Displacement of the Retina and Its Recovery After Vitrectomy in Idiopathic Epiretinal Membrane

Nitta, Eri; Shiraga, Fumio; Shiragami, Chieko; Fukuda, Komei; Yamashita, Ayana; Fujiwara, Atsushi

doi:10.1016/j.ajo.2013.01.021

Cited by 64 publications

(44 citation statements)

References 17 publications

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“…Although predictive values of some factors have been reproduced in different studies, substantial variation in results exists. Duration of symptoms has been studied as determinant for postoperative outcome [1,5,7,8,14,18,21,22,23]. Similar to other studies [19,22,23], we did not find an association between duration of symptoms and postoperative VA. A possible explanation could be the subjective nature of these symptoms with unreliable estimation of symptom duration [14].…”

Section: Discussionsupporting

confidence: 77%

Prognostic Factors Associated with Visual Outcome after Pars Plana Vitrectomy with Internal Limiting Membrane Peeling for Idiopathic Epiretinal Membrane

Laban¹,

Scheerlinck²,

Leeuwen³

2015

Ophthalmologica

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Purpose: Pars plana vitrectomy with internal limiting membrane peeling for idiopathic epiretinal membrane has shown varying results. More data are needed on the factors associated with visual outcome. Methods: We extracted baseline clinical characteristics, optical coherence tomography (OCT) characteristics and 3-month postoperative best-corrected visual acuity (BCVA). Linear regression analysis was used to evaluate whether baseline and OCT characteristics are associated with BCVA at 3 months as well as BCVA difference. Results: Out of 82 operated eyes, 66 (80%) had a 3-month follow-up, and 47 (71%) showed a 3-month postoperative improvement. Preoperative BCVA was an independent determinant of postoperative BCVA (r = 0.31; p < 0.01) and BCVA difference (r = 0.68; p < 0.01). Other baseline and OCT characteristics showed no independent associations with postoperative outcome. Conclusion: Better preoperative BCVA predicts better postoperative BCVA. Other baseline and OCT characteristics are not associated with visual outcome 3 months after surgery.

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Section: Discussionsupporting

confidence: 77%

Prognostic Factors Associated with Visual Outcome after Pars Plana Vitrectomy with Internal Limiting Membrane Peeling for Idiopathic Epiretinal Membrane

Laban¹,

Scheerlinck²,

Leeuwen³

2015

Ophthalmologica

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“…16,17 Our results appear to confirm the scarce contractile characteristics of LHEP because RVPs were detected in none of the 11 eyes presenting with LHEP alone. Conversely, RVPs were found in 16.3% of the eyes with standard ERM alone and in an additional 7.3% of eyes with the coexistence of LHEP and ERM.…”

Section: In This Retrospective Study We Show That In Eyessupporting

confidence: 68%

“…16,17 Measurements of diameters were obtained manually with the Spectralis built-in manual caliper function on high magnification after adjusting the scale to 1:1 mm.…”

Section: Methodsmentioning

confidence: 99%

Role of Lamellar Hole–Associated Epiretinal Proliferation in Lamellar Macular Holes

dell’Omo

Virgili

Rizzo

et al. 2017

American Journal of Ophthalmology

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“…Similarly, cases with overt ERMs were excluded because the presence of RVPs in eyes with prominent ERMs and a history of RRD could be either caused by a genuine full-thickness displacement of the retina (secondary to RRD) or to a shift involving only the superficial retinal layers (secondary to the traction exerted by the ERM on the inner retina). 13,19 After excluding these confounders, we still found that the incidence of displacement greatly differed in the group tamponated with gas versus the group tamponated with SO (41.2% vs. 14.3%).…”

Section: Discussionmentioning

confidence: 83%

Incidence and Factors Influencing Retinal Displacement in Eyes Treated for Rhegmatogenous Retinal Detachment With Vitrectomy and Gas or Silicone Oil

dell’Omo

Scupola

Viggiano

et al. 2017

Invest. Ophthalmol. Vis. Sci.

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PURPOSE. The purpose of this study was to study the incidence and factors influencing retinal displacement in eyes treated for rhegmatogenous retinal detachment (RRD) with pars plana vitrectomy (PPV) and gas or silicone oil.METHODS. This was a prospective observational case series. One hundred twenty-five eyes with macula-off RRD from 125 patients underwent 25-gauge PPV at two vitreoretinal institutional practices. Eyes without proliferative vitreoretinopathy (PVR) or PVR grade A were tamponated with sulfur hexafluoride (SF6) gas, whereas eyes with PVR grade B received 1000 centistokes silicone oil (SO). The patients postured face-down immediately after surgery. Blue-fundus autofluorescence (B-FAF) pictures were obtained at each follow-up examination. Main outcome measures were incidence and direction of retinal displacement.RESULTS. Ninety-seven eyes (77.6%) were tamponated with SF6 and 28 eyes (22.4%) with SO. After retinal reattachment, displacement was observed in 44 of 125 (35.2%) eyes (40 eyes in the SF6 group and 4 eyes in the SO group, respectively). The type of tamponade, specifically gas, was the only significant predictor of retinal displacement (P ¼ 0.007). The displacement was downward in 39 (88.6%) eyes (36 tamponated with SF6 and 3 with SO) and upward in 5 (11.4%) eyes (4 tamponated with SF6 and 1 with SO).CONCLUSIONS. Displacement of the retina after repair of macula-off RRD with PPV is observed using either SF6 gas or SO. Downward and upward displacements may occur with both tamponades, but downward dislocation is more common. Of the factors potentially implicated in favoring displacement that were studied, only the type of tamponade, specifically the gas, was significant.Keywords: blue fundus autofluorescence, retinal vessel printings, retinal detachment, pars plana vitrectomy, retinal displacement T here has recently been a trend toward pars plana vitrectomy (PPV) as the preferred method for treatment for rhegmatogenous retinal detachment (RRD). The reasons behind this trend include the advent of outpatient ambulatory surgery and improvements in technology, instrumentation, and viewing systems. [1][2][3][4][5] When PPV is chosen for the treatment of RRD, it is typically accompanied with a postoperative intraocular tamponade agent-most commonly gases or silicone oils (SOs). Many surgeons prefer to use SO for complicated RRD or if postoperative airplane or high elevation travel is planned. However, a recent prospective study has shown that PPV with SO injection is also a safe and efficient surgical approach for treatment of primary uncomplicated RRD. 6 The use of both gas and SO in conjunction with PPV for repair of RRD may be associated with unintentional displacement of the retina. [7][8][9][10][11][12] Blue fundus autofluorescence (B-FAF) elegantly depicts this shift via lines of increased autofluorescence, which closely reflect the caliber and orientation of the adjacent retinal vessels. These lines indicate the original location of the retinal vessels, which have been displaced along with t...

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Displacement of the Retina and Its Recovery After Vitrectomy in Idiopathic Epiretinal Membrane

Cited by 64 publications

References 17 publications

Prognostic Factors Associated with Visual Outcome after Pars Plana Vitrectomy with Internal Limiting Membrane Peeling for Idiopathic Epiretinal Membrane

Prognostic Factors Associated with Visual Outcome after Pars Plana Vitrectomy with Internal Limiting Membrane Peeling for Idiopathic Epiretinal Membrane

Role of Lamellar Hole–Associated Epiretinal Proliferation in Lamellar Macular Holes

Incidence and Factors Influencing Retinal Displacement in Eyes Treated for Rhegmatogenous Retinal Detachment With Vitrectomy and Gas or Silicone Oil

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