gms | German Medical Science

24. Jahrestagung der Deutschen Retinologischen Gesellschaft

Deutsche Gesellschaft für Retinologie

17.06. - 18.06.2011, Aachen

Benefits and risks of vitrectomy with epiretinal membrane peeling

Meeting Abstract

  • B. Jeroen Klevering - Department of Ophthalmology, Radboud University Nijmegen
  • B. Pijl - Department of Ophthalmology, Radboud University Nijmegen
  • M.A.D. Tilanus - Department of Ophthalmology, Radboud University Nijmegen
  • C.B. Hoyng - Department of Ophthalmology, Radboud University Nijmegen
  • T.T. Theelen - Department of Ophthalmology, Radboud University Nijmegen
  • N. Crama - Department of Ophthalmology, Radboud University Nijmegen

Retinologische Gesellschaft. 24. Jahrestagung der Retinologischen Gesellschaft. Aachen, 17.-18.06.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11rg27

DOI: 10.3205/11rg27, URN: urn:nbn:de:0183-11rg274

Veröffentlicht: 15. Juni 2011

© 2011 Klevering et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Purpose: to report the functional outcome of vitrectomy with epiretinal membrane (ERM) peeling and to assess the risks associated with this surgical procedure.

Methods: Retrospective study of 182 patients who underwent vitrectomy to alleviate visual loss and/or metamorphopsia due to ERM formation. The inclusion criteria were: primary vitrectomy and ERM peeling and at least 1 year of follow-up. Patients with previous vitreoretinal surgery, uveitis, age under 18 years and with a visual acuity of less than 20/400 prior to surgery, were excluded. Besides a comprehensive ophthalmic examination, a questionnaire was used to evaluate the subjective experiences of the 206 patients in this study.

Results: in this study, 184 eyes of 182 patients were included. The median preoperative best corrected visual acuity (BCVA) was 0.3 (range 0.1–0.5. In 79% of patients visual acuity improved by 2 Snellen lines or more. Sixty-two percent of patient noticed an improvement of the metamorphopsia. Within 26 months following vitrectomy, significant cataract developed in 96% of the patients. Almost 6% of the patients developed retinal detachment in the follow-up period.

Conclusion: The majority of patients experienced both an improvement of the visual acuity and metamorphopsia. Virtually all phakic patients develop significant cataract within 2 year following the procedure and retinal detachment is a relative frequent complication.