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Idiopathic Macular Epiretinal Membrane Surgery with Simultaneous Internal Limiting Membrane Peeling. The Experience of the Fribourg Eye Clinic

Overview
Journal Swiss Med Wkly
Specialty General Medicine
Date 2013 Oct 29
PMID 24163145
Citations 3
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Abstract

Purpose: To evaluate the visual and anatomical outcomes following idiopathic macular epiretinal membrane (ERM) removal.

Methods: A retrospective study of 30 eyes operated for idiopathic ERM was conducted. Pars plana vitrectomy was combined with ERM removal and indocyanine green (ICG) assisted internal limiting membrane (ILM) peeling.

Results: Mean preoperative best corrected visual acuity (BCVA) was 0.4 logMAR (0.4 in decimal units), whereas mean postoperative BCVA was 0.26 logMAR (0.6 in decimal units). Mean preoperative foveal thickness was 392 μm, whereas mean postoperative foveal thickness was 305 μm. A statistically significant difference was observed between preoperative and postoperative BCVA (p <0.001, Student's t-test). Optical coherence tomography (OCT) measurement of postoperative foveal thickness revealed a significant decrease in thickness (p <0.0001, Student's t-test), however, no correlation was observed between postoperative BCVA and postoperative foveal thickness (Pearson's correlation coefficient, r = 0.228; p = 0.22).

Conclusions: Although significant visual acuity improvement and anatomical recovery was detected after idiopathic ERM removal, full restoration of foveal thickness was not achieved in the majority of cases.

Citing Articles

Associations between preoperative OCT parameters and visual outcome 3 months postoperatively in patients undergoing vitrectomy for idiopathic epiretinal membrane.

Sheales M, Kingston Z, Essex R Graefes Arch Clin Exp Ophthalmol. 2016; 254(10):1909-1917.

PMID: 27025926 DOI: 10.1007/s00417-016-3326-x.


Clinical outcomes of double membrane peeling with or without simultaneous phacoemulsification/gas tamponade for vitreoretinal-interface-associated (VRI) disorders.

Kumar K, Chandnani N, Raj P, Agarwal A Int Ophthalmol. 2015; 36(4):547-56.

PMID: 26659009 DOI: 10.1007/s10792-015-0162-7.


Determination of a New Parameter, Elevated Epiretinal Membrane, by En Face OCT as a Prognostic Factor for Pars Plana Vitrectomy and Safer Epiretinal Membrane Peeling.

Pavlidis M, Georgalas I, Korber N J Ophthalmol. 2015; 2015:838646.

PMID: 26504597 PMC: 4609466. DOI: 10.1155/2015/838646.