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标题：Prediction of the Expected Extent of Surgical Difficulty When Removing an Idiopathic Epiretinal Membrane
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作者：Joseph Kim ; Jun Seob Lee ; Hee Seung Chin 等
期刊名称：Journal of the Korean Ophthalmological Society
印刷版ISSN：0378-6471
出版年度：2021
卷号：62
期号：6
页码：792-797
DOI：10.3341/jkos.2021.62.6.792
出版社：The Korean Ophthalmological Society
摘要：Purpose We sought to predict how difficult surgical removal of an epiretinal membrane (ERM) might be by analyzing the preoperative characteristics of the ERM. Methods From 2016 to 2020, 75 patients diagnosed with idiopathic ERMs who underwent ERM removal were evaluated in terms of surgical time (via video analysis); associations between that time and preoperative color fundus photographs and optical coherence tomography findings were sought. Results The surgical time was associated with the vascular tortuosity grade, the ERM stage, and fibrillary changes ( p = 0.024, p = 0.020, and p = 0.018). Dummy regression analysis showed that EMR stage 4, and vascular tortuosity grades of 2 or 3, increased the surgical time ( p = 0.036, p = 0.049). Conclusions Surgery may be difficult if the ERM is of stage 4 or the vascular tortuosity grade 2 or more. A retinal surgery novice should consider these factors when contemplating surgery.
其他关键词：Beginner, Epiretinal membrane, Vitrectomy