Innovative vision rehabilitation method for epiretinal membrane: Enhancing visual functions through Biofeedback Training.

Autor:	Matsura Misawa MA; Toronto Western Hospital, Bathurst Street, Toronto, Ontario, Canada.; Department of Ophthalmology and Vision Sciences, Faculty of Medicine, University of Toronto, College Street, Ontario, Canada., Markowitz SN; Toronto Western Hospital, Bathurst Street, Toronto, Ontario, Canada.; Department of Ophthalmology and Vision Sciences, Faculty of Medicine, University of Toronto, College Street, Ontario, Canada., Daibert-Nido M; Toronto Western Hospital, Bathurst Street, Toronto, Ontario, Canada.; Department of Ophthalmology and Vision Sciences, Faculty of Medicine, University of Toronto, College Street, Ontario, Canada.
Jazyk:	angličtina
Zdroj:	American journal of ophthalmology case reports [Am J Ophthalmol Case Rep] 2023 Nov 11; Vol. 32, pp. 101956. Date of Electronic Publication: 2023 Nov 11 (Print Publication: 2023).
DOI:	10.1016/j.ajoc.2023.101956
Abstrakt:	Purpose: To report a case with epiretinal membrane (ERM) treated with audio-luminous Biofeedback training (BT) which resulted in improvement of monocular and binocular visual functions. Observations: We report a case of ERM with distance Best Corrected Visual Acuity (BCVA) of 20/40 in the right dominant eye, and 20/20 in the left eye. The main symptom was binocular blurry vision, and the patient did not desire to pursue posterior vitrectomy due to its risks. Using a 10-2 microperimetry test with the MAIA Microperimeter, it was possible to identify an inferior paracentral relative scotoma in the right eye with splitting fixation. The right eye was trained with five 20-minute sessions with Biofeedback training towards a trained retinal locus (TRL) with better retinal sensitivity and 1.46° superior and temporal to the current preferred retinal locus (PRL). After training, the patient reported total improvement of symptoms, and BCVA was 20/25 in the right eye and 20/20 in the left eye. Conclusions and Importance: Biofeedback training is a valuable treatment with no known adverse effects that can be performed as an alternative to patients with ERM with no surgical indication and debilitating symptoms, or as a post-surgery adjuvant treatment. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2023 The Authors.)
Databáze:	MEDLINE
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