Risk factors for macular pucker after rhegmatogenous retinal detachment surgery

Hirakata, Toshiaki; Hiratsuka, Yoshimune; Yamamoto, Se Ryung; Kanbayashi, Koki; Kobayashi, Hiroaki; Murakami, Akira

doi:10.1038/s41598-021-97738-x

Cited by 7 publications

(4 citation statements)

References 17 publications

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“…Further, the ERM development in our study did not differ in a statistically signi cant trend between the two groups (p = 0.254). In a recent study, ERM development during follow-up was found to be 28% in the SB Group and 34%in the PPV Group, respectively, and again was not signi cant between the two groups (p = 0.536) 26, 27 .…”

Section: Discussionmentioning

confidence: 87%

Retinal detachment without posterior vitreous detachment: Vitrectomy or scleral buckling?

Dimakopoulou,

Mylonas,

Iby

et al. 2024

Preprint

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Purpose: To compare the effectiveness and safety of scleral buckling and pars plana vitrectomy in treating retinal detachment without posterior vitreous detachment. Methods: A total of 88 eyes of 83 patients with retinal detachment without prior posterior vitreous detachment were investigated retrospectively. Group A comprised patients who underwent scleral buckling (n= 47) and Group B (n= 36) patients who were treated with pars plana vitrectomy. Anatomical success, postoperative visual acuity, and ocular adverse events were evaluated. Results: The primary and final anatomical success rate showed a nonsignificant difference (p = 0.465 and p = 0.37 respectively). No significant difference was observed in the reoperation rate or development of epiretinal membrane between the groups (p = 0.288 and p = 0.254 respectively). However, scleral buckling resulted in significantly better visual acuity at the last follow-up (0.12 ± 0.23) compared to pars plana vitrectomy (0.37 ± 0.46, p = 0.001). The incidence of cataract progression was also significantly higher in the pars plana vitrectomy group (59%) compared to the scleral buckling group (6.1%, p < 0.001). Conclusions: Scleral buckling and pars plana vitrectomy show similar success rates in treating retinal detachment without vitreous detachment. However, due to less cataract progression and better visual acuity outcomes, scleral buckling is recommended for these cases. Determining vitreous status before surgery is crucial for optimal outcomes.

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Section: Discussionmentioning

confidence: 87%

Retinal detachment without posterior vitreous detachment: Vitrectomy or scleral buckling?

Dimakopoulou,

Mylonas,

Iby

et al. 2024

Preprint

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“…Después de una criorretinopexia con cerclaje, la incidencia de membrana epirretiniana fue semejante a la reportada por Fu et al 20 ( 25.7%) y superó la descrita por Hirakata et al 5 ( 9.4%, n = 89), quienes no encontraron asociación entre la técnica quirúrgica y el desarrollo de membrana epirretiniana. Radice et al 21 encontraron una incidencia del 17.8% (n = 135), y un estudio previo de nuestro medio 22 reportó una prevalencia del 38%, detectada mediante TCO.…”

Section: Discussionunclassified

“…La criorretinopexia con cerclaje escleral y la vitrectomía son dos de las técnicas quirúrgicas más habituales para tratar el desprendimiento regmatógeno de retina. El desarrollo de una membrana epirretiniana se considera una complicación secundaria potencialmente invalidante que puede aparecer después de ambas técnicas y limitar la recuperación de la visión; su incidencia no difiere entre ambos procedimientos 4,5 . Algunas membranas epirretinianas requieren ser eliminadas quirúrgicamente cuando distorsionan la calidad o la cantidad de la visión o si concomitantemente producen alteraciones en los biomarcadores tomográficos de la mácula; su remoción quirúrgica mejora la agudeza visual en un número significativo de casos 6 .…”

Section: Introductionunclassified

Incidencia y tiempo de aparición de membranas epirretinianas después de dos técnicas de retinopexia

Quiroz-González¹,

Montaño²,

Lima-Gómez³

2022

CIRU

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Objetivo: Comparar la incidencia y el tiempo en que aparecen las membranas epirretinianas después de dos técnicas quirúrgicas para tratar el desprendimiento de retina (retinopexia). Método: Estudio observacional, retrospectivo, longitudinal y comparativo en pacientes operados por desprendimiento regmatógeno primario de retina sin una membrana epirretiniana al momento de la cirugía, divididos en grupos: operados mediante criorretinopexia/cerclaje escleral (grupo 1) o vitrectomía (grupo 2). Se compararon entre grupos la incidencia de membrana epirretiniana, la mediana del tiempo de aparición (U de Mann-Whitney) y las proporciones de ojos sin membrana epirretiniana temporalmente mediante un análisis de sobrevida (logrank). Resultados: En 112 ojos en el grupo 1 y 48 ojos en el grupo 2, la incidencia de membrana epirretiniana fue del 23.2% en el grupo 1 y del 20.8% en el grupo 2 (p = 0.8). La mediana del tiempo de aparición fue de 12 semanas en el grupo 1 (rango intercuartílico [RIC]: 8.75-16) y de 18 semanas en el grupo 2 (RIC: 12.5-22; p = 0.02). La prueba de log-rank no mostró diferencias en la incidencia durante el seguimiento (p = 0.6). Conclusiones: Las membranas epirretinianas se presentan tempranamente después de una retinopexia, antes en ojos operados mediante criorretinopexia. De acuerdo con la incidencia observada, su búsqueda podría empezar 2 meses después de un cerclaje y 3 meses después de una vitrectomía.

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“…E piretinal membrane (ERM), also known as macular pucker, is a fibrous non-vascular cellular membrane proliferating over the macula region, which can cause decreased visual acuity and metamorphopsia [1][2] . In general, ERM includes two types: idiopathic ERMs without a clearly identified cause and secondary ERMs.…”

Section: Introductionmentioning

confidence: 99%

Predictive factors of epiretinal membrane in complicated rhegmatogenous retinal detachment tamponaded with silicone oil

Qian,

Sun,

Mijit

et al. 2023

Int J Ophthalmol

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AIM: To determine the incidence and predictive factors for epiretinal membrane (ERM) formation in eyes with complicated primary rhegmatogenous retinal detachment (RRD) tamponaded with silicone oil (SO). METHODS: This retrospective case-control study included 141 consecutive patients with (51 eyes) and without (90 eyes) ERM formation after primary pars plana vitrectomy (PPV) and SO tamponade for complicated RRD. The risk factors for ERM were assessed using logistic regression analysis. RESULTS: The prevalence of postoperative ERM was 36.2% (51/141). Multivariate logistic regression analysis showed that the risk factors for ERM in SO-tamponaded eyes included preoperative proliferative vitreoretinopathy [PVR; odds ratio (OR), 2.578; 95% confidence interval (CI) 1.580–4.205, P<0.001], preoperative choroidal detachment (OR, 4.454; 95%CI 1.369–14.498, P=0.013), and photocoagulation energy (OR, 2.700; 95%CI 1.047–6.962, P=0.040). The duration of the preoperative symptoms, intraocular SO tamponade time, giant retinal tear, preoperative vitreous hemorrhage, preoperative best-corrected visual acuity, number of breaks, quadrants of RRD, axial length, and photocoagulation points were not predictive factors for ERM formation. CONCLUSION: Preoperative PVR, choroidal detachment, and photocoagulation energy are risk factors of ERM formation after complicated RRD repair. Better ophthalmic care as well as patient education are necessary for such patients with risk factors.

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Risk factors for macular pucker after rhegmatogenous retinal detachment surgery

Cited by 7 publications

References 17 publications

Retinal detachment without posterior vitreous detachment: Vitrectomy or scleral buckling?

Retinal detachment without posterior vitreous detachment: Vitrectomy or scleral buckling?

Incidencia y tiempo de aparición de membranas epirretinianas después de dos técnicas de retinopexia

Predictive factors of epiretinal membrane in complicated rhegmatogenous retinal detachment tamponaded with silicone oil

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