Removal of Epimacular Membranes

Margherio, Raymond R.; Cox, Morton S.; Trese, Michael T.; Murphy, Patrick L.; Johnson, Jill; Minor, Louise A.

doi:10.1016/s0161-6420(85)33902-7

Cited by 259 publications

(108 citation statements)

References 15 publications

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“…9 It may be attributed to incomplete removal of ERM during surgery. 3,12 Since the ERM is usually a thin and semitransparent membrane, methods that enhance its visualisation and complete removal, especially in inconspicuous cellophane ERM, are desirable. Enhanced visualisation may also shorten the duration of surgery and minimise retinal trauma during ERM removal.…”

Section: Discussionmentioning

confidence: 99%

“…This seems slightly superior to previous studies that around 80% of patients had improvement in vision postoperatively. [2][3][4][5][6] This study had several limitations including a small sample size and the lack of control group for comparison. A longer follow-up is also required to demonstrate the long-term benefit of double-dye-assisted ERM and ILM peeling with Tb and ICG in preventing ERM recurrence.…”

Section: Discussionmentioning

confidence: 99%

“…1 Since then, it has become a wellestablished vitreoretinal surgical procedure with most patients having favourable visual outcome postoperatively. [2][3][4][5][6][7] However, in certain circumstances, recurrence of ERM may redevelop after initial surgical success. The rate of idiopathic ERM recurrence has been documented to be around 10%, with reoperative rate at about 3%.…”

Section: Introductionmentioning

confidence: 99%

“…[9][10][11] Failure to completely remove the ERM may be one of the factors for ERM recurrence. 3,12 As the ERM is usually a transparent or semitransparent friable membrane, techniques to enhance its visualisation may be beneficial in facilitating its complete removal and decreasing its recurrence after ERM surgery.…”

Section: Introductionmentioning

confidence: 99%

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Trypan blue- and indocyanine green-assisted epiretinal membrane surgery: clinical and histopathological studies

Kwok

Lai

et al. 2004

Eye

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Purpose To evaluate the clinical outcome and electron microscopic findings of trypan blue (Tb) and indocyanine green (ICG) assisted epiretinal membrane (ERM) surgery. Methods This is a prospective consecutive noncomparative interventional case series. After pars plana vitrectomy, 0.1 ml of 0.6 mg/ml Tb solution was applied for 1 min under air for ERM staining. After ERM removal, internal limiting membrane (ILM) was further peeled after staining with 0.2 ml of 1 mg/ml ICG solution. Intraoperative specimens were sent for electron microscopy. Tb was considered useful if the edge of ERM was stained where peeling could be initiated with a clearer visualisation of the overall extent of the ERM. Results In all, 16 eyes from 16 patients were recruited. There were nine grade 1 ERMs, five grade 2 ERMs, and two grade 3 ERMs. Tb was useful in six (67%) of the nine eyes with grade 1 ERMs and in all eyes with grade 2 or 3 ERMs. The three remaining grade 1 ERMs were removed together with surrounding ILM that was stained by ICG. The mean line of improvement was 1.3 lines with the median BCVA improved from 6/12 to 6/9. All 16 eyes had symptomatic improvement and none developed ERM recurrence. No complication related to Tb or ICG was observed clinically or angiographically. Electron microscopy of the Tb-stained ERM specimens showed fragments of ILM in all specimens. Conclusions Tb and ICG are useful intraoperatively to improve the visualisation and facilitate complete removal of ERM and ILM in macular ERM surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Trypan blue- and indocyanine green-assisted epiretinal membrane surgery: clinical and histopathological studies

Kwok

Lai

et al. 2004

Eye

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“…3 Cerrahi tedavinin başarısında cerrahi öncesi görme keskinliği (GK), semptomların süresi, traksiyonun varlığı, membranın kalınlığı, makula ödemi varlığı, internal limitan membran soyulması gibi bazı prognostik faktörlerden söz edilse de bunlar hâlen tartışmalı-dır. [3][4][5][6] Bu çalışmada, pars plana vitrektomi (PPV) veya PPV ile kombine katarakt cerrahisi uygulanan idiyopatik ve sekonder ERM'li hastaların, cerrahi öncesi ve sonrası merkezi makula kalınlıkları (MMK)'nın, GK'lerinin ve bu parametreler arasın-daki ilişkinin değerlendirilmesi amaçlanmıştır.…”

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Surgical Outcomes After Idiopathic and Secondary Epiretinal Membrane Surgery, and Assessment of the Association Between Visual Acuity and Central Macular Thickness

Kayıkçıoğlu¹,

Bılgın²

2018

Turkiye Klinikleri J Ophthalmol

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Ö ÖZ ZE ET T A Am ma aç ç: : Yalnız pars plana vitrektomi (PPV) veya PPV ile kombine katarakt cerrahisi uygulanan idiyopatik ve sekonder epiretinal membranlı (ERM) hastaların merkezi makula kalınlıklarını (MMK), en iyi düzeltilmiş görme keskinliklerini (EİDGK) ve bu parametreler arasındaki ilişkiyi değerlendirmektir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Yalnız PPV veya PPV ile kombine katarakt cerrahisi uygulanan 33 idiyopatik ERM hastası ve 23 sekonder ERM hastasının cerrahi öncesi MMK, EİDGK ve cerrahi sonrası 6. ay muayenelerinde saptanan MMK ve EİDGK düzeyleri değerlendirmeye alındı. GK ve MMK değişimi, ayrıca cerrahi sonrası EİDGK ile cerrahi öncesi ve cerrahi sonrası MMK arasındaki ilişki incelendi. B Bu ul lg gu ul la ar r: : İdiyopatik ERM'si olup, kombine cerrahi uygulanan hastalarda GK'de anlamlı düzeyde artış gözlendi. Her iki cerrahi grubunda ameliyat sonrası EİDGK ile ameliyat öncesi ve sonrası MMK arasındaki korelasyon anlamsızdı. Sekonder ERM hastalarından yalnız PPV yapılan grupta cerrahi öncesi ve sonrası EİDGK'leri arasındaki ilişki istatistiksel anlamlı idi. Her iki cerrahi grubunda ameliyat sonrası EiDGK ile ameliyat öncesi ve sonrası MMK arasındaki korelasyon anlamsızdı. S So on nu uç ç: : ERM cerrahisinin sonuçlarını değerlendirmekte kullanılan parametrelerden, ameliyat öncesi ölçülen GK ve MMK, hastaların ameliyat sonrası GK'lerini belirlemede yetersiz kalmaktadır A An na ah h t ta ar r K Ke e l li i m me e l le er r: : İdiyopatik epiretinal membran; sekonder epiretinal membran; görme keskinliği; merkezi maküla kalınlığı A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : To evaluate best corrected visual acuity (BCVA), central macular thickness (CMT) and the association between parameters following pars plana vitrectomy (PPV) alone or combined with cataract surgery for idiopathic and secondary epiretinal membrane (ERM). M Ma at te e--r ri ia al l a an nd d M Me et th ho od ds s: : Thirty three idiopathic ERM and 23 secondary ERM patients who had PPV alone or combined with cataract surgery were included in the study. Preoperative BCVA, CMT, postoperative 6 th month BCVA, CMT were recorded. The changes in BCVA and in CMT, relation between postoperative BCVA and preoperative and postoperative CMT were evaluated. R Re es su ul lt ts s: : In idiopathic ERM group, patients who underwent combined surgery had significantly increased VA. Also in both surgical subgroups, the correlation between postoperative BCVA and preoperative CMT, and postoperative CMT were not statistical significant. In secondary ERM group, in patients who had PPV alone, the relationship between preoperative and postoperative BCVA was statistical significant. Also in both surgical subgroups, the correlation between postoperative BCVA and preoperative CMT, and postoperative CMT were not statistical significant. C Co on nc cl lu us si io on n: : Preoperative VA and CMT which are used to evaluate outcomes of ERM surgery are insufficient for prediction of postoperative VA.K Ke ey yw wo or rd ds s: : Idiopath...

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Lens Clarity After 3-Port Lens-Sparing Vitrectomy in Stage 4A and 4B Retinal Detachments Secondary to Retinopathy of Prematurity

Lakhanpal¹

2006

Arch Ophthalmol

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Removal of Epimacular Membranes

Cited by 259 publications

References 15 publications

Trypan blue- and indocyanine green-assisted epiretinal membrane surgery: clinical and histopathological studies

Trypan blue- and indocyanine green-assisted epiretinal membrane surgery: clinical and histopathological studies

Surgical Outcomes After Idiopathic and Secondary Epiretinal Membrane Surgery, and Assessment of the Association Between Visual Acuity and Central Macular Thickness

Lens Clarity After 3-Port Lens-Sparing Vitrectomy in Stage 4A and 4B Retinal Detachments Secondary to Retinopathy of Prematurity

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