title: Improvement of horizontal macular contraction after surgical removal of epiretinal membranes.
abstract: OBJECTIVE
  To determine whether horizontal macular contraction caused by epiretinal membranes (ERMs) improves after surgical removal.
  
  
  METHODS
  In this prospective, single-center, observational study, 63 consecutive patients with unilateral idiopathic ERM in one eye and no retinal disease in the fellow eye underwent pars plana vitrectomy. Fundus photography and optical coherence tomography (OCT) were performed preoperatively and at 3 months postoperatively. The area enclosed by superior and inferior major vessels from the optic disc to the fovea (area under major vessel (AUV)) and the macroscopic diverging angle (MDA) between superior and inferior major vessels were calculated using digital image analysis of fundus photographs and compared pre- and postoperatively.
  
  
  RESULTS
  AUV was significantly smaller in the eyes with ERM compared with the normal fellow eyes (P<0.001). Significant postoperative change in AUV and MDA was demonstrated after ERM removal (P<0.001). However, postoperative AUV of grade 2 and 3 ERM eyes was still significantly smaller than that of normal fellow eyes. Macular thickness differences measured with stratus OCT were positively correlated with AUV differences.
  
  
  CONCLUSIONS
  Retinal topographic changes caused by ERM improved in part after ERM removal. The improvement of topographic changes were correlated with tomographic changes detected with OCT.
authors: Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea.
authors: H K
authors: HK
authors: Yang
authors: S J
authors: SJ
authors: Kim
authors: Y S
authors: YS
authors: Jung
authors: K G
authors: KG
authors: Kim
authors: J H
authors: JH
authors: Kim
authors: H G
authors: HG
authors: Yu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001036:Aphakia, Postcataract; D019773:Epiretinal Membrane / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D008266:Macula Lutea / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D041623:Tomography, Optical Coherence; D014792:Visual Acuity; D014821:Vitrectomy / Q000009:adverse effects*