Anatomic and Functional Outcome After 23-Gauge Vitrectomy, Peeling, and Intravitreal Triamcinolone for Idiopathic Macular Epiretinal Membrane

Konstantinidis, Lazaros; Berguiga, M.; Beknazar, E.; Wolfensberger, Thomas J.

doi:10.1097/iae.0b013e3181ac23da

Cited by 59 publications

(46 citation statements)

References 48 publications

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“…A previous report on concomitant administration of intravitreal triamcinolon (IVTA) with macular surgery for ERM described the short-term visual recovery after use of IVTA. 24 It was noted that the level of achieved vision within 1 week is almost identical to the final VA data after 6 months. On the basis of these data, the authors suggest that the use of IVTA gives an important benefit by accelerating visual recovery.…”

mentioning

confidence: 53%

Use of systemic steroid after successful macular surgery in eyes with epiretinal membrane: a randomized, controlled clinical study

Ritter

Sacu

Matt

et al. 2011

Eye

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mentioning

confidence: 53%

Use of systemic steroid after successful macular surgery in eyes with epiretinal membrane: a randomized, controlled clinical study

Ritter

Sacu

Matt

et al. 2011

Eye

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“…However, other studies have shown quicker visual recovery and fewer complications with small-gauge trans-conjunctival sutureless vitrectomy techniques for ERM removal. [14][15][16] One of the limitations of this study was the use of VA as the sole measure of surgical success. Metamorphopsia is also a significant contributor to morbidity in patients with ERMs and it has been shown that, even though VA alone may not improve following ERM removal, metamorphopsia and quality of life does.…”

Section: Discussionmentioning

confidence: 99%

Visual acuity outcomes following surgery for idiopathic epiretinal membrane: an analysis of data from 2001 to 2011

Dawson

Shunmugam

Williamson

2013

Eye

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Purpose Pars plana vitrectomy (PPV) is commonly used to remove the epiretinal membrane (ERM), but the timing of surgical intervention guided by visual acuity (VA) performance at presentation is uncertain. Patients and methods Prospectively entered clinical data of 237 patients on an electronic patient record from 2001 to 2011 were analysed to determine visual outcomes, in particular in relation to pre-operative VA.Results The mean age of the patients was 68.8 years and 54.4% were female. Median follow-up was 0.55 years. The median pre-operative logMAR VA was 0.60 (SD 0.48-0.78, Snellen equivalent 6/36) and post-operative VA was 0.30 (SD 0.18-0.60, 6/12, Po0.005). Pre-operative VA correlated with post-operative VA (linear R 2 ¼ 0.22, Po0.0001). In all, 69.6% of patients showed an improvement in VA, 15.2% showed no change, and the condition of 15.2% worsened. The number of patients with an improvement in logMAR VA of more than 0.3 was greatest in those who had a pre-operative VA of 1.0 (6/60) or worse, followed by those in the range of 0.6-0.9 and then those with preoperative VA of 0.5 or better (Po0.001). The proportion of patients with visual improvement of logMAR VA of more than 0.3 increased statistically with progressing years (P ¼ 0.019). Conclusion In conclusion, this study shows improvement in VA after PPV and ERM removal. Patients with better initial VA achieve higher levels of visual outcome but those with poorer pre-operative VA show a greater change in VA following ERM surgery. Results of surgery improved over the time period of the study.

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“…Literatürde 39 hastada 23-G TSV ile ERM soyulması ve intravitreal triamsinolon asetonid enjeksiyonu ile ortalama 7 aylık takip sonunda %74 olguda 3 sıra ve daha fazla görme artışı olduğu bildirilmiştir. 17 Bir başka çalış-mada, 23-G TSV kullanılarak İSY yardımıyla ERM soyulması gerçekleştirilmiş ve cerrahi sonrası 1. günde preoperatif görme keskinliği ile aynı seviyeye geldiği bildirilmiştir. 16 İSY kullanılarak 20-gauge (20-G) PPV ile makular epiretinal membran cerrahisi sonuçlarını bildiren bir çalışmada, ortalama 9,3 aylık takip sonunda %50 olguda 2 sıra ve üzerinde görme artışı elde edilmiştir.…”

Section: Gereç Ve Yöntemunclassified

“…[13][14][15] Çeşitli çalışmalarda, 23-G transkonjonktival sütürsüz vitrektomi (TSV) yöntemi ile ERM soyulmasının etkinliği ve güvenirliği bildirilmiştir. [16][17][18] Ancak literatürde, 23-G TSV ile TM ve BM'nin birlikte kullanıldığı çift boyama yöntemi ile ERM cerrahisi yapıldığını bildiren bir çalışma yoktur.…”

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Epiretinal Membrane Surgery with 23-Gauge Transconjunctival Sutureless Vitrectomy Using Double Staining Technique

Horozoğlu¹,

Yanyali²,

Maçin³

et al. 2012

Turkiye Klinikleri J Med Sci

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Ö ÖZ ZE ET T A Am ma aç ç: : Epiretinal membranlarda (ERM), tripan mavisi (TM) ve brilliant mavisi (BM) ile çift-boyama yöntemi kullanılarak uygulanan 23-gauge (23-G) transkonjonktival sütürsüz vitrektomi (TSV) sonuçlarını irdelemek. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Bu çalışmada, primer ERM tanısı ile 23-G TSV uygulanan 15 hastanın 15 gözü retrospektif olarak incelendi. ERM soyulması sırasında TM, iç limitan membran (İLM) soyulması sırasında BM ardışık olarak kullanıldı. Çalışmamızda temel olarak görme keskinliği, göz içi basıncı, intraoperatif ve postoperatif komplikasyonlar parametreleri incelendi. İstatistiksel analizlerde Wilcoxon testi kullanıldı. B Bu ul lg gu ul la ar r: : Hastalar ortanca 4 ay (1-11 ay) boyunca takip edildi. Postoperatif olarak olguların tümünde, preoperatif olarak optik koherens tomografi incelemesinde saptanan ERM görüntüsünün kaybolduğu gözlendi. Preoperatif görme keskinlikleri 2 metreden parmak sayma (mps) ile 5/10 arasında değişmekte iken, postoperatif en son muayenede görme keskinliği 1/10 ile 9/10 arasında idi. Olguların ortanca logMAR görme keskinliği preoperatif 0,5 (0,30-1,60) iken, postoperatif 0,4 (0,10-1,18) bulundu (p=0,039, Wilcoxon testi). Olguların 9 (%60)'unda görme keskinliği 2 sıra ve üzerinde artarken, 6 olguda (%40) görme keskinliğinde 2 sıradan az değişim gözlendi. Ortanca göz içi basıncı preoperatif 15 (11-16) mmHg, postoperatif 14 (8-21) mmHg saptandı (p=0,685, Wilcoxon testi). Postoperatif dönemde 1 olguda (%6,7) cerrahi gerektiren katarakt, 1 olguda (%6,7) regmatojen retina dekolmanı gözlendi. ERM nüksüne rastlanmadı. S So on nu uç ç: : Çift boyama yöntemi kullanılarak uygulanan 23-G TSV, ERM cerrahisinde etkin ve güvenli bir yöntem gibi görünmektedir. Daha çok olgu sayısı içeren prospektif ça-lışmalar ile yöntemin etkinliği daha iyi değerlendirilebilecektir.A An na ah ht ta ar r K Ke el li im me el le er r: : Epiretinal membran; vitrektomi; coomassie brilliant blue; tripan mavisi A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : To evaluate the 23-gauge (23-G) transconjunctival sutureless vitrectomy (TSV) results for epiretinal membranes (ERM) using double-staining technique with trypan blue (TB) and brilliant blue (BB). M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : In this study, 15 eyes of 15 patients who underwent 23-G TSV for primary ERM were retrospectively reviewed. TB was used for ERM removal and BB was used for inner limiting membrane (ILM) removal, consecutively. Main outcome measures were visual acuity, intraocular pressure, and intraoperative and postoperative complications. Wilcoxon test was used for statistical analysis. R Re es su ul lt ts s: : Median follow-up was 4 months (range, 1-11 months). ERM, which was present in preoperative optical coherence tomography scanning, was not detected postoperatively in any of the eyes. Preoperative visual acuity was between counting fingers from 2 meters and 2/10, whereas it was between 1/10 and 9/10 postoperatively. Median log-MAR visual acuity was 0.5 (0.30-1.60) pr...

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Anatomic and Functional Outcome After 23-Gauge Vitrectomy, Peeling, and Intravitreal Triamcinolone for Idiopathic Macular Epiretinal Membrane

Cited by 59 publications

References 48 publications

Use of systemic steroid after successful macular surgery in eyes with epiretinal membrane: a randomized, controlled clinical study

Use of systemic steroid after successful macular surgery in eyes with epiretinal membrane: a randomized, controlled clinical study

Visual acuity outcomes following surgery for idiopathic epiretinal membrane: an analysis of data from 2001 to 2011

Epiretinal Membrane Surgery with 23-Gauge Transconjunctival Sutureless Vitrectomy Using Double Staining Technique

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