Surgical outcomes after epiretinal membrane peeling combined with cataract surgery

Yiu, Glenn; Marra, Kyle V.; Wagley, Sushant; Krishnan, Sheela; Sandhu, Harpal S.; Kovacs, Kyle D.; Kuperwaser, Mark C.; Arroyo, Jorge G.

doi:10.1136/bjophthalmol-2013-303189

Cited by 28 publications

(21 citation statements)

References 33 publications

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“…Regarding the safety profile of the combined surgery, the complication rates were relatively low and similar to those reported in previous studies [10][11][12][13] . Unlike our findings, several authors reported a high rate of anterior chamber fibrinous reaction, posterior synechiae and persistent macular edema in combined pars plana vitrectomy and cataract surgery when compared to consecutive procedures [30][31][32] .…”

Section: Discussionsupporting

confidence: 72%

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Long-Term Anatomical and Functional Outcomes after Combined Cataract and Idiopathic Epiretinal Membrane Surgery

Kauffmann¹,

Ramel²,

Isaico³

et al. 2016

Ophthalmic Res

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Purpose: To describe the 2-year functional and anatomical outcomes in patients operated on for combined cataract and idiopathic epiretinal membrane (ERM) and to study the relationship between best-corrected visual acuity (BCVA) and spectral-domain optical coherence tomography (SD-OCT) throughout the follow-up. Methods: This retrospective observational case series included 72 eyes operated on for combined cataract and idiopathic ERM. They were followed with clinical and SD-OCT examinations preoperatively and 1, 6, 12, and 24 months after surgery. Foveolar thickness (FT), photoreceptor status and morphological parameters were assessed. Results: BCVA and FT substantially improved at 24 months. Postoperatively, no significant improvement was observed beyond 6 months for BCVA and 12 months for FT. Outer limiting membrane and inner and outer segment junction disruption scores were well correlated with BCVA both pre- and postoperatively, and significant visual improvement was demonstrated in each subgroup except in those with the highest scores. FT was correlated with BCVA only from 6 to 24 months postoperatively. Conclusion: After combined cataract and idiopathic ERM surgery, BCVA and FT improved rapidly. Most functional and anatomical recovery took place within the first 6 months, but this did not preclude late improvement, in particular in patients with the most disorganized photoreceptor layers. At each time point, the amount of photoreceptor damage seemed closely correlated with visual acuity, but concerning FT, this relationship remains questionable.

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Section: Discussionsupporting

confidence: 72%

“…Cataract is a common side effect that may take place within 2 years after the procedure, and its combined surgical management seems to allow functional outcomes equivalent to consecutive surgeries [10][11][12][13] .…”

mentioning

confidence: 99%

Long-Term Anatomical and Functional Outcomes after Combined Cataract and Idiopathic Epiretinal Membrane Surgery

Kauffmann¹,

Ramel²,

Isaico³

et al. 2016

Ophthalmic Res

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“…However, difficulties with capsulorhexis, higher postoperative inflammation, intraoperative miosis, and corneal edema with Descemet's folds are disadvantages when combining cataract and vitreoretinal surgery [8, 9]. Moreover, in combined surgeries for epiretinal membrane, increased postoperative macular thickness and recurrence of epiretinal membrane have been reported [10]. …”

Section: Introductionmentioning

confidence: 99%

Nd:YAG Capsulotomy after Phacoemulsification in Vitrectomized Eyes: Effects of Pars Plana Vitrectomy on Posterior Capsule Opacification

Jun

Kim

Chang

2014

Journal of Ophthalmology

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To compare the progression of posterior capsule opacification (PCO) in patients who required Nd:YAG laser capsulotomy following either combined cataract surgery with pars plana vitrectomy (PPV; C-CV), sequential cataract surgery after PPV (S-CV), or cataract surgery alone (CA). The medical records of 321 patients (408 eyes) who underwent Nd:YAG capsulotomy were retrospectively evaluated. The CA group had a significantly longer time interval from cataract surgery to capsulotomy than that of both the CV group (P = 0.006) and the S-CV (P = 0.013) and C-CV (P = 0.042) subgroups when age-matched comparisons were used. CV patients who implanted a hydrophobic acrylic IOL had shorter time intervals than those of CA patients (P = 0.028). CV patients had larger hazard of earlier capsulotomy than CA patients (hazard ratio (HR) = 1.337; 95% confidence interval (CI) 1.100–1.625; P = 0.004). C-CV and S-CV patients both had larger hazard than CA patients in earlier capsulotomy (HR = 1.304; 95% CI = 1.007–1.688; P = 0.044, HR = 1.361; 95% CI = 1.084–1.709; P = 0.008, resp.). PCO progresses more rapidly in patients undergoing combined or sequential cataract surgery and PPV than in patients undergoing CA.

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“…[16][17][18][19] Since cataract arises in most phakic patients within 2 years after ERM removal, it has been demonstrated that the combination of these 2 procedures allows equivalent outcomes to consecutive surgery with lower costs and fewer constraints. [20][21][22][23] Nevertheless, in some cases and despite successful peeling without complications, functional outcome may be disappointing. It is therefore necessary to identify preoperative prognostic factors for good postoperative visual recovery.…”

mentioning

confidence: 95%

Preoperative Prognostic Factors and Predictive Score in Patients Operated On for Combined Cataract and Idiopathic Epiretinal Membrane

Kauffmann

Ramel

Lefebvre

et al. 2015

American Journal of Ophthalmology

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Surgical outcomes after epiretinal membrane peeling combined with cataract surgery

Abstract: Combined surgery for ERMs and cataracts may potentially be as effective as membrane peeling alone with respect to visual and anatomical outcomes. Further studies are necessary to determine if there may be greater ERM recurrence or need for reoperation after combined surgery.

Cited by 28 publications

References 33 publications

Long-Term Anatomical and Functional Outcomes after Combined Cataract and Idiopathic Epiretinal Membrane Surgery

Long-Term Anatomical and Functional Outcomes after Combined Cataract and Idiopathic Epiretinal Membrane Surgery

Nd:YAG Capsulotomy after Phacoemulsification in Vitrectomized Eyes: Effects of Pars Plana Vitrectomy on Posterior Capsule Opacification

Preoperative Prognostic Factors and Predictive Score in Patients Operated On for Combined Cataract and Idiopathic Epiretinal Membrane

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