Surgical management of idiopathic epiretinal membranes |
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| Authors: | H R McDonald W P Verre T M Aaberg |
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| Affiliation: | 1. Laboratoire psychology and neurocognition, university Grenoble-Alpes, France;2. Service de rééducation neurologique, institut de rééducation, hôpital sud, CHU Grenoble-Alpes, avenue de Kimberley, 38400 Échirolles/Grenoble, France;3. Pôle rééducation, réadaptation et soins de suite, EA 4488, université Lille Nord de France, CHRU, rue Andre-Verhaghe, 59037 Lille cedex, France;4. Inserm U1124, department of rehabilitation, institute of rheumatology, pharmacology and toxicology and cellular signaling, Cochin hospital, university Paris 05, AP–HP, Paris, France;5. Service de médicine et physical réadaptation, hôpital Raymond-Poincaré, AP–HP, 104, boulevard Raymond-Poincaré, Garches, France;6. Université Versailles, EA ECIPSY 4047, St-Quentin-en-Yvelines, Garches, France;7. Physical medicine and rehabilitation department, hôpital Nord, Clermont-Ferrand university hospital, Clermont Auvergne university, route Chateaugay, 63118 Cebazat, France;8. Sorbonne universités, UPMC university Paris 06, GRC 01, GREEN, Group of clinical research in neuro-urology, 75005 Paris, France;9. Service de neuro-urologie, hôpital Tenon, AP–HP, 75020 Paris, France;10. Inserm U1093, pôle rééducation-réadaptation, CHU de Dijon, Dijon, France;11. École de réadaptation, laboratoire de pathokinésiologie, CRIR, université de Montréal, Montréal, Canada;12. PMR department, Euromov, IFRH, Montpellier university hospital, Montpellier university, Montpellier, France;13. Service of medicine and physical readaptation, CHRU de Brest, 2, avenue Foch, 29200 Brest, France;14. Université Bretagne Occidentale, Brest, France;15. Groupe hospitalier Lariboisière F.-Widal, PRM department, Paris Diderot université, AP–HP, Paris, France;p. EA4136, rehabilitation medicine unit, university of Bordeaux, Bordeaux, France;q. Inserm U1028, CNRS UMR5292, Lyon neuroscience research center, ImpAct team, université de Lyon, université Lyon 1, 69676 Lyon, France;r. Hospices civils de Lyon, hôpital Henry-Gabrielle, 69000 Lyon, France;1. Southern California College of Optometry, Marshall B. Ketchum University, Fullerton, California;2. Mayo Clinic, Rochester, Minnesota;3. Jaeb Center for Health Research, Tampa, Florida;4. Wilmer Ophthalmological Institute, Johns Hopkins University, Baltimore, Maryland;5. Duke Eye Center, Durham, North Carolina;6. Retina Foundation of the Southwest, Dallas, Texas;7. Bascom Palmer Eye Institute, Miami, Florida;8. Houston Eye Associates, The Woodlands, Texas;9. Pediatric Ophthalmology of Erie, Erie, Pennsylvania;10. Private Practice, Rockville, Maryland |
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| Abstract: | The authors reviewed 33 consecutive cases of idiopathic epiretinal membranes removed by vitreous surgical techniques. Visual acuity improved in 79% of surgically treated eyes. In uncomplicated cases, a 47% gain in visual acuity was achieved. Of those eyes that had improved visual acuity post-operatively, 82.5% of the final visual acuity returned by four to eight weeks post-operatively. Eyes with opaque membranes had visual acuity results no worse than those with translucent membranes. Eyes with no pre-operative cystoid edema had better visual acuity results than eyes with cystoid macular edema (CME), although no statistically significant difference was shown. Surgical removal of membranes decreased fluorescein dye leakage in 30% of eyes; while no change in post-operative leakage was noted in 60%, one eye had increased CME post-operatively. Complications included development of nuclear sclerotic cataract, retinal breaks, retinal detachment, and one case of pigment epithelial/retinal burn from the endoilluminator, residual and recurrent membrane formation, and anterior ischemic optic neuropathy. |
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| Keywords: | idiopathic epiretinal membrane macular pucker pars plana vitrectomy preretinal membrane retinal membrane stripping |
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