Zayer and co-workers aimed to evaluate macular features on preoperative ocular coherence tomography (OCT) as indicators of postoperative visual gain following vitrectomy for epiretinal membrane (ERM). The researchers included 66 patients that underwent vitrectomy with membrane and internal limiting membrane peeling for symptomatic ERM. Eyes were divided into three subgroups (domed, flat and depressed pre-op macular contour) with the help of en face OCT imaging. Eyes with domed pre-op macular contour gained a mean 2.4 lines and eyes with flat or depressed macular contour gained a mean 0.6 lines at one year (P = 0.02).
Zayer and co-workers concludded that, a macular domed contour in eyes with ERM predicted better visual gain after vitrectomy with ERM and internal limiting membrane peeling compared with a flat or depressed contour.
Zeyer JC, Parker P, Dajani O, MacCumber MW. PREOPERATIVE DOMED MACULAR CONTOUR CORRELATES WITH POSTOPERATIVE VISUAL GAIN AFTER VITRECTOMY FOR SYMPTOMATIC EPIRETINAL MEMBRANE. Retina. 2021;41(3):505-509. https://pubmed.ncbi.nlm.nih.gov/32568987/