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KMID : 0360220200610070765
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Journal of the Korean Ophthalmological Society
2020 Volume.61 No. 7 p.765 ~ p.771
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Fusion and Suppression in Patients with Unilateral Idiopathic Epiretinal Membrane
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Cho In-Hwan
Park Un-Chul
Kim Seong-Joon
Ryoo Na-Kyung
Yu Hyeong-Gon
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Abstract
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Purpose: To investigate the presence of fusion and suppression in patients with unilateral idiopathic epiretinal membrane (ERM).
Methods: Thirty-five patients with unilateral idiopathic ERM received a full ophthalmologic exam including best corrected visual acuity (BCVA). Patients were divided into suppression and non-suppression groups according to the results of 4 Prism Dioptre Base-out Test and Worth 4 Dot test. Age, symptoms, duration of ERM, BCVA, average M-chart score, results of Titmus test and optical coherence tomography parameters were compared between the two groups. Factors associated with suppression were also evaluated.
Results: Eleven (31%) of 35 patients had suppression. The BCVA (0.18 ± 0.12 vs. 0.29 ± 0.12 p = 0.019) and stereopsis (2.25 ± 0.27 vs. 2.66 ± 0.62, p = 0.009) were significantly lower in the suppression group than the non-suppression group. Median age was older (63.21 ± 9.64 vs. 70.82 ± 6.80, p = 0.013) and duration of ERM (7.86 ± 3.69 vs. 18.54 ± 14.92 months, p = 0.004) was longer in the suppression group than the non-suppression group. Average M-chart score was higher in the suppression group.
However, not all the patients suffered from metamorphopsia, including the suppression group when using binocular vision.
Conclusions: Unilateral suppression is common in unilateral idiopathic ERM and influences the patient’s stereopsis.
Suppression was significantly correlated with age, duration of symptoms and metamorphopsia.
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KEYWORD
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Epiretinal membrane, Metamorphopsia, Suppression, Sensory fusion, Stereopsis
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