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Erschienen in: International Ophthalmology 6/2014

01.12.2014 | Original Article

Surgical results of idiopathic and secondary epiretinal membrane

verfasst von: Kyung Tae Kang, Kwang Soo Kim, Yu Cheol Kim

Erschienen in: International Ophthalmology | Ausgabe 6/2014

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Abstract

The aim of the study is to compare the surgical results of patients with an idiopathic and secondary epiretinal membrane (ERM) after pars plana vitrectomy and membranectomy. The medical records of 51 consecutive patients with ERM who underwent pars plana vitrectomy and membranectomy with a follow-up >1 year were reviewed retrospectively. Age, sex, best-corrected visual acuity (BCVA, logMAR), lens status, presence of additional removal of internal limiting membrane (ILM), and recurrence rate within 1 year after the operation were compared in the idiopathic and secondary ERM groups. Forty-one eyes had idiopathic ERM and 10 eyes had secondary ERM. Preoperative average BCVA values in the two groups were 0.47 and 0.70, respectively, and the postoperative average BCVA values were 0.28 and 0.18, respectively, with significant improvement postoperatively in both groups (p < 0.01, p < 0.01). The recurrence rate within 1 year after surgery in the idiopathic group was 4.88 % and that in the secondary group was 20 % (p = 0.03). The recurrence rate was 4.3 % in the idiopathic group with ILM removal and it was 5.9 % without ILM removal (p = 0.03). No case recurred within 1 year in the secondary group with ILM removal but the recurrence rate was 33.3 % in the group without ILM removal (p = 0.01). Although patients with secondary ERM gained better visual acuity improvement postoperatively, the recurrence rate was higher within 1 year than that of patients with idiopathic ERM. Removal of the ILM may lower recurrence rates.
Literatur
1.
Zurück zum Zitat de Bustros S, Thompson JT, Michels RG, Rice TA, Glaser BM (1988) Vitrectomy for idiopathic epiretinal membranes causing macular pucker. Br J Ophthalmol 72(9):692–695PubMedCentralPubMedCrossRef de Bustros S, Thompson JT, Michels RG, Rice TA, Glaser BM (1988) Vitrectomy for idiopathic epiretinal membranes causing macular pucker. Br J Ophthalmol 72(9):692–695PubMedCentralPubMedCrossRef
2.
Zurück zum Zitat de Bustros S, Rice TA, Michels RG, Thompson JT, Marcus S, Glaser BM (1988) Vitrectomy for macular pucker. Use after treatment of retinal tears or retinal detachment. Arch Ophthalmol 106(6):758–760PubMedCrossRef de Bustros S, Rice TA, Michels RG, Thompson JT, Marcus S, Glaser BM (1988) Vitrectomy for macular pucker. Use after treatment of retinal tears or retinal detachment. Arch Ophthalmol 106(6):758–760PubMedCrossRef
3.
Zurück zum Zitat Pesin SR, Olk RJ, Grand MG, Boniuk I, Arribas NP, Thomas MA, Williams DF, Burgess D (1991) Vitrectomy for premacular fibroplasia. Prognostic factors, long-term follow-up, and time course of visual improvement. Ophthalmology 98(7):1109–1114PubMedCrossRef Pesin SR, Olk RJ, Grand MG, Boniuk I, Arribas NP, Thomas MA, Williams DF, Burgess D (1991) Vitrectomy for premacular fibroplasia. Prognostic factors, long-term follow-up, and time course of visual improvement. Ophthalmology 98(7):1109–1114PubMedCrossRef
4.
Zurück zum Zitat Poliner LS, Olk RJ, Grand MG, Escoffery RF, Okun E, Boniuk I (1988) Surgical management of premacular fibroplasia. Arch Ophthalmol 106(6):761–764PubMedCrossRef Poliner LS, Olk RJ, Grand MG, Escoffery RF, Okun E, Boniuk I (1988) Surgical management of premacular fibroplasia. Arch Ophthalmol 106(6):761–764PubMedCrossRef
5.
Zurück zum Zitat Appiah AP, Hirose T (1989) Secondary causes of premacular fibrosis. Ophthalmology 96(3):389–392PubMedCrossRef Appiah AP, Hirose T (1989) Secondary causes of premacular fibrosis. Ophthalmology 96(3):389–392PubMedCrossRef
8.
Zurück zum Zitat Donati G, Kapetanios AD, Pournaras CJ (1998) Complications of surgery for epiretinal membranes. Graefes Arch Clin Exp Ophthalmol 236(10):739–746PubMedCrossRef Donati G, Kapetanios AD, Pournaras CJ (1998) Complications of surgery for epiretinal membranes. Graefes Arch Clin Exp Ophthalmol 236(10):739–746PubMedCrossRef
9.
Zurück zum Zitat Kim TW, Song SJ, Chung H, Yu HG (2005) Internal limiting membrane peeling in surgical treatment of macular epiretinal membrane. J Korean Ophthalmol Soc 46(6):989–994 Kim TW, Song SJ, Chung H, Yu HG (2005) Internal limiting membrane peeling in surgical treatment of macular epiretinal membrane. J Korean Ophthalmol Soc 46(6):989–994
12.
Zurück zum Zitat Park DW, Dugel PU, Garda J, Sipperley JO, Thach A, Sneed SR, Blaisdell J (2003) Macular pucker removal with and without internal limiting membrane peeling: pilot study. Ophthalmology 110(1):62–64PubMedCrossRef Park DW, Dugel PU, Garda J, Sipperley JO, Thach A, Sneed SR, Blaisdell J (2003) Macular pucker removal with and without internal limiting membrane peeling: pilot study. Ophthalmology 110(1):62–64PubMedCrossRef
13.
Zurück zum Zitat Sorcinelli R (2003) Surgical management of epiretinal membrane with indocyanine-green-assisted peeling. Ophthalmologica 217(2):107–110. doi:10.1159/000068556 Sorcinelli R (2003) Surgical management of epiretinal membrane with indocyanine-green-assisted peeling. Ophthalmologica 217(2):107–110. doi:10.​1159/​000068556
14.
Zurück zum Zitat Sandali O, El Sanharawi M, Lecuen N, Barale PO, Bonnel S, Basli E, Borderie V, Laroche L, Monin C (2011) 25-, 23-, and 20-gauge vitrectomy in epiretinal membrane surgery: a comparative study of 553 cases. Graefes Arch Clin Exp Ophthalmol 249(12):1811–1819. doi:10.1007/s00417-011-1752-3 PubMedCrossRef Sandali O, El Sanharawi M, Lecuen N, Barale PO, Bonnel S, Basli E, Borderie V, Laroche L, Monin C (2011) 25-, 23-, and 20-gauge vitrectomy in epiretinal membrane surgery: a comparative study of 553 cases. Graefes Arch Clin Exp Ophthalmol 249(12):1811–1819. doi:10.​1007/​s00417-011-1752-3 PubMedCrossRef
16.
Zurück zum Zitat Yazici AT, Alagoz N, Celik HU, Bozkurt E, Alagoz C, Cakir M, Cekic O, Yilmaz OF (2011) Idiopathic and secondary epiretinal membranes: do they differ in terms of morphology? An optical coherence tomography-based study. Retina 31(4):779–784. doi:10.1097/IAE.0b013e3181ef8786 PubMed Yazici AT, Alagoz N, Celik HU, Bozkurt E, Alagoz C, Cakir M, Cekic O, Yilmaz OF (2011) Idiopathic and secondary epiretinal membranes: do they differ in terms of morphology? An optical coherence tomography-based study. Retina 31(4):779–784. doi:10.​1097/​IAE.​0b013e3181ef8786​ PubMed
17.
Zurück zum Zitat Bovey EH, Uffer S, Achache F (2004) Surgery for epimacular membrane: impact of retinal internal limiting membrane removal on functional outcome. Retina 24(5):728–735PubMedCrossRef Bovey EH, Uffer S, Achache F (2004) Surgery for epimacular membrane: impact of retinal internal limiting membrane removal on functional outcome. Retina 24(5):728–735PubMedCrossRef
18.
Zurück zum Zitat Kwok AK, Lai TY, Yuen KS (2005) Epiretinal membrane surgery with or without internal limiting membrane peeling. Clin Exp Ophthalmol 33(4):379–385CrossRef Kwok AK, Lai TY, Yuen KS (2005) Epiretinal membrane surgery with or without internal limiting membrane peeling. Clin Exp Ophthalmol 33(4):379–385CrossRef
Metadaten
Titel
Surgical results of idiopathic and secondary epiretinal membrane
verfasst von
Kyung Tae Kang
Kwang Soo Kim
Yu Cheol Kim
Publikationsdatum
01.12.2014
Verlag
Springer Netherlands
Erschienen in
International Ophthalmology / Ausgabe 6/2014
Print ISSN: 0165-5701
Elektronische ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-014-0010-1

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