The outcomes of subtotal vitrectomy in macular surgeries: a single surgeon case series

Purpose To investigate the outcomes of subtotal vitrectomy in epiretinal membrane (ERM) and idiopathic macular hole (IMH) surgeries. Methods The patients who underwent vitrectomy for primary ERM and IMH were included. After the truncation of posterior hyaloid, cortical vitreous was incompletely remo...

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Bibliographic Details
Published in:International ophthalmology 2019-03, Vol.39 (3), p.589-595
Main Authors: Ozkaya, Abdullah, Erdogan, Gurkan, Tulu, Beril, Tarakcioglu, Hatice Nur
Format: Article
Language:English
Subjects:
Cataracts
Complications
Cortex
Endophthalmitis
Eye (anatomy)
Eye lens
Intraocular pressure
Medical treatment
Medicine
Medicine & Public Health
Ophthalmology
Original Paper
Patients
Retina
Surgery
Surgical techniques
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Summary:Purpose To investigate the outcomes of subtotal vitrectomy in epiretinal membrane (ERM) and idiopathic macular hole (IMH) surgeries. Methods The patients who underwent vitrectomy for primary ERM and IMH were included. After the truncation of posterior hyaloid, cortical vitreous was incompletely removed and anterior vitreous was left in place. The main outcome measure was the complications of the surgical technique during the postoperative 12 months of follow-up. Results Fifty-two eyes were included. Thirty-seven eyes had ERM, and 15 had IMH. During the 12 months of follow-up period, 33% of the phakic patients showed progression in the lens opacities and required cataract surgery. Other postoperative complications were listed as follows: transient intraocular pressure increase in 3 (5.9%), endophthalmitis in 1 (2.0%), and retinal detachment in 1 patient (2.0%). Conclusion Subtotal vitrectomy seems as an effective and safe surgical technique in the treatment of macular diseases.
ISSN:0165-5701
1573-2630
DOI:10.1007/s10792-018-0850-1