Journals / Retina-Vitreus / 2000 / Cilt: 8 - Sayı: 2

The effect of vitrectomy on visual prognosis in idiopathic epiretinal membranes

İdyopatik epiretinal membranlarda vitrektominin görme prognozuna etkisi

Pages
169–175
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

CONCLUSION: Vitrectomy provides significant visual enhancements by removing macular tractions in patients with idiopathic epiretinal membranes.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:PURPOSE: To evaluate the effect of vitrectomy on visual prognosis in idiopathic epiretinal membranes.
📊
Key Findings & Data:METHOD: Vitrectomy is applied in 16 cases with epiretinal membranes.
💡
Conclusion & Impact:CONCLUSION: Vitrectomy provides significant visual enhancements by removing macular tractions in patients with idiopathic epiretinal membranes.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Epiretinal membran · Vitrektomi · Görme

Abstract

PURPOSE: To evaluate the effect of vitrectomy on visual prognosis in idiopathic epiretinal membranes. METHOD: Vitrectomy is applied in 16 cases with epiretinal membranes. Various intravitreal instruments and diamond dust coated flexible cannula of Tano is used in surgery. RESULTS: Total 16 eyes of 16 patients (9 female, 7 male; ages ranging between 19 and 67) included in the study. Five cases were associated with cystoid macular edema and 3 with macular holes. Posterior vitreous detachments were seen in 69% of cases. Visual acuities increased in 75% of cases and didn't change in 25 %. Complications were small retinal hemorrhages in 3, macular hole in 1, and mild nuclear sclerosis in 4 cases. CONCLUSION: Vitrectomy provides significant visual enhancements by removing macular tractions in patients with idiopathic epiretinal membranes.

Özet

AMAÇ: İdyopatik epiretinal membranlarda (ERM) vitrektominin görme prognozuna etkisini araştırmak. YÖNTEM: 16 İdyopatik ERM'lı olguya vitrektomi yapıldı. Membranların çıkartılmasında çeşitli intravitreal enstrümanlar ve Tano'nun elmas tozlarıyla kaplı fleksibl kanülü kullanıldı. BULGULAR: Çalışmaya 19-67 yaşları arasında, 9'u kadın, 7'si erkek 16 hastanın 16 gözü alında. 16 olgunun 5'i kistoid maküler ödem (KMÖ), 3'ü makula holü ile birlikteydi. Posterior vitre dekolmanı (PVD) olguların % 69'unda vardı, % 31'inde yoktu. Postoperatif olarak olguların % 75'inde görmede artış olurken, % 25'inde değişmedi. Komplikasyon olarak 3 olguda küçük retinal kanama, 1 olguda makula holü, 4 olguda hafif derecede nükleer skleroz gelişti. SONUÇ: İdyopatik ERM'lı olgularda vitrektomi maküler traksiyonları ortadan kaldırarak görmeyi önemli ölçüde artırmaktadır.

🔖

Cite This Article

ÖZERTÜRK, Y., DURMUŞ, M., BARDAK, Y., MENSİZ, E., AYTULUNER, E. (2000). The effect of vitrectomy on visual prognosis in idiopathic epiretinal membranes. Retina-Vitreus, Cilt: 8 - Sayı: 2, 169–175. https://ajindex.com/articles/289219

References (19)

  1. Hagler WS, Aturaliya U. Macular puckers after retinal detachment surgery. Br J Ophthalmol 1971; 55: 451-7
  2. Wise GN. Clinical features of idiopathic preretinal macular fibrosis. Schoenberg Lecture. Am J Ophthalmol 1975; 79: 349-57
  3. Foos RY. Vitreoretinal juncture: Epiretinal membranes and vitreous. Invest Ophthalmol Vis Sei 1977; 16:416-22
  4. Kenyon KR, Michels RG. Ultrastructure of epiretinal membrane removed by pars plana vitreoretinal surgery. Am J Ophthalmol 1977; 83:815-23
  5. Lobes LA Jr, Burton TC. The incidence of macular pucker after retinal detachment surgery. Am J Ophthalmol 1978; 85: 72-7
  6. François J, Verbraeken H. Relationship between the drainage of the subretinal fluid in retinal detachment surgery and the appearance of macular pucker. Oph-thalmologica 1979; 179:111 -4
  7. Kampik A, Kenyon KR, Michels RG, Green WR, de la Cruz ZC. Epiretinal and vitreous membranes. Comparative study of 56 cases. Arch Ophthalmol 1981; 99: 1445-54
  8. Margherio RR, Cox MS, Trese MT, Murphy PL, Johnson J, Minor LA. Removal of epimacular membranes. Ophthalmology 1985; 92:1075-83
  9. Mc Docald HR, Verre WP, Aaberg TM. Surgical management of idiopathic epiretinal membranes. Ophthalmology 1986; 93: 978-83. 10. de Bustros S, Rice TA, Michels RG, Thompson JT, Marcus S, Glaser BM. Vitrectomy for macular pucker. Arch Ophthalmol 1988; 106: 758-60
  10. Smiddy WE, Maguire AM, Green WR, et al. Idiopathic epiretinal membranes: Ultrastructural characteristics and clinicopathologic correlation. Ophthalmology. 1989; 96:911-21
  11. Zarbın MA, Michels RG, Green WR. Epiretinal membrane contracture associated with macular prolapse. Am J Ophthalmol 1990; 110: 610-18
  12. Heilskov TW, Massicotte SJ, Folk JC. Epiretinal macular membranes in eyes with attached posterior cortical vitreous. Retina 1996; 16: 279-84
  13. Blain P, Pâques M, Massin P, et al. Epiretinal membranes surrounding idiopathic macular holes. Retina 1998; 18:316-21
  14. Gass JDM. Stereoscopic atlas of macular diseases. Diagnosis and treatment. 3rd Ed. St Louis, CV İVlosby, 1987: 671-712
  15. Özmert E. Vitreus ve vitreoretinal yüzey bozukluklarına bağlı makula hastalıkları. T Kli Oftalmoloji 1992; 1(4): 304-310
  16. Kaynak S. Epiretinal membranlar. Retina-Vitreus 1995; 3: 406-18
  17. Wiznia RA. Natural history of idiopathic preretinal macular fibrosis. Ann Ophthalmol 1982; 14: 876-78
  18. Sidd RJ, Fine SL, Owens SL, Patz A. idiopathic preretinal gliosis. Am J Ophthalmol 1982; 94: 44-8
  19. Appiah AP, Hiros