Visual and Anatomical Outcomes Following Idiopathic Macular Epiretinal Membrane Surgery. | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2016]

Author(s):

1. Bashiran Shahzadi: Department of Ophthalmology, Layton Rehmatulla Benevolent Trust (L.R.B.T), Free Base Eye Hospital, Karachi, Pakistan

2. Syed Fawad Rizvi: Department of Ophthalmology, Layton Rehmatulla Benevolent Trust (L.R.B.T), Free Base Eye Hospital, Karachi, Pakistan

3. Kanwal Latif: Department of Ophthalmology, Layton Rehmatulla Benevolent Trust (L.R.B.T), Free Base Eye Hospital, Karachi, Pakistan

4. Faisal Murtaza: Department of Ophthalmology, Layton Rehmatulla Benevolent Trust (L.R.B.T), Free Base Eye Hospital, Karachi, Pakistan

5. Saliha Naz: Department of Ophthalmology, Layton Rehmatulla Benevolent Trust (L.R.B.T), Free Base Eye Hospital, Karachi, Pakistan

Abstract:

Objective: To assess the visual and anatomical outcomes following idiopathic macular epiretinal membrane (IERM) surgery. Study Design: Case series. Place and Duration of Study: Layton Rehmatulla Benevolent Trust (L.R.B.T), Free Base Eye Hospital, Karachi, from January 2015 to June 2016. Methodology: Thirty eyes of thirty patients affected with idiopathic macular epiretinal membrane stage 2 were enrolled in this study. They subsequently underwent 23-gauge pars plana vitrectomy (PPV) with epiretinal membrane removal without internal limiting membrane peeling. The visual outcome was measured as improvement in best corrected visual acuity (BCVA) of at least two or more lines on ETDRS chart as compared to preoperative BCVA. The anatomical outcome was measured as decrease in foveal thickness on Spectral Domain-Optical Coherence Tomography (SD-OCT). Patients were followed for a period of 06 months. Results: At the end of follow-ups, 23 (76%) eyes out of 30 gained 2 or more lines of vision. In 05 (16%) eyes, BCVA remained same and only 02 (6.6%) eyes showed worsening of vision. Mean preoperative foveal thickness was 392 ±20 µm, whereas mean postoperative thickness was 305 ±16 µm with an average decrease of 87 µm, in foveal thickness. Recurrence of ERM was found to be the most frequent complication. Conclusion: IERM surgery is a safe procedure and beneficial in achieving significant visual acuity improvement and anatomical recovery in the majority of cases.

Page(s): 971-974

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 26, Issue: 12, Year: 2016

Keywords:

Keywords are not available for this article.

References:

[1] PearlstoneAD, 1985.The incidence of idiopathic preretinal macular gliosis,Ann Ophthalmol 17 378 -80

[2] SiddRJ,FineSL,OwensSL,PatzA, 1982.Idiopathic preretinal gliosis,Am J Ophthalmol 94 44 -8

[3] RothAM,FoosRY, 1971.Surface wrinkling retinopathy in eyes enucleated at autopsy,Trans Am Acad Ophthalmol Otolaryngol 75 1047 -58

[4] RipandelliG,ScarinciF,PiaggiP,GuidiG,PileriM,CupoG, 2015.Macular pucker: To peel or not to peel the internal limiting membrane? A microperimetric response,Retina 35 498 -507

[5] DawsonSR,ShunmugamM,Williamson TH, 2014.Visual acuity outcomes following surgery for idiopathic epiretinal membrane: An analysis of data from 2001 to 2011, 28 219 -24

[6] McDonaldHR,VerreWP,AabergTM, 1986.Surgical management of idiopathic epiretinal membranes,Ophthalmology 93 978 -83

[7] DoDV,ChoM,NguyenQD, 2006.The impact of optical coherence tomography on surgical decision making in epiretinal membrane and vitreomacular traction,Trans Am Ophthalmol Soc 104 161 -6

[8] HanhanLiu, 2015.Comparison of the effectiveness of pars plana vitrectomy with and without internal limiting membrane peeling for idiopathic retinal membrane removal: A meta-analysis,J Ophthalmol 26 9745 -68

[9] WiseGN., 1975.Clinical features of idiopathic preretinal macular fibrosis,Schoenberg Lecture. Am J Ophthalmol 79 349 -7

[10] FrisinaR,PinackattSJ,SartoreM,MonfardiniA,BaldiA,CesanaBM, 2015.Cystoid macular edema after pars plana vitrectomy for idiopathic epiretinal membrane,Graefes Arch Clin Exp Ophthalmol 253 47 -56

[11] MoisseievE,DavidovitchZ,KinoriM,LoewensteinA,MoisseievJ,BarakA, 2012.Vitrectomy for idiopathic epiretinal membrane in elderly patients: surgical outcomes and visual prognosis,Curr Eye Res 37 50 -4

[12] LehpamerBP,CarvounisPE, 2015.Pars Plana Vitrectomy for symptomatic epiretinal membranes in eyes with 20/50 or better visual acuity,Retina 35 1822 -7

[13] KonstantinidisL,BerguigaM,BeknazarE,WolfensbergerTJ, 2009.Anatomic and functional outcome after 23-gauge vitrectomy, peeling, and intravitreal triamcinolone for idiopathic macular epiretinal membrane,Retina 29 1119 -27

[14] OndrejkováM,GajdosováM,KyselováP., 2015.Surgical treatment for idiopathic epiretinal membrane,Cesk Slov Oftalmol 71 204 -8

[15] KumagaiK,OginoN., 2001.Results of ERM removal ccombined with PEA and IOL, 16 151 -7

[16] KwokAKh,LaiTY,YuenKS, 2005.Epiretinal membrane surgery with or without internal limiting membrane peeling,Clin Experiment Ophthalmol 33 379 -85

[17] ChangS., 2012.Controversies regarding internal limiting membrane peeling in idiopathic epiretinal membrane and macular hole,Retina 32 S200 -3

[18] GuigouS,CourjaretJC,MarcC,BenhammarJ, 2013.Anatomical and functional repercussions of internal limiting membrane peeling in epiretinal membrane surgery,J Fr Ophtalmol 36 151 -9

[19] LeeJW,KimIT, 2010.Outcomes of idiopathic macular epiretinal membrane removal with and without internal limiting membrane peeling: A comparative study,Jpn J Ophthalmol 54 129 -34

[20] HaasA,SeidelG,SteinbruggerI,MaierR,Gasser-SteinerV,WedrichA, 2010.Retina: Twenty-three-gauge and 20-gauge vitrectomy in epiretinal membrane surgery,Retina 30 112 -6

Citations

Downloads

Views