17 May, 2019
On 04 May, 2019
On 04 May, 2019
On 04 May, 2019
On 07 Nov, 2019
On 26 Jul, 2019
Posted 30 Jul, 2019
On 16 Jul, 2019
On 15 Jul, 2019
On 14 Jul, 2019
On 14 Jul, 2019
On 11 Jul, 2019
Received 01 Jul, 2019
Invitations sent on 23 Jun, 2019
On 23 Jun, 2019
On 23 Jun, 2019
Received 23 Jun, 2019
On 20 Jun, 2019
On 20 Jun, 2019
On 20 Jun, 2019
On 29 May, 2019
Received 28 May, 2019
On 18 May, 2019
Received 18 May, 2019
Invitations sent on 17 May, 2019
On 17 May, 2019
On 04 May, 2019
On 04 May, 2019
On 04 May, 2019
Backgroud: To evaluate the efficacy of epiretinal membrane removal in patients with good best-corrected visual acuity (BCVA) for improving visual function and quality of life (QOL). Methods: This prospective case study compared 37 subjects with preoperative BCVA ≦ 0.046 logMAR (Good group) to 35 patients with 0.10 - 0.52 logMAR (Moderate group) at 3 and 6 months. Linear mixed-effect models were used for statistical analysis. The primary outcome was the horizontal metamorphopsia score (MH) at 6 months postoperatively (post-6 M), while secondary outcomes were postoperative BCVA, vertical metamorphopsia score (MV), aniseikonia, stereopsis and central foveal thickness. In the Good group, QOL was assessed using the National Eye Institute Visual Functioning Questionnaire-25 (NEI VFQ-25) at 6 and 12 months. Results: MH was significantly improved at post-3 M and post-6 M in the both groups but there were no significant differences between the two groups. MV showed no improvement at the final observation in either group. LogMAR BCVA was significantly improved at post-6 M in the Good group, which had significantly better vision than the Moderate group. Preoperative vertical and horizontal aniseikonia scores remained unchanged in the Good group at post-6 M but worsened in the Moderate group. The NEI VFQ-25 score improved in the Good group, reflecting improved general health, general vision, and mental health. Conclusions: Early epiretinal surgery for patients with BCVA ≦ 0.046 logMAR was effective for improvement of HM, BCVA, and QOL and prevented worsening of aniseikonia.

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