Monocular and binocular end-points after epiretinal membrane surgery and their correlation to patient-reported outcomes
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Monocular and binocular end-points after epiretinal membrane surgery and their correlation to patient-reported outcomes. / Krarup, Therese; Nisted, Ivan; Christensen, Ulrik; Kiilgaard, Jens Folke; la Cour, Morten.
In: Acta Ophthalmologica, Vol. 98, No. 7, 2020, p. 716-725.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Monocular and binocular end-points after epiretinal membrane surgery and their correlation to patient-reported outcomes
AU - Krarup, Therese
AU - Nisted, Ivan
AU - Christensen, Ulrik
AU - Kiilgaard, Jens Folke
AU - la Cour, Morten
PY - 2020
Y1 - 2020
N2 - Purpose: This study evaluates current available endpoints for epiretinal membrane (ERM) surgery and examine their correlation to patient reported outcomes (PRO). Methods: Retrospective study including 38 eyes of 38 patients who underwent cataract extraction and subsequent vitrectomy for idiopathic ERM. The fellow eye was phakic with good visual acuity. The registered outcomes were monocular and binocular visual acuity, stereoacuity, M-chart metamorphopsia score, aniseikonia and aniseikonia tolerance range (ATR). Two questionnaires were completed: the convergence insufficiency symptom survey and Visual Function Questionnaire (VFQ-39). Results: Median total aniseikonia was 11% (range 0–35). There was a statistically significant correlation between the mean total M-chart score of the study eye and VFQ-Near (Spearman rho: VFQ-Near: −0.54, p < 0.01). There was no correlation between the best corrected visual acuity (BCVA) of the project eye, binocular BCVA, stereoacuity, ATR or mean total aniseikonia and PRO (Spearman p-values > 0.05). There was no correlation between mean total aniseikonia and mean total M-chart score (Spearman rho: 0.21 p = 0.26). There was a large variation between the mean total M-chart scores and questionnaire results. Conclusion: The mean total M-chart score is currently the best end-points to predict PRO of ERM surgery; however, it is possible to have high M-chart values and have no visual complaints.
AB - Purpose: This study evaluates current available endpoints for epiretinal membrane (ERM) surgery and examine their correlation to patient reported outcomes (PRO). Methods: Retrospective study including 38 eyes of 38 patients who underwent cataract extraction and subsequent vitrectomy for idiopathic ERM. The fellow eye was phakic with good visual acuity. The registered outcomes were monocular and binocular visual acuity, stereoacuity, M-chart metamorphopsia score, aniseikonia and aniseikonia tolerance range (ATR). Two questionnaires were completed: the convergence insufficiency symptom survey and Visual Function Questionnaire (VFQ-39). Results: Median total aniseikonia was 11% (range 0–35). There was a statistically significant correlation between the mean total M-chart score of the study eye and VFQ-Near (Spearman rho: VFQ-Near: −0.54, p < 0.01). There was no correlation between the best corrected visual acuity (BCVA) of the project eye, binocular BCVA, stereoacuity, ATR or mean total aniseikonia and PRO (Spearman p-values > 0.05). There was no correlation between mean total aniseikonia and mean total M-chart score (Spearman rho: 0.21 p = 0.26). There was a large variation between the mean total M-chart scores and questionnaire results. Conclusion: The mean total M-chart score is currently the best end-points to predict PRO of ERM surgery; however, it is possible to have high M-chart values and have no visual complaints.
KW - aniseikonia
KW - ERM
KW - patient reported outcomes
KW - stereoacuity
U2 - 10.1111/aos.14449
DO - 10.1111/aos.14449
M3 - Journal article
C2 - 32323909
AN - SCOPUS:85083785572
VL - 98
SP - 716
EP - 725
JO - Acta Ophthalmologica
JF - Acta Ophthalmologica
SN - 1755-375X
IS - 7
ER -
ID: 258402275