Limited Vitrectomy In Patients With Idiopathic Epiretinal Membrane

Number: 3 September 1, 2019
  • Berna Özkan
  • Levent Karabaş
  • Büşra Tuğan
  • Özgül Altıntaş
EN TR

Limited Vitrectomy In Patients With Idiopathic Epiretinal Membrane

Abstract

Purpose: To evaluate the safety and effectivity of limited vitrectomy in patients with epiretinal membrane. Methods: We included 58 consecutive patients who underwent epiretinal membrane surgery without performing a complete peripheral vitreous removal. The improvement in visual acuity, the incidence of retinal breaks and detachment; anatomical results and intraoperative and postoperative complications of this technique were evaluated. Results: The median visual acuity was 0.4 0.3-0.5 before the surgery, and it was 0.6 0.3-0.8 after the surgery p=0.016 . Prophylactic laser photocoagulation was performed in 14 24,13% patients during surgery. Retinal breaks and detachments did not occur in any of our patients. We did not observe proliferative vitreoretinopathy or surgery- related major complications in any patient. Conclusion: Limited vitrectomy without removing peripheral vitreous is safe and effective in idiopathic epiretinal membrane surgery. It reduces the risk of peripheral retinal breaks and retinal detachment.

Keywords

References

  1. Mitchell P, Smith W, Chey T, Wang JJ, Chang A. Prevalence and associations of epiretinal membranes. The blue mountains eye study. Ophthalmology 1997;104:1033–40. [CrossRef]
  2. Ting FS, Kwok AK. Treatment of epiretinal membrane: an update. Hong Kong Med J 2005;11:496–502.
  3. Rizzo S, Belting C, Genovesi-Ebert F, di Bartolo E. Incidence of retinal detachment after small-incision, sutureless pars plana vitrectomy compared with conventional 20 gauge vitrectomy in macular hole and epiretinal membrane surgery. Retina 2010;30:1065–71. [CrossRef]
  4. Krishnan R, Tossounis C, Fung Yang Y. 20-gauge and 23-gauge phacovitrectomy for idiopathic macular holes: comparison of complications and long-term outcomes. Eye 2013;27:72–7. [CrossRef]
  5. Issa SA, Connor A, Habib M, Steel DHW. Comparison of retinal breaks observed during 23 gauge transconjunctival vitrectomy versus conventional 20 gauge surgery for proliferative diabetic retinopathy. Clin Ophthalmol 2011;20:109–14. [CrossRef]
  6. Nakano T, Uemura A, Sakamoto T. Incidence of iatrogenic peripheral retinal breaks in 23-gauge vitrectomy for macular diseases. Retina 2011;31:1997–2001. [CrossRef]
  7. Marie-Louise J, Philippakis E, Darugar A, Tadayoni R, Dupas B. Occurrence rate of retinal detachment after small gauge vitrectomy for idiopathic epiretinal membrane. Eye (Lond) 2017;31:1259–65. [CrossRef]
  8. Rahman R, Murray CD, Stephenson J. Risk factors for iatrogenic retinal breaks induced by separation of posterior hyaloid face during 23-gauge pars plana vitrectomy. Eye 2013;27:652–6. [CrossRef]

Details

Primary Language

English

Subjects

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Journal Section

-

Authors

Berna Özkan

Levent Karabaş

Büşra Tuğan

Özgül Altıntaş

Publication Date

September 1, 2019

Submission Date

-

Acceptance Date

-

Published in Issue

Year 2019 Number: 3

EndNote
Özkan B, Karabaş L, Tuğan B, Altıntaş Ö (September 1, 2019) Limited Vitrectomy In Patients With Idiopathic Epiretinal Membrane. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 3 451–454.