Long-Term Course Following Vitreous Surgery for Epiretinal Membrane

Kishi, Takefumi; Watanabe, Akira; Yoshimine, Shoyo; Watanabe, Tetsu; Arai, Kohei; Gekka, Tamaki

doi:10.3928/23258160-20190401-14

Cited by 6 publications

(5 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Even in cases with very good pre-operative visual acuity, the treatment results in significant improvement in vision ( 15 ). Significant improvement of visual acuity after PPV for ERM has also been found in the analysis of Kishi et al 3 months after the surgery, which was maintained over the 5-year follow-up period ( 16 ).…”

Section: Discussionmentioning

confidence: 57%

Simple new technique for macular pucker peel without forceps

Lumi

Petrovski²,

Petrovski³

2022

Front. Med.

View full text Add to dashboard Cite

PurposeThis study aimed to describe the effectiveness and evaluate the anatomical and functional results of surgery for macular pucker (MP) peel using a 25-gauge pars plana vitrectomy (PPV) cutter without forceps.MethodsThis study assessed a prospective consecutive case series of 14 eyes of 14 patients who underwent 25-gauge PPV for MP. The surgical procedure was performed using the new peeling technique. The edge of the membrane was engaged at the opening of the cutter by gradually increasing the vacuum. The peeling process was finished by holding a stable vacuum or regrasping the membrane in the same manner.ResultsThe study included six women and eight men patients with a mean age of 72.3 (range 59–84) years. MP peel was achieved in all cases without the need for microforceps. Patients were followed for at least 6 months. Visual acuity and retinal thickness were obtained 6 months after the surgery. Best corrected visual acuity improved from a mean pre-operative 0.6 on a logMAR scale to post-operative 0.23 (P < 0.001). Mean pre-operative Central Retinal Thickness was significantly reduced from 489.7 to 377.6 μm post-operatively (P < 0.001). There were no intra- or post-operative complications.ConclusionMP peel with a 25-gauge vitrectomy probe could be an alternative simple and safe technique. The technique does not require extra instrumentation. It results in anatomic and functional improvement in all cases.

show abstract

Section: Discussionmentioning

confidence: 57%

Simple new technique for macular pucker peel without forceps

Lumi

Petrovski²,

Petrovski³

2022

Front. Med.

View full text Add to dashboard Cite

show abstract

“…In our study, patients with pediatric idiopathic ERMs had better preoperative BCVA than that of patients with pediatric secondary ERMs; but better postoperative BCVA improvement were seen in the group of Declarations patients with pediatric secondary ERMs. Many previous studies have shown comparative better preoperative BCVA in pediatric patients with idiopathic ERMs [7,21], and this better preoperative BCVA may be related to mild anatomical macular pathologies especially less EZ band disruptions on OCT [22][23]. We also observed signi cant postoperative VA improvement both for idiopathic and secondary ERMs in children, and these results con rm with that of Ferrone and Chaudhary [24]; but better postoperative BCVA improvement were seen in the group of patients with pediatric secondary ERMs (4.9 lines VS 2.5 lines), possibly because of the acquired longer-term amblyopia caused by idiopathic ERMs, and this result also highlight the importance of early school VA screening to detect and treat pediatric idiopathic ERMs as early as possible.…”

Section: Discussionmentioning

confidence: 90%

Clinical characteristics and surgical outcomes of pediatric idiopathic and secondary macular epiretinal membrane

Liu

Wang

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: To describe and compare the different clinical characteristics and surgical outcomes of patients with pediatric idiopathic and secondary macular epiretinal membranes (ERMs). Methods: A cohort of pediatric patients (≤14years) underwent surgical removal of macular ERMs were selected from January 2019 to September 2021. Those patients were grouped into idiopathic macular ERMs group and secondary macular ERMs group, medical data including ocular manifestations were assessed and compared preoperatively and postoperatively. Results :A total of 41 patients (50 eyes) were included, mean age at surgery was 6.5 years (3～14 years), mean follow-up duration was 19.5months (12～31 months). Fourteen of the 41 patients (34.1%) had idiopathic macular ERMs. Compared with secondary macular ERMs, pediatric idiopathic ERMs had an older age at surgery(p=0.032) and were mostly found fortuitously by school visual acuity (VA) screening(p=0.028) with more cases with appearance of cellophane macular reflex (p=0.047); on OCT images, idiopathic macular ERMs were more likely to have taco folds (p=0.031)and less ellipsoid zone (EZ) disruptions (p=0.026) ; idiopathic macular ERMs were more likely to have better preoperative best corrected visual acuity (BCVA)(p<0.001); surgical removal of pediatric macular ERMs results in VA improvement with less postoperative complications in pediatric idiopathic ERMs. Conclusion: Pediatric idiopathic macular ERMs have many different clinical characteristics compared with that of pediatric secondary macular ERMs; surgical removal of pediatric macular ERMs results in VA improvement with less postoperative complications in pediatric idiopathic ERMs. Trial registration: Retrospective case series study, not applicable. NCT2378898

show abstract

“…We found a significant association between metamorphopsia scores and EIFL thickness both before and after surgery. Many previous reports have indicated that visual acuity and metamorphopsia of ERM patients are improved by surgery (Falkner-Radler et al 2010;Kinoshita et al 2012;Bae et al 2013;Kim et al 2013;Okamoto et al 2015;McGowan et al 2016;Kishi et al 2019;Bae et al 2020). In the present study, we also observed significant improvements in visual acuity and metamorphopsia scores both for horizontal lines and vertical lines at 3 months after surgery compared to baseline, but we found no significant correlation between EIFL and visual acuity both before and after surgery.…”

Section: Discussionmentioning

confidence: 97%

Ectopic inner foveal layer as a factor associated with metamorphopsia after vitrectomy for epiretinal membrane

Yanagida

Wakabayashi

Usui

et al. 2022

Acta Ophthalmologica

View full text Add to dashboard Cite

Purpose To analyse the relationship between the extent of metamorphopsia and optical coherence tomography (OCT) parameters including the ectopic inner foveal layer (EIFL) in patients with epiretinal membrane (ERM) who underwent pars plana vitrectomy (PPV). Methods This study included 63 eyes of 62 patients who underwent PPV for ERM. Metamorphopsia was assessed by measuring the metamorphopsia score for vertical lines (MV) and metamorphopsia score for horizontal lines (MH) using M‐CHARTS. Central retinal thickness (CRT), EIFL thickness and disruption of outer retinal layers were measured before and after surgery, and the relationship of these parameters with metamorphopsia scores at 3 months after vitrectomy was analysed. Results Preoperative MV correlated with preoperative CRT and EIFL (p = 0.005 and 0.045 respectively). Postoperative MH correlated with preoperative CRT (p = 0.048), while postoperative MV correlated with preoperative CRT and EIFL (p = 0.002 and 0.0006 respectively). Postoperative MH correlated with postoperative CRT and EIFL (p = 0.001 and 0.002 respectively), and postoperative MV also correlated with postoperative CRT and EIFL (p = 0.0008 and < 0.0001 respectively). MH and MV did not correlate with outer retinal layer disruptions, both before and after vitrectomy. When multiple regression analysis was performed on preoperative and postoperative OCT parameters that correlated with postoperative metamorphopsia scores, only postoperative EIFL was identified as an independent factor associated with postoperative MV (p = 0.042). Conclusion When PPV was conducted for ERM, postoperative EIFL was found to be a significant factor associated with postoperative metamorphopsia score.

show abstract

Long-Term Course Following Vitreous Surgery for Epiretinal Membrane

Cited by 6 publications

References 14 publications

Simple new technique for macular pucker peel without forceps

Simple new technique for macular pucker peel without forceps

Clinical characteristics and surgical outcomes of pediatric idiopathic and secondary macular epiretinal membrane

Ectopic inner foveal layer as a factor associated with metamorphopsia after vitrectomy for epiretinal membrane

Contact Info

Product

Resources

About