title: Preoperative Prognostic Factors and Predictive Score in Patients Operated On for Combined Cataract and Idiopathic Epiretinal Membrane.
abstract: OBJECTIVE
  To report preoperative prognostic factors associated with visual acuity recovery 1 year after combined cataract and idiopathic epiretinal membrane (ERM) surgery and to introduce a predictive score.
  
  
  METHODS
  Interventional case series and estimation of a predictive score.
  
  
  METHODS
  One hundred forty-two patients (1 eye per patient) operated on for combined cataract and idiopathic ERM in the University Hospital of Dijon were followed for 12 months. Preoperative clinical features and spectral-domain optical coherence tomography (OCT) parameters were compared between eyes that recovered ≥20/20 final best-corrected visual acuity (BCVA) and those with <20/20 final BCVA. Multivariate analysis and predictive score were provided.
  
  
  RESULTS
  At 12 months, 60 eyes (42%) recovered ≥20/20 BCVA and 82 (58%) had lower visual results. Logistic regression analysis showed that final BCVA was associated with age (P = .040), duration of symptoms (P = .025), initial BCVA (P = .002), and inner and outer segment (IS/OS) junction disruption on spectral-domain OCT (P = .010). The preoperative 10-point predictive score including these parameters reached 82% sensitivity and 66% specificity. With a score >5, patients had a ≥56% chance of recovering 20/20 final BCVA instead of ≤27% when the score was ≤5.
  
  
  CONCLUSIONS
  Age, duration of symptoms, and initial BCVA appear to be reliable prognostic factors in patients undergoing combined cataract and idiopathic ERM surgery. Combining these factors with analysis of the IS/OS junction provides a predictive score to estimate individual chances of good visual outcome.
authors: Ophthalmology Department, University Hospital, Dijon, France.
authors: Yann
authors: Y
authors: Kauffmann
authors: Ophthalmology Department, University Hospital, Dijon, France.
authors: Jean-Christophe
authors: JC
authors: Ramel
authors: Epidemiology Department, University Hospital, Dijon, France.
authors: Annick
authors: A
authors: Lefebvre
authors: Ophthalmology Department, University Hospital, Dijon, France.
authors: Rodica
authors: R
authors: Isaico
authors: Ophthalmology Department, University Hospital, Dijon, France.
authors: Aurelie
authors: A
authors: De Lazzer
authors: Ophthalmology Department, University Hospital, Dijon, France.
authors: Arnaud
authors: A
authors: Bonnabel
authors: Ophthalmology Department, University Hospital, Dijon, France; Eye and Nutrition Research Group, CSGA, Dijon, France.
authors: Alain Marie
authors: AM
authors: Bron
authors: Ophthalmology Department, University Hospital, Dijon, France; Eye and Nutrition Research Group, CSGA, Dijon, France. Electronic address: catherine.creuzot-garcher@chu-dijon.fr.
authors: Catherine
authors: C
authors: Creuzot-Garcher
mesh_terms: D000368:Aged; D002386:Cataract / Q000150:complications / Q000503:physiopathology; D019773:Epiretinal Membrane / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D018918:Phacoemulsification; D057234:Preoperative Period; D011379:Prognosis; D019591:Pseudophakia / Q000503:physiopathology; D012189:Retrospective Studies; D012307:Risk Factors; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology*; D014821:Vitrectomy