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Examinations were at baseline, one month after each surgery, and at 3\u00a0months and 12\u00a0months of follow\u2010up. Primary outcome was the <jats:styled-content style=\"fixed-case\">RE<\/jats:styled-content> (the difference between predicted and achieved spherical equivalent); secondary outcomes were best\u2010corrected visual acuity (<jats:styled-content style=\"fixed-case\">BCVA<\/jats:styled-content>), and incidence of cystoid macular oedema (<jats:styled-content style=\"fixed-case\">CME<\/jats:styled-content>) defined as &gt;10% increment of central subfield macular thickness (<jats:styled-content style=\"fixed-case\">CSMT<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010two eyes were enrolled. The mean <jats:styled-content style=\"fixed-case\">RE<\/jats:styled-content> showed a small myopic shift of \u22120.36D in all groups 1\u00a0month after surgery, decreasing after 12\u00a0months to \u22120.17D. The absolute value of the <jats:styled-content style=\"fixed-case\">RE<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">ARE<\/jats:styled-content>) ranged 0.49\u20130.68D after 12\u00a0months. In the immediate postoperative period, there was a higher incidence of <jats:styled-content style=\"fixed-case\">CME<\/jats:styled-content> in the <jats:styled-content style=\"fixed-case\">CAT<\/jats:styled-content> group. There was no significant difference in final <jats:styled-content style=\"fixed-case\">RE<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> ARE<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> BCVA<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">CSMT<\/jats:styled-content> between the groups. Four cases (17%) in the <jats:styled-content style=\"fixed-case\">CAT<\/jats:styled-content> group had resolved visual complaints and improved <jats:styled-content style=\"fixed-case\">BCVA<\/jats:styled-content> after cataract surgery resulting in no need for <jats:styled-content style=\"fixed-case\">PPV<\/jats:styled-content> within the follow\u2010up period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Surgery for idiopathic <jats:styled-content style=\"fixed-case\">ERM<\/jats:styled-content> in phakic eyes with either phaco\u2010vitrectomy or sequential surgery are equal approaches with respect to functional\u2010 (<jats:styled-content style=\"fixed-case\">RE<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> BCVA<\/jats:styled-content>) and anatomical outcomes (<jats:styled-content style=\"fixed-case\">CME<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> CSMT<\/jats:styled-content>). However, if starting with cataract surgery, 17% of the cases may not need subsequent <jats:styled-content style=\"fixed-case\">PPV<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.13572","type":"journal-article","created":{"date-parts":[[2017,9,19]],"date-time":"2017-09-19T13:52:55Z","timestamp":1505829175000},"page":"243-250","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Epiretinal membrane surgery: an analysis of 2\u2010step sequential\u2010 or combined phacovitrectomy surgery on refraction and macular anatomy in a prospective trial"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2933-6504","authenticated-orcid":false,"given":"Hassan","family":"Hamoudi","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Rigshospitalet\u2010Glostrup Copenhagen University Hospital Glostrup 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