Results of macular pucker surgery: 1- and 5-year follow-up

Bouwens, M. Dimitri; Jong, F. de; Mulder, Paul; Meurs, Jan C. van

doi:10.1007/s00417-008-0909-1

Cited by 41 publications

(31 citation statements)

References 20 publications

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“…No differences between the responders and non-responders could be identified with regard to age, pre-and postoperative BCVA, or mode of treatment. Thus, we could not find any difference between non-responders and responders as had Bouwens et al (2008), who concluded that nonresponders had inferior benefit from the operation than responders. In our study 88% of the patients indicated that they would choose surgery again if they knew the result beforehand, compared with 70% in the study of Bouwens et al (2008).…”

Section: Discussionmentioning

confidence: 62%

“…In the review of the literature on predictive factors for postoperative VA by Scheerlinck et al (2015) they found that the only consistently associated factor was preoperative VA and the severity of metamorphopsia was possibly associated with postoperative VA. Numerous studies have attempted to grade the metamorphopsia (Bouwens & Van Meurs 2003;Bouwens et al 2008) by grading the area or degree of the metamorphopsia. Arndt et al (2007) performed quantitative analyses of the degree of metamorphopsia preand postoperatively.…”

Section: Introductionmentioning

confidence: 99%

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Epiretinal membrane surgery evaluated by subjective outcome

Miliatos

Lindgren

2016

Acta Ophthalmologica

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ABSTRACT.Purpose: To examine pre-and postoperative visual interference, subjective symptoms and visual acuity in patients undergoing epiretinal membrane (ERM) surgery. Methods: A retrospective observational case series comparing 239 eyes in 231 consecutive patients with idiopathic ERM in a selected catchment area from 2002 to 2009. Demography, visual acuity (VA), lens status and subjective symptoms were analysed before and after the operation. Patients, healthy enough to participate at least 2 years post surgery, answered a questionnaire about their subjective functional impairment before and after the ERM peeling. Visual disturbance was assessed on a visual analogue scale (VAS) ranging from 1 to 100 mm. Results: The preoperative VA for the eyes in the study was median 0.40 logMAR (logarithm of the minimum angle of resolution) (range À0.1 to 1.22) resulted in VA of 0.22 logMAR (range À0.1 to 1.1), which is a statistical significant difference (p À). Of 180 patients contacted, answers were received from 103 (57%). Subjective visual disturbance assessed on the VAS showed a median of 70 mm (range 0-100) before surgery compared to a subjective disturbance median 27 mm (range 0-98) postoperatively. The change preoperatively to postoperatively was mean À34 mm (SD 31), median À37 (range À96 to 37), p À. Patients with much disturbance at baseline measured by VAS experienced more subjective benefit of the operation measured by the distance between the mark on the VAS preoperatively and postoperatively, p À, Spearman correlation coefficient. Conclusion: Patients with considerable preoperative disturbance benefit more from an operation than those with less disturbance.

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Section: Discussionmentioning

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Epiretinal membrane surgery evaluated by subjective outcome

Miliatos

Lindgren

2016

Acta Ophthalmologica

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“…Lower preoperative VA, a longer duration of symptoms, the presence of cystoid macular edema (CME), greater membrane thickness, and older age have all been suggested as adverse prognostic factors [2,10,12,13]. The effect of additional ocular morbidity other than ERM in eyes undergoing surgery has not been extensively evaluated.…”

Section: Introductionmentioning

confidence: 99%

“…Incidence rises with age from 6% of the population above 50 years of age to 20% of people older than 75 years, and it is bilateral in 10–20% of cases [2,3]. ERM cause decreased visual acuity (VA) and metamorphopsia [4,5] that seldom improve without surgical intervention.…”

Section: Introductionmentioning

confidence: 99%

“…Since then, it has greatly evolved due to advances in instrumentation, the use of dyes to identify the ERM and the internal limiting membrane (ILM), and the development of sutureless and smaller-gauge vitrectomy technology. Most series of PPV for the removal of ERM report high rates of visual recovery and low rates of complications [2,7,8,9,10,11]. …”

Section: Introductionmentioning

confidence: 99%

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Outcomes of Epiretinal Membrane Removal in Eyes with and without Concurrent Vision-Limiting Ocular Disease

Moisseiev

Davidovitch²,

Loewenstein³

et al. 2011

Ophthalmologica

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Purpose: To evaluate preoperative and intraoperative parameters in patients who underwent pars plana vitrectomy (PPV) for epiretinal membrane (ERM) removal and identify prognostic factors for visual recovery and complications. Furthermore, eyes with and without additional vision-limiting ocular disease were compared. Methods: Ninety eyes of 90 patients who underwent PPV and ERM peeling were included in this retrospective study. Patients were divided according to the presence of additional vision-limiting conditions. Results: The mean visual acuity (VA) improvement was –0.156 logMAR. No parameter was found to correlate with the final VA or postoperative complications. Thirty-four patients (37.8%) had concurrent vision-limiting ocular conditions. Although these eyes had lower initial and final VA, there was no significant difference in VA improvement between them and eyes without concurrent disease. Conclusions: PPV and membrane peeling is an effective treatment for patients with ERM, even in the presence of concurrent vision-limiting ocular disease.

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„Zuwarten“ als therapeutisches Prinzip bei Erkrankungen der vitreoretinalen Grenzfläche

Hoerauf

Kirchhof

2017

Ophthalmologe

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Elective surgery of the vitreoretinal interface is currently the most common reason for vitrectomy in Germany. The evaluation and correct interpretation of spectral domain optical coherence tomography (SD-OCT) images is of great importance but the indications for vitrectomy in macular surgery should be based more on patient symptoms and not only the OCT findings. Watchful waiting is highlighted as an alternative therapeutic option in individual patients. This article addresses a number of aspects and discrepancies between findings and patients' level of suffering based on binocular symptoms. Postoperative retinal thickening and irregular surface of the macula after peeling operations may still allow excellent function and often require no therapeutic measures. The difficulties in differentiating between cystoid macular edema after cataract operations with simultaneous epiretinal gliosis and gliosis as the cause of macular edema are highlighted.

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Results of macular pucker surgery: 1- and 5-year follow-up

Cited by 41 publications

References 20 publications

Epiretinal membrane surgery evaluated by subjective outcome

Epiretinal membrane surgery evaluated by subjective outcome

Outcomes of Epiretinal Membrane Removal in Eyes with and without Concurrent Vision-Limiting Ocular Disease

„Zuwarten“ als therapeutisches Prinzip bei Erkrankungen der vitreoretinalen Grenzfläche

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