{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:03:57Z","timestamp":1790697837762,"version":"4.1.0"},"reference-count":36,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T00:00:00Z","timestamp":1775347200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of VitreoRetinal Diseases"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>\n                    <jats:bold>Purpose:<\/jats:bold>\n                    To evaluate optical coherence tomography (OCT)-guided epiretinal membrane (ERM) surgery using the preoperative retinal evaluation system for surgery classification in a retrospective, comparative case series.\n                    <jats:bold>Methods<\/jats:bold>\n                    : In a masked study, 137 eyes undergoing ERM surgery with this OCT-guided system were compared with 71 consecutive controls undergoing conventional surgery. Using spectral-domain OCT, ERMs were preoperatively classified into 4 categories based on submembrane space characteristics, allowing for a tailored surgical approach. Main outcomes included first-attempt success, surgical complications, and 3-month visual acuity.\n                    <jats:bold>Results<\/jats:bold>\n                    : Compared with controls, patients receiving our OCT-guided approach had significantly higher first-attempt success (89.2% vs 57.2%;\n                    <jats:italic toggle=\"yes\">P &lt; .<\/jats:italic>\n                    001) and lower rates of petechial hemorrhage (40.0% vs 85.0%;\n                    <jats:italic toggle=\"yes\">P &lt; .<\/jats:italic>\n                    001) and macular breaks (0% vs 8.0%;\n                    <jats:italic toggle=\"yes\">P &lt; .<\/jats:italic>\n                    001). First-attempt success varied by class (\n                    <jats:italic toggle=\"yes\">P &lt; .<\/jats:italic>\n                    01), and mean operative time was reduced by 28% (19.6 vs 25.1 min;\n                    <jats:italic toggle=\"yes\">P &lt; .<\/jats:italic>\n                    001). Visual improvement was significantly greater in the guided group at 3 months (+16.2 vs +11.2 ETDRS letters;\n                    <jats:italic toggle=\"yes\">P &lt; .<\/jats:italic>\n                    01).\n                    <jats:bold>Conclusions<\/jats:bold>\n                    : The preoperative retinal evaluation system for surgery classification provides a practical framework for surgical planning in ERM cases. This OCT-guided approach helps stratify surgical risk, identify optimal engagement points, increase efficiency, and guide technique selection. Preoperative OCT-guided planning offers significant advantages over conventional methods, resulting in improved success rates and reduced complications.\n                  <\/jats:p>","DOI":"10.1177\/24741264261428309","type":"journal-article","created":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T18:06:56Z","timestamp":1775412416000},"page":"679-688","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Preoperative Classification of Submembrane Spaces for Optical Coherence Tomography\u2013Guided Epiretinal Membranectomy"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1742-1683","authenticated-orcid":false,"given":"David R.P.","family":"Almeida","sequence":"first","affiliation":[{"name":"Erie Retinal Research, Erie, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric K.","family":"Chin","sequence":"additional","affiliation":[{"name":"Retina Consultants of Southern California, Redlands, CA, USA"},{"name":"Loma Linda Eye Institute, Veterans Affairs Hospital, Loma Linda, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1886-1741","authenticated-orcid":false,"given":"Vinit B.","family":"Mahajan","sequence":"additional","affiliation":[{"name":"Molecular Surgery Laboratory, Byers Eye Institute, Stanford University, Palo Alto, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,5]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.14-16355"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02384852"},{"key":"e_1_3_3_4_2","first-page":"1047","article-title":"Surface wrinkling retinopathy in eyes enucleated at autopsy","volume":"75","author":"Roth AM","year":"1971","unstructured":"Roth AM, Foos RY. 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