Idiopathic Epiretinal Membrane Surgery in Patients Aged Over 80 Years: Efficacy and Safety
Qingjian Li,1,* Kunhuan Yang,2– 5,* Qianlin Ji,1,* Jing Jiang,1 Rongrong Zong,2– 5 Yu Zhang,1 Yiwen Qian,1 Xin Che,1 Jinshan Suo,1 Zhiliang Wang1 1Department of Ophthalmology, Huashan Hospital, Fudan University, Shanghai, People’s Republic of China; 2Fujian Provincial Key Lab...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-11-01
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| Series: | Clinical Ophthalmology |
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| Online Access: | https://www.dovepress.com/idiopathic-epiretinal-membrane-surgery-in-patients-aged-over-80-years--peer-reviewed-fulltext-article-OPTH |
| _version_ | 1797636621816823808 |
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| author | Li Q Yang K Ji Q Jiang J Zong R Zhang Y Qian Y Che X Suo J Wang Z |
| author_facet | Li Q Yang K Ji Q Jiang J Zong R Zhang Y Qian Y Che X Suo J Wang Z |
| author_sort | Li Q |
| collection | DOAJ |
| description | Qingjian Li,1,* Kunhuan Yang,2– 5,* Qianlin Ji,1,* Jing Jiang,1 Rongrong Zong,2– 5 Yu Zhang,1 Yiwen Qian,1 Xin Che,1 Jinshan Suo,1 Zhiliang Wang1 1Department of Ophthalmology, Huashan Hospital, Fudan University, Shanghai, People’s Republic of China; 2Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Xiamen, Fujian, People’s Republic of China; 3Fujian Engineering and Research Center of Eye Regenerative Medicine, Xiamen, Fujian, People’s Republic of China; 4Eye Institute of Xiamen University, Xiamen, Fujian, People’s Republic of China; 5Xiamen University School of Medicine, Xiamen, Fujian, People’s Republic of China*These authors contributed equally to this workCorrespondence: Jinshan Suo; Zhiliang Wang, Email ammy_suo@163.com; ophwzl@163.comPurpose: To evaluate the efficacy and safety of idiopathic epiretinal membrane (ERM) surgery in patients aged over 80 years.Methods: Consecutive patients who underwent pars plana vitrectomy (PPV) combined with ERM and internal limiting membrane (ILM) peeling with retrobulbar anesthesia were recruited. Based on age, the patients were divided into the elderly group (≥ 80 years of age) and the control group (< 80 years of age). The best-corrected visual acuity (BCVA) and surgical complications were regarded as the main measurement indicators.Results: This study included 43 eyes from 43 patients aged 80 to 91 years and 86 eyes from 86 patients aged 54 to 79 years. Surgical intervention substantially improved BCVA both in the elderly and control groups (p = 0.005 and p < 0.001, respectively). Statistical analyses showed no significant difference in the incidence of surgical complications between the two groups (p = 0.631). The operations in either group were not delayed or canceled for the reason of complications of retrobulbar anesthesia, severe anxiety, or physical discomfort in the perioperative period. Moreover, no patient required a second operation. Also, no stroke, myocardial infarction, or death occurred during the follow-up period. All the surgical complications were treated satisfactorily.Conclusion: Our outcomes indicate that PPV combined with ERM and ILM peeling with retrobulbar anesthesia is effective and safe in elderly patients aged 80 years or older. Based on age alone, we believe that advancing age should not be the risk factor for idiopathic ERM surgery.Keywords: idiopathic epiretinal membrane, elderly, pars plana vitrectomy, complication, safety |
| first_indexed | 2024-03-11T12:36:39Z |
| format | Article |
| id | doaj.art-7702273c1bf842b494d7079997909db3 |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-03-11T12:36:39Z |
| publishDate | 2023-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-7702273c1bf842b494d7079997909db32023-11-05T18:06:31ZengDove Medical PressClinical Ophthalmology1177-54832023-11-01Volume 173365337287870Idiopathic Epiretinal Membrane Surgery in Patients Aged Over 80 Years: Efficacy and SafetyLi QYang KJi QJiang JZong RZhang YQian YChe XSuo JWang ZQingjian Li,1,* Kunhuan Yang,2– 5,* Qianlin Ji,1,* Jing Jiang,1 Rongrong Zong,2– 5 Yu Zhang,1 Yiwen Qian,1 Xin Che,1 Jinshan Suo,1 Zhiliang Wang1 1Department of Ophthalmology, Huashan Hospital, Fudan University, Shanghai, People’s Republic of China; 2Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Xiamen, Fujian, People’s Republic of China; 3Fujian Engineering and Research Center of Eye Regenerative Medicine, Xiamen, Fujian, People’s Republic of China; 4Eye Institute of Xiamen University, Xiamen, Fujian, People’s Republic of China; 5Xiamen University School of Medicine, Xiamen, Fujian, People’s Republic of China*These authors contributed equally to this workCorrespondence: Jinshan Suo; Zhiliang Wang, Email ammy_suo@163.com; ophwzl@163.comPurpose: To evaluate the efficacy and safety of idiopathic epiretinal membrane (ERM) surgery in patients aged over 80 years.Methods: Consecutive patients who underwent pars plana vitrectomy (PPV) combined with ERM and internal limiting membrane (ILM) peeling with retrobulbar anesthesia were recruited. Based on age, the patients were divided into the elderly group (≥ 80 years of age) and the control group (< 80 years of age). The best-corrected visual acuity (BCVA) and surgical complications were regarded as the main measurement indicators.Results: This study included 43 eyes from 43 patients aged 80 to 91 years and 86 eyes from 86 patients aged 54 to 79 years. Surgical intervention substantially improved BCVA both in the elderly and control groups (p = 0.005 and p < 0.001, respectively). Statistical analyses showed no significant difference in the incidence of surgical complications between the two groups (p = 0.631). The operations in either group were not delayed or canceled for the reason of complications of retrobulbar anesthesia, severe anxiety, or physical discomfort in the perioperative period. Moreover, no patient required a second operation. Also, no stroke, myocardial infarction, or death occurred during the follow-up period. All the surgical complications were treated satisfactorily.Conclusion: Our outcomes indicate that PPV combined with ERM and ILM peeling with retrobulbar anesthesia is effective and safe in elderly patients aged 80 years or older. Based on age alone, we believe that advancing age should not be the risk factor for idiopathic ERM surgery.Keywords: idiopathic epiretinal membrane, elderly, pars plana vitrectomy, complication, safetyhttps://www.dovepress.com/idiopathic-epiretinal-membrane-surgery-in-patients-aged-over-80-years--peer-reviewed-fulltext-article-OPTHidiopathic epiretinal membraneelderlypars plana vitrectomycomplicationsafety |
| spellingShingle | Li Q Yang K Ji Q Jiang J Zong R Zhang Y Qian Y Che X Suo J Wang Z Idiopathic Epiretinal Membrane Surgery in Patients Aged Over 80 Years: Efficacy and Safety Clinical Ophthalmology idiopathic epiretinal membrane elderly pars plana vitrectomy complication safety |
| title | Idiopathic Epiretinal Membrane Surgery in Patients Aged Over 80 Years: Efficacy and Safety |
| title_full | Idiopathic Epiretinal Membrane Surgery in Patients Aged Over 80 Years: Efficacy and Safety |
| title_fullStr | Idiopathic Epiretinal Membrane Surgery in Patients Aged Over 80 Years: Efficacy and Safety |
| title_full_unstemmed | Idiopathic Epiretinal Membrane Surgery in Patients Aged Over 80 Years: Efficacy and Safety |
| title_short | Idiopathic Epiretinal Membrane Surgery in Patients Aged Over 80 Years: Efficacy and Safety |
| title_sort | idiopathic epiretinal membrane surgery in patients aged over 80 years efficacy and safety |
| topic | idiopathic epiretinal membrane elderly pars plana vitrectomy complication safety |
| url | https://www.dovepress.com/idiopathic-epiretinal-membrane-surgery-in-patients-aged-over-80-years--peer-reviewed-fulltext-article-OPTH |
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