25-Gauge Vitrectomy with Epiretinal Membrane and Internal Limiting Membrane Peeling in Eyes with Very Good Visual Acuity

Purpose: To evaluate the efficacy and safety of pars plana vitrectomy (PPV) in patients with epiretinal membrane (ERM) and preoperative visual acuity (VA) of 20/40 or better. Methods: 44 eyes that underwent PPV and ERM peeling were included in this retrospective study. Data retrieved included demogr...

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Bibliographic Details
Published in:Current eye research 2016-10, Vol.41 (10), p.1387-1392
Main Authors: Moisseiev, Elad, Kinori, Michael, Moroz, Iris, Priel, Ethan, Moisseiev, Joseph
Format: Article
Language:English
Subjects:
Adult
Aged
Basement Membrane - pathology
Basement Membrane - surgery
Epiretinal membrane
Epiretinal Membrane - diagnosis
Epiretinal Membrane - physiopathology
Epiretinal Membrane - surgery
Equipment Design
Female
Follow-Up Studies
good visual acuity
Humans
Intraocular Pressure
Male
Microsurgery
Middle Aged
Retina - pathology
Retina - surgery
Retrospective Studies
Time Factors
Tomography, Optical Coherence - methods
Treatment Outcome
Visual Acuity
vitrectomy
Vitrectomy - instrumentation
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Summary:Purpose: To evaluate the efficacy and safety of pars plana vitrectomy (PPV) in patients with epiretinal membrane (ERM) and preoperative visual acuity (VA) of 20/40 or better. Methods: 44 eyes that underwent PPV and ERM peeling were included in this retrospective study. Data retrieved included demographic information, VA and intraocular pressure (IOP) preoperatively, after 1 month, 6 months and at final visit, presence of metamorphopsia, surgical reports, and occurrence of any complications. Results: Mean preoperative VA was 20/36 (0.24 ± 0.08 logMAR) and had improved to 20/27 (0.13 ± 0.11 logMAR) at the final follow-up (p < 0.001). Thirty (68.1%) eyes had improved by 1 line of vision or more, and 10 (22.7%) achieved final 20/20 vision. Significant improvement in vision was achieved earlier in eyes that underwent vitrectomy combined with cataract extraction. Preoperative OCT scans demonstrated preserved outer retinal layer structure. Conclusions: PPV and ERM peeling is a safe and effective procedure in eyes with very good preoperative VA. PPV combined with cataract extraction offers a faster improvement in VA than PPV alone with deferred cataract surgery. PPV should be considered in symptomatic eyes with ERM and VA of 20/40 or better, in order to preserve and even improve the VA.
ISSN:0271-3683
1460-2202
DOI:10.3109/02713683.2015.1114654