EPIRETINAL MEMBRANE AFTER PARS PLANA VITRECTOMY FOR PRIMARY PSEUDOPHAKIC OR APHAKIC RHEGMATOGENOUS RETINAL DETACHMENTIncidence and outcomes

Martínez-Castillo, Vicente; Boixadera, Anna; Distéfano, Laura; Zapata, Miguel Ángel; García‐Arumí, José

doi:10.1097/iae.0b013e318242b965

Cited by 72 publications

(50 citation statements)

References 11 publications

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“…Martinez-Castillo et al 15 reported ERM in 10% of the PVR eyes. This was different from our prevalence because this study was dependent on a fundus examination for detection of ERM and used OCT only to confirm clinical diagnosis of ERM.…”

Section: Discussionmentioning

confidence: 99%

Value of optical coherence tomography in the detection of macular pathology before the removal of silicone oil

Rashad

Mohamed

Ahmed

2016

OPTH

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PurposeTo assess the pathological macular changes with optical coherence tomography (OCT) before the removal of silicone oil (SiO) in eyes that had undergone pars plana vitrectomy for complicated forms of retinal detachment (RD).Patients and methodsSubjects included 48 patients (51 eyes) with complicated RD including proliferative vitreoretinopathy, proliferative diabetic retinopathy, recurrent RD, penetrating trauma, uveitis, giant retinal tears, and macular holes. All the eyes had undergone SiO injection. Furthermore, all eyes had been planned for the removal of SiO 6–12 months after the primary surgery. Finally, all eyes had a fundus examination and OCT examination before the silicone oil removal.ResultsOCT findings indicated epiretinal membrane in 41% of the eyes, macular edema in 17%, macular detachment in 13.5%, macular thinning in 13.5%, macular holes in 10%, and subretinal membranes in 2%. Preoperative OCT was normal in only 12% of the eyes, while a clinical fundus examination was normal in 43% (P<0.001). Eyes with normal OCT had significantly better mean logMAR (0.35) than eyes with pathological changes detected through OCT (1.28; P<0.001). Surgical modifications were made during the removal of SiO in 74.5% of the eyes.ConclusionOCT detected significantly more pathological changes than a clinical fundus examination. This had an impact on both surgical step modification during the removal of SiO and predictability of visual outcome after the removal of SiO.

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Section: Discussionmentioning

confidence: 99%

Value of optical coherence tomography in the detection of macular pathology before the removal of silicone oil

Rashad

Mohamed

Ahmed

2016

OPTH

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“…4,[9][10][11][12] Typically, a remove-and-replace approach is used when such cases undergo further attempts at surgical repair, or the SO is removed at the time of EMM removal. 4,[9][10][11][12] Typically, a remove-and-replace approach is used when such cases undergo further attempts at surgical repair, or the SO is removed at the time of EMM removal.…”

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confidence: 99%

Anatomical and Visual Outcomes After Two-Port Pars Plana Vitrectomy Reoperation Under Silicone Oil for Epimacular Membrane or Recurrent Retinal Detachment

Sigler

Randolph

Calzada

et al. 2014

Retina

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“…Thus, it is possible that the MHs might have been developed after continuous traction caused by the ERMs. On the other hand, the risk factors for the development of ERM after the repair of rRDs include equatorial rather than anterior breaks [ 13 ] and multiple or large retinal breaks [ 14 ]. Therefore, an equatorial break could shorten the interval of MH formation after vitrectomy for rRD.…”

Section: Discussionmentioning

confidence: 99%

Full-Thickness Macular Hole Formation in the Postoperative Period After Initial Vitrectomy for Rhegmatogenous Retinal Detachment

Takashina

Watanabe

Tsuneoka

2017

Case Rep Ophthalmol

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Background and Objective: To evaluate full-thickness macular hole (MH) formation in the postoperative period after initial vitrectomy for rhegmatogenous retinal detachment (rRD). Materials and Methods: We retrospectively reviewed the medical records of 4 consecutive eyes that required additional vitrectomy for full-thickness MH between April 2013 and March 2016 after undergoing an initial vitrectomy for rRD. Results: Epiretinal membrane (ERM) was identified by preoperative optical coherence tomography or intraoperative dye staining in each case. Photocoagulation of retinal breaks prior to initial vitrectomy was performed in Cases 1, 2, and 3 (4–16 days), with yttrium-aluminum-garnet capsulotomy after cataract extraction also performed prior to the retinal break formation in Case 3. At the initial vitrectomy, there was a superior retinal break which crossed the equator in Case 2, and an intentional hole was created in Cases 1 and 4. The mean interval from the initial vitrectomy until MH formation was 27.5 ± 15.8 months. As with Case 2, the intervals in Cases 1 and 4, in which an intentional hole was created, were clearly shorter than in those in Case 3. Finally, MH closure was achieved after an additional vitrectomy (removal of the internal limiting membrane with ERM and gas tamponade) and best-corrected visual acuity improved in each case. Conclusion: ERM was identified in the cases examined in our study. The presence of an intentional hole might shorten the interval of MH formation after vitrectomy for rRD.

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EPIRETINAL MEMBRANE AFTER PARS PLANA VITRECTOMY FOR PRIMARY PSEUDOPHAKIC OR APHAKIC RHEGMATOGENOUS RETINAL DETACHMENTIncidence and outcomes

Cited by 72 publications

References 11 publications

Value of optical coherence tomography in the detection of macular pathology before the removal of silicone oil

Value of optical coherence tomography in the detection of macular pathology before the removal of silicone oil

Anatomical and Visual Outcomes After Two-Port Pars Plana Vitrectomy Reoperation Under Silicone Oil for Epimacular Membrane or Recurrent Retinal Detachment

Full-Thickness Macular Hole Formation in the Postoperative Period After Initial Vitrectomy for Rhegmatogenous Retinal Detachment

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