Description and surgical management of epiretinal membrane due to combined hamartoma of the retina and retinal pigment epithelium

Purpose: To outline the characteristics of Combined Hamartoma of the Retina and Retinal Pigmentation Epithelium (CHRRPE) and provide a comprehensive overview of surgical management of epiretinal membrane (ERM) caused by CHRRPE. Main text: CHRRPE is a rare ocular tumor. It clinically mimics other dis...

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Main Authors: Xuerui Zhang, Yuan Yang, Yanjun Wen, Haodong Xiao, Jie Peng, Peiquan Zhao
Format: Article
Language:English
Published: Elsevier 2023-02-01
Series:Advances in Ophthalmology Practice and Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667376222000671
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author Xuerui Zhang
Yuan Yang
Yanjun Wen
Haodong Xiao
Jie Peng
Peiquan Zhao
author_facet Xuerui Zhang
Yuan Yang
Yanjun Wen
Haodong Xiao
Jie Peng
Peiquan Zhao
author_sort Xuerui Zhang
collection DOAJ
description Purpose: To outline the characteristics of Combined Hamartoma of the Retina and Retinal Pigmentation Epithelium (CHRRPE) and provide a comprehensive overview of surgical management of epiretinal membrane (ERM) caused by CHRRPE. Main text: CHRRPE is a rare ocular tumor. It clinically mimics other diseases such as retinoblastoma and choroidal melanoma. The present study reviewed the multimodal imaging of CHRRPE, highlighted the multimodal imaging modalities which are useful for revealing the unique features of CHRRPE and hence allowing physicians to confirm the diagnosis.Although most of CHRRPEs are benign harmatoma, progressive visual loss may occur because of the traction of the tumor and other complications. It is treated through surgical removal of the ERM caused by CHRRPE to free retina from the traction. Currently, there is no consensus on the surgical management of CHRRPE. Therefore, the current review was designed to explore the surgical management of ERM caused by CHRRPE and hence provide updated data on this subject. Conclusions: Multimodal imaging technologies, especially optical coherence tomography (OCT), significantly contributes to the diagnosis of CHRRPE and visual prognosis. Surgical management of CHRRPE through removal of ERM is beneficial in patients with worsening VA which is secondary to ERM which is associated with CHRRPE. However, the strategy is limited to patients with long-standing poor vision. However, earlier surgical therapy and subsequent postoperative amblyopia therapy can be explored for children of amblyogenic age.
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spelling doaj.art-be245b3c1a5e48f2aff32da3a37e536a2023-02-02T04:51:16ZengElsevierAdvances in Ophthalmology Practice and Research2667-37622023-02-0131914Description and surgical management of epiretinal membrane due to combined hamartoma of the retina and retinal pigment epitheliumXuerui Zhang0Yuan Yang1Yanjun Wen2Haodong Xiao3Jie Peng4Peiquan Zhao5Department of Ophthalmology, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China; Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China; Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China; Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China; Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Ophthalmology, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China; Corresponding authors. Department of Ophthalmology, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Kongjiang Road, No. 1665, Shanghai, 200092, China.Department of Ophthalmology, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China; Corresponding authors. Department of Ophthalmology, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Kongjiang Road, No. 1665, Shanghai, 200092, China.Purpose: To outline the characteristics of Combined Hamartoma of the Retina and Retinal Pigmentation Epithelium (CHRRPE) and provide a comprehensive overview of surgical management of epiretinal membrane (ERM) caused by CHRRPE. Main text: CHRRPE is a rare ocular tumor. It clinically mimics other diseases such as retinoblastoma and choroidal melanoma. The present study reviewed the multimodal imaging of CHRRPE, highlighted the multimodal imaging modalities which are useful for revealing the unique features of CHRRPE and hence allowing physicians to confirm the diagnosis.Although most of CHRRPEs are benign harmatoma, progressive visual loss may occur because of the traction of the tumor and other complications. It is treated through surgical removal of the ERM caused by CHRRPE to free retina from the traction. Currently, there is no consensus on the surgical management of CHRRPE. Therefore, the current review was designed to explore the surgical management of ERM caused by CHRRPE and hence provide updated data on this subject. Conclusions: Multimodal imaging technologies, especially optical coherence tomography (OCT), significantly contributes to the diagnosis of CHRRPE and visual prognosis. Surgical management of CHRRPE through removal of ERM is beneficial in patients with worsening VA which is secondary to ERM which is associated with CHRRPE. However, the strategy is limited to patients with long-standing poor vision. However, earlier surgical therapy and subsequent postoperative amblyopia therapy can be explored for children of amblyogenic age.http://www.sciencedirect.com/science/article/pii/S2667376222000671Combined hamartoma of the retina and retinal pigment (CHRRPE)Epiretinal membrane (ERM)Surgery
spellingShingle Xuerui Zhang
Yuan Yang
Yanjun Wen
Haodong Xiao
Jie Peng
Peiquan Zhao
Description and surgical management of epiretinal membrane due to combined hamartoma of the retina and retinal pigment epithelium
Advances in Ophthalmology Practice and Research
Combined hamartoma of the retina and retinal pigment (CHRRPE)
Epiretinal membrane (ERM)
Surgery
title Description and surgical management of epiretinal membrane due to combined hamartoma of the retina and retinal pigment epithelium
title_full Description and surgical management of epiretinal membrane due to combined hamartoma of the retina and retinal pigment epithelium
title_fullStr Description and surgical management of epiretinal membrane due to combined hamartoma of the retina and retinal pigment epithelium
title_full_unstemmed Description and surgical management of epiretinal membrane due to combined hamartoma of the retina and retinal pigment epithelium
title_short Description and surgical management of epiretinal membrane due to combined hamartoma of the retina and retinal pigment epithelium
title_sort description and surgical management of epiretinal membrane due to combined hamartoma of the retina and retinal pigment epithelium
topic Combined hamartoma of the retina and retinal pigment (CHRRPE)
Epiretinal membrane (ERM)
Surgery
url http://www.sciencedirect.com/science/article/pii/S2667376222000671
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