Outcomes of Epiretinal Membrane Removal Utilizing Triamcinolone Acetonide Visualization and Internal Limiting Membrane Forceps
Masumi G Asahi, Josh O Wallsh, Ron P Gallemore Retina Macula Institute, Torrance, CA, USACorrespondence: Ron P GallemoreRetina Macula Institute, 4201 Torrance Boulevard, Suite 220, Torrance, CA, USATel +1 310 944-9393Fax +1 310 944-3393Email rongallemoremd@gmail.comPurpose: To evaluate epiretinal me...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2020-11-01
|
| Series: | Clinical Ophthalmology |
| Subjects: | |
| Online Access: | https://www.dovepress.com/outcomes-of-epiretinal-membrane-removal-utilizing-triamcinolone-aceton-peer-reviewed-article-OPTH |
| _version_ | 1818691967362531328 |
|---|---|
| author | Asahi MG Wallsh JO Gallemore RP |
| author_facet | Asahi MG Wallsh JO Gallemore RP |
| author_sort | Asahi MG |
| collection | DOAJ |
| description | Masumi G Asahi, Josh O Wallsh, Ron P Gallemore Retina Macula Institute, Torrance, CA, USACorrespondence: Ron P GallemoreRetina Macula Institute, 4201 Torrance Boulevard, Suite 220, Torrance, CA, USATel +1 310 944-9393Fax +1 310 944-3393Email rongallemoremd@gmail.comPurpose: To evaluate epiretinal membrane (ERM) removal utilizing internal limiting membrane (ILM) forceps and visualization with triamcinolone acetonide (TA).Methods: Retrospective interventional case series of eyes undergoing ERM removal with TA visualization with follow-up of up to five years. Best-corrected visual acuity (BCVA), central macular thickness (CMT), and incidence of complications were reviewed.Results: A total of 132 eyes were included with 54 and 16 eyes completing 3- and 5-year follow-up, respectively. Mean BCVA and CMT improved significantly at all postoperative evaluations compared to baseline (p< 0.001). Pre-operative presence of PVD did not affect outcome measures. No intraoperative complications were reported. Immediate post-operative complications included one case of sterile endophthalmitis and one case of vitreous and perimacular hemorrhage. At one year, complications included progression of cataract in phakic eyes (65.4%), steroid-induced glaucoma (2.2%), retinal tear (0.8%), recurrent ERM (4.5%), and recurrent macular edema (11.3%). No further complications were reported at three- and five-year follow-up.Conclusion: Combination ILM forceps and TA visualization offers an affordable and safe option for ERM removal with comparable or better outcomes than traditional methods of ERM surgery.Keywords: chromovitrectomy, epiretinal membrane, triamcinolone acetonide |
| first_indexed | 2024-12-17T12:50:18Z |
| format | Article |
| id | doaj.art-83049e76c8924c4191c8a78d076ec446 |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-12-17T12:50:18Z |
| publishDate | 2020-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-83049e76c8924c4191c8a78d076ec4462022-12-21T21:47:37ZengDove Medical PressClinical Ophthalmology1177-54832020-11-01Volume 143913392159407Outcomes of Epiretinal Membrane Removal Utilizing Triamcinolone Acetonide Visualization and Internal Limiting Membrane ForcepsAsahi MGWallsh JOGallemore RPMasumi G Asahi, Josh O Wallsh, Ron P Gallemore Retina Macula Institute, Torrance, CA, USACorrespondence: Ron P GallemoreRetina Macula Institute, 4201 Torrance Boulevard, Suite 220, Torrance, CA, USATel +1 310 944-9393Fax +1 310 944-3393Email rongallemoremd@gmail.comPurpose: To evaluate epiretinal membrane (ERM) removal utilizing internal limiting membrane (ILM) forceps and visualization with triamcinolone acetonide (TA).Methods: Retrospective interventional case series of eyes undergoing ERM removal with TA visualization with follow-up of up to five years. Best-corrected visual acuity (BCVA), central macular thickness (CMT), and incidence of complications were reviewed.Results: A total of 132 eyes were included with 54 and 16 eyes completing 3- and 5-year follow-up, respectively. Mean BCVA and CMT improved significantly at all postoperative evaluations compared to baseline (p< 0.001). Pre-operative presence of PVD did not affect outcome measures. No intraoperative complications were reported. Immediate post-operative complications included one case of sterile endophthalmitis and one case of vitreous and perimacular hemorrhage. At one year, complications included progression of cataract in phakic eyes (65.4%), steroid-induced glaucoma (2.2%), retinal tear (0.8%), recurrent ERM (4.5%), and recurrent macular edema (11.3%). No further complications were reported at three- and five-year follow-up.Conclusion: Combination ILM forceps and TA visualization offers an affordable and safe option for ERM removal with comparable or better outcomes than traditional methods of ERM surgery.Keywords: chromovitrectomy, epiretinal membrane, triamcinolone acetonidehttps://www.dovepress.com/outcomes-of-epiretinal-membrane-removal-utilizing-triamcinolone-aceton-peer-reviewed-article-OPTHchromovitrectomyepiretinal membranetriamcinolone acetonide |
| spellingShingle | Asahi MG Wallsh JO Gallemore RP Outcomes of Epiretinal Membrane Removal Utilizing Triamcinolone Acetonide Visualization and Internal Limiting Membrane Forceps Clinical Ophthalmology chromovitrectomy epiretinal membrane triamcinolone acetonide |
| title | Outcomes of Epiretinal Membrane Removal Utilizing Triamcinolone Acetonide Visualization and Internal Limiting Membrane Forceps |
| title_full | Outcomes of Epiretinal Membrane Removal Utilizing Triamcinolone Acetonide Visualization and Internal Limiting Membrane Forceps |
| title_fullStr | Outcomes of Epiretinal Membrane Removal Utilizing Triamcinolone Acetonide Visualization and Internal Limiting Membrane Forceps |
| title_full_unstemmed | Outcomes of Epiretinal Membrane Removal Utilizing Triamcinolone Acetonide Visualization and Internal Limiting Membrane Forceps |
| title_short | Outcomes of Epiretinal Membrane Removal Utilizing Triamcinolone Acetonide Visualization and Internal Limiting Membrane Forceps |
| title_sort | outcomes of epiretinal membrane removal utilizing triamcinolone acetonide visualization and internal limiting membrane forceps |
| topic | chromovitrectomy epiretinal membrane triamcinolone acetonide |
| url | https://www.dovepress.com/outcomes-of-epiretinal-membrane-removal-utilizing-triamcinolone-aceton-peer-reviewed-article-OPTH |
| work_keys_str_mv | AT asahimg outcomesofepiretinalmembraneremovalutilizingtriamcinoloneacetonidevisualizationandinternallimitingmembraneforceps AT wallshjo outcomesofepiretinalmembraneremovalutilizingtriamcinoloneacetonidevisualizationandinternallimitingmembraneforceps AT gallemorerp outcomesofepiretinalmembraneremovalutilizingtriamcinoloneacetonidevisualizationandinternallimitingmembraneforceps |