Retrospective case series.
One hundred four eyes of 77 patients with uveitic macular edema were identified at a tertiary care center. Epiretinal membranes were diagnosed when identified by 2 investigators' grading of spectral-domain optical coherence tomography and scored for the presence or absence of surface wrinkling. Outcomes included best-corrected visual acuity, central subfield thickness, and rates of macular edema improvement (>20% reduction in central subfield thickness) and resolution (reduction of central subfield thickness to <315聽渭m) at 3 and 6聽months follow-up.
Seventy-two eyes of 59 patients had an epiretinal membrane on presentation. Eyes without epiretinal membranes and with epiretinal membranes without surface wrinkling were not significantly different at presentation or at 3 and 6聽months follow-up. Conversely, eyes with an epiretinal membrane with retinal surface wrinkling had a greater proportion of eyes with 20/200 or worse visual acuity at presentation, and had worse mean acuities at 3聽months (20/94 vs 20/35 for eyes without an epiretinal membrane, P聽= .002) and at 6聽months follow-up (20/110 vs 20/36 for eyes without an epiretinal membrane, P聽= .02). At 6聽months of follow-up the mean central subfield thicknesses were: eyes without an epiretinal membrane, 338 卤 23聽渭m; and eyes with an epiretinal membrane and surface wrinkling, 405 卤 22聽渭m (P聽= .05).
In eyes with epiretinal membranes and retinal surface wrinkling, uveitic macular edema had a poorer visual acuity response to medical therapy and thicker maculae at 6聽months.