Recurrence rate and need for reoperation after surgery with or without internal limiting membrane removal for the treatment of the epiretinal membrane
Abstract Purpose To compare the recurrence rate and need for reoperation after epiretinal membrane surgery with and without removal of the internal limiting membrane. Methods In this retrospective study, 125 patients operated for epiretinal membrane removal were evaluated, with a minimum 6-month fol...
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| Format: | Article |
| Language: | English |
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BMC
2017-12-01
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| Series: | International Journal of Retina and Vitreous |
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| Online Access: | http://link.springer.com/article/10.1186/s40942-017-0101-z |
| _version_ | 1818622154092052480 |
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| author | Fernando José De Novelli Mauro Goldbaum Mario Luiz Ribeiro Monteiro Fabio Bom Aggio Mario Junqueira Nóbrega Walter Yukihiko Takahashi |
| author_facet | Fernando José De Novelli Mauro Goldbaum Mario Luiz Ribeiro Monteiro Fabio Bom Aggio Mario Junqueira Nóbrega Walter Yukihiko Takahashi |
| author_sort | Fernando José De Novelli |
| collection | DOAJ |
| description | Abstract Purpose To compare the recurrence rate and need for reoperation after epiretinal membrane surgery with and without removal of the internal limiting membrane. Methods In this retrospective study, 125 patients operated for epiretinal membrane removal were evaluated, with a minimum 6-month follow-up. Removal of the epiretinal membrane (ERM) was performed in 78 patients, while 47 had removal of the epiretinal membrane associated with internal limiting membrane peeling (ERM + ILM). Results The mean age in the ERM group was 65.8 years old, ranging from 41 to 80 years old. In the ERM + ILM group, the mean age was 67.2 years old, ranging from 52 to 82 years old. The mean preoperative visual acuity in the ERM group was 20/80p, and in the ERM + ILM group, it was 20/80. The mean postoperative visual acuity in both groups was 20/30. The mean preoperative macular thickness in the ERM group was 467 µm ranging from 281 to 663 µm; in the ERM + ILM group, the preoperative macular thickness was 497 µm, ranging from 172 to 798 µm. After surgery, a reduction in macular thickness was observed in both groups. In the ERM group, the mean macular thickness reduction was 361 ± 101. µm, whereas in the ERM + ILM group, it was 367 ± 75.2 µm. Twenty-two patients presented with a recurrence of epiretinal membrane, of which 16 (20.5%) were from the ERM group and 6 (12.8%) were from the ERM + ILM group (p = 0.39); one patient (2%) was retreated in the ERM + ILM group, whereas 5 patients (6%) where retreated in the ERM group. Conclusion We postulate that ILM peeling for the treatment of epiretinal membrane is not a relevant factor either for visual recovery or macular thickness reduction, but it may reduce the recurrence and reoperation rate. |
| first_indexed | 2024-12-16T18:20:39Z |
| format | Article |
| id | doaj.art-74c77721859a462c9d607b7dd4665a58 |
| institution | Directory Open Access Journal |
| issn | 2056-9920 |
| language | English |
| last_indexed | 2024-12-16T18:20:39Z |
| publishDate | 2017-12-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Retina and Vitreous |
| spelling | doaj.art-74c77721859a462c9d607b7dd4665a582022-12-21T22:21:34ZengBMCInternational Journal of Retina and Vitreous2056-99202017-12-01311510.1186/s40942-017-0101-zRecurrence rate and need for reoperation after surgery with or without internal limiting membrane removal for the treatment of the epiretinal membraneFernando José De Novelli0Mauro Goldbaum1Mario Luiz Ribeiro Monteiro2Fabio Bom Aggio3Mario Junqueira Nóbrega4Walter Yukihiko Takahashi5Division of Ophthalmology, University of São Paulo Medical SchoolDivision of Ophthalmology, University of São Paulo Medical SchoolDivision of Ophthalmology, University of São Paulo Medical SchoolDivision of Ophthalmology, University of São Paulo Medical SchoolOphthalmology, Universidade da Região de JoinvilleDivision of Ophthalmology, University of São Paulo Medical SchoolAbstract Purpose To compare the recurrence rate and need for reoperation after epiretinal membrane surgery with and without removal of the internal limiting membrane. Methods In this retrospective study, 125 patients operated for epiretinal membrane removal were evaluated, with a minimum 6-month follow-up. Removal of the epiretinal membrane (ERM) was performed in 78 patients, while 47 had removal of the epiretinal membrane associated with internal limiting membrane peeling (ERM + ILM). Results The mean age in the ERM group was 65.8 years old, ranging from 41 to 80 years old. In the ERM + ILM group, the mean age was 67.2 years old, ranging from 52 to 82 years old. The mean preoperative visual acuity in the ERM group was 20/80p, and in the ERM + ILM group, it was 20/80. The mean postoperative visual acuity in both groups was 20/30. The mean preoperative macular thickness in the ERM group was 467 µm ranging from 281 to 663 µm; in the ERM + ILM group, the preoperative macular thickness was 497 µm, ranging from 172 to 798 µm. After surgery, a reduction in macular thickness was observed in both groups. In the ERM group, the mean macular thickness reduction was 361 ± 101. µm, whereas in the ERM + ILM group, it was 367 ± 75.2 µm. Twenty-two patients presented with a recurrence of epiretinal membrane, of which 16 (20.5%) were from the ERM group and 6 (12.8%) were from the ERM + ILM group (p = 0.39); one patient (2%) was retreated in the ERM + ILM group, whereas 5 patients (6%) where retreated in the ERM group. Conclusion We postulate that ILM peeling for the treatment of epiretinal membrane is not a relevant factor either for visual recovery or macular thickness reduction, but it may reduce the recurrence and reoperation rate.http://link.springer.com/article/10.1186/s40942-017-0101-zEpiretinal membraneInternal limiting membraneVitrectomyMetamorphopsiaOptical coherence tomography |
| spellingShingle | Fernando José De Novelli Mauro Goldbaum Mario Luiz Ribeiro Monteiro Fabio Bom Aggio Mario Junqueira Nóbrega Walter Yukihiko Takahashi Recurrence rate and need for reoperation after surgery with or without internal limiting membrane removal for the treatment of the epiretinal membrane International Journal of Retina and Vitreous Epiretinal membrane Internal limiting membrane Vitrectomy Metamorphopsia Optical coherence tomography |
| title | Recurrence rate and need for reoperation after surgery with or without internal limiting membrane removal for the treatment of the epiretinal membrane |
| title_full | Recurrence rate and need for reoperation after surgery with or without internal limiting membrane removal for the treatment of the epiretinal membrane |
| title_fullStr | Recurrence rate and need for reoperation after surgery with or without internal limiting membrane removal for the treatment of the epiretinal membrane |
| title_full_unstemmed | Recurrence rate and need for reoperation after surgery with or without internal limiting membrane removal for the treatment of the epiretinal membrane |
| title_short | Recurrence rate and need for reoperation after surgery with or without internal limiting membrane removal for the treatment of the epiretinal membrane |
| title_sort | recurrence rate and need for reoperation after surgery with or without internal limiting membrane removal for the treatment of the epiretinal membrane |
| topic | Epiretinal membrane Internal limiting membrane Vitrectomy Metamorphopsia Optical coherence tomography |
| url | http://link.springer.com/article/10.1186/s40942-017-0101-z |
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