Relationship of Epiretinal Membrane Formation and Macular Edema Development in a Large Cohort of Uveitic Eyes

Ocul Immunol Inflamm. 2021 Jul 4;29(5):915-921. doi: 10.1080/09273948.2019.1704026. Epub 2020 Jan 21.

Abstract

Purpose: To identify the temporal relationship and clinical characteristics of epiretinal membrane (ERM) and macular edema (ME) formation in uveitic eyes.Methods: A total of 269 subjects (444 uveitic eyes) met study inclusion criteria. Comprehensive ophthalmic examination, spectral domain-optical coherence tomography (SD-OCT), and clinical testing were carried out.Results: Of the 444 uveitic eyes, 229 eyes (51.6%) developed an ERM, whereas 87 eyes (19.1%) developed ME. The odds ratios (ORs) of systemic disease causing uveitis and resulting in ERM and ME were significantly higher in posterior uveitis (OR 6.56, 95% CI 2.98-14.46; p < .0001) and panuveitis (OR 10.09, 95% CI 4.05-25.15; p < .0001). Temporal analysis revealed that an ERM was noted concurrently or prior to ME development in 93.8% of eyes.Conclusions: ERM and ME are primarily observed in posterior uveitis and panuveitis associated with systemic diseases. The temporal relationship highlights the importance of characterization of ERM as it relates to the development of uveitic ME.

Keywords: Epiretinal membrane; macular edema; ocular inflammation; spectral domain-optical coherence tomography; uveitis.

MeSH terms

  • Adult
  • Aged
  • Epiretinal Membrane / diagnostic imaging
  • Epiretinal Membrane / etiology*
  • Female
  • Humans
  • Macular Edema / diagnostic imaging
  • Macular Edema / etiology*
  • Male
  • Middle Aged
  • Retrospective Studies
  • Tomography, Optical Coherence
  • Uveitis / complications*
  • Visual Acuity