Prevalence and risk factors of ellipsoid zone damage after pars plana vitrectomy for idiopathic epiretinal membrane

Retina ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Michał Post ◽  
Maria Vittoria Cicinelli ◽  
Emma Clara Zanzottera ◽  
Alessandro Marchese ◽  
Francesco Bandello ◽  
...  
Keyword(s):  
Risk Factors ◽  
Epiretinal Membrane ◽  
Pars Plana Vitrectomy ◽  
Ellipsoid Zone ◽  
Idiopathic Epiretinal Membrane ◽  
Pars Plana

scholarly journals Risk of newly developing visual field defect and neurodegeneration after pars plana vitrectomy for idiopathic epiretinal membrane

2020 ◽  
pp. bjophthalmol-2020-317478
Author(s):  
Kunihiko Akino ◽  
Norihiro Nagai ◽  
Kazuhiro Watanabe ◽  
Norimitsu Ban ◽  
Toshihide Kurihara ◽  
...  
Keyword(s):  
Visual Field ◽  
Epiretinal Membrane ◽  
Pars Plana Vitrectomy ◽  
Internal Limiting Membrane ◽  
Visual Field Defects ◽  
Automated Perimetry ◽  
Standard Automated Perimetry ◽  
Ilm Peeling ◽  
Idiopathic Epiretinal Membrane ◽  
Pars Plana

Background/AimsPars plana vitrectomy (PPV) is widely performed in patients with idiopathic epiretinal membrane (iERM) to improve vision. Postoperative visual field defects (VFDs) have been previously reported. However, whether they occur when using the most recent PPV system, and the frequency of VFDs as measured by standard automated perimetry, remain poorly documented and were examined in this study.MethodsData of 30 eyes (30 patients; mean age, 66.1 years; 15 men) who underwent PPV for iERM during February 2016–June 2019 and had preoperative and postoperative visual field measurements using standard automated perimetry (Humphrey visual field analyser 30-2 program) were retrospectively analysed. Eyes with diseases other than iERM, including moderate-to-severe cataract or preoperative VFDs were excluded.ResultsVFD, defined by the Anderson and Patella’s criteria, was found in 73.3% of the eyes 1 month after PPV. After age adjustment, internal limiting membrane (ILM) peeling was identified as a risk factor for postoperative VFD (p=0.035; 95% CI 1.173 to 92.8). Postoperative VFD was frequently observed nasally (86.4%, p=0.002), and on optical coherence tomography measurements, ganglion cell layer (GCL) thinning was found temporal to the fovea (p=0.008). Thinning of the superior and inferior retinal nerve fibre layers and of the GCL temporal to the fovea were significant in eyes after ILM peeling (all p<0.05).ConclusionILM peeling may cause inner retinal degeneration and lead to the development of VFDs after PPV, which should be further examined.

scholarly journals Comparison of the effect of air tamponade versus no tamponade after pars plana vitrectomy for idiopathic epiretinal membrane

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kyuhwan Jang ◽  
Daniel Duck-Jin Hwang ◽  
Jayoung Ahn ◽  
Gisung Son ◽  
Ji In Park ◽  
...  
Keyword(s):  
Epiretinal Membrane ◽  
Pars Plana Vitrectomy ◽  
Additional Benefit ◽  
Central Macular Thickness ◽  
Fiber Layer ◽  
Idiopathic Epiretinal Membrane ◽  
Corrected Visual Acuity ◽  
Pars Plana ◽  
Air Tamponade ◽  
Best Corrected Visual Acuity

AbstractThis study aimed to compare the surgical outcomes of pars plana vitrectomy (PPV) with and without air tamponade in patients with idiopathic epiretinal membrane (iERM). We prospectively enrolled 145 patients with iERM who underwent a 25-gauge transconjunctival sutureless PPV. Patients were assigned to either the air tamponade (air) group (79 eyes) or balanced salt solution (BSS; no tamponade) group (66 eyes). The central macular thickness (CMT), peripapillary retinal nerve fiber layer (pRNFL) thickness, and best-corrected visual acuity (BCVA) were compared for two years. At baseline, there were no significant differences between the two groups. CMT and BCVA were not significantly different between the groups for 2 years. However, the air group had a significantly lower thickness in the superior temporal pRNFL sector at 1 month (p = 0.01) and in the inferior temporal and superior temporal pRNFL sectors at 3 months (p = 0.02 for both). There were no significant differences between both groups in all the pRNFL sectors from 6 months to 2 years. The outcomes of PPV with air tamponade and that with no tamponade appear to be equivalent. This shows that air tamponade may not be an imperative procedure for iERM surgery and has no additional benefit.

scholarly journals Effect of axial length and age on the visual outcome of patients with idiopathic epiretinal membrane after pars plana vitrectomy

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Sakiko Minami ◽  
Hajime Shinoda ◽  
Yuta Shigeno ◽  
Norihiro Nagai ◽  
Toshihide Kurihara ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Axial Length ◽  
Epiretinal Membrane ◽  
Pars Plana Vitrectomy ◽  
Visual Outcome ◽  
Idiopathic Epiretinal Membrane ◽  
Corrected Visual Acuity ◽  
Pars Plana ◽  
The Mean ◽  
Clinical Records

AbstractWe evaluated predictive factors for visual outcomes in patients with idiopathic epiretinal membrane (iERM) after pars plana vitrectomy (PPV). Clinical records for 114 eyes (114 patients, mean age: 70.6 years) with iERM treated by PPV between March 2012 and March 2018 were retrospectively reviewed. Overall, the mean postoperative best-corrected visual acuity (BCVA) and central retinal thickness measured by optical coherence tomography improved as early as 1 month after surgery, and further improved until 3 months (P < 0.01). Multiple linear regression analyses adjusted for the preoperative BCVA showed that older age (B, 0.010; 95% confidence interval, 0.003 to 0.016; P = 0.003) and a shorter axial length (AL; B, −0.059; 95% confidence interval, −0.099 to −0.019; P = 0.005) predicted worse postoperative BCVA. The Mann-Whitney U test showed that the postoperative BCVA was worse in eyes with AL < 23.6 mm than in eyes with AL ≥ 23.6 mm (P = 0.037), and in patients aged ≥69 years than in patients aged <69 years (P = 0.024). The findings may help in evaluating surgical indications for each patient to obtain satisfactory outcomes, irrespective of the preoperative BCVA.

scholarly journals The Safest Approach to Idiopathic Epiretinal Membrane Removal

2017 ◽  
Vol 1 (1) ◽  
pp. oapoc.0000015
Author(s):  
Michele Coppola ◽  
Maria Vittoria Cicinelli ◽  
Alessandro Rabiolo ◽  
Giuseppe Querques ◽  
Francesco Bandello
Keyword(s):  
Epiretinal Membrane ◽  
Pars Plana Vitrectomy ◽  
Traditional Approach ◽  
Technical Solution ◽  
Wide Angle ◽  
Disease Entity ◽  
Idiopathic Epiretinal Membrane ◽  
Major Complications ◽  
Pars Plana ◽  
Key Questions

A case of symptomatic epiretinal membrane (ERM) is presented. The discussion revolves around key questions: 1. What do we know about this disease entity? 2. What is the traditional approach to symptomatic ERM? 3. What are the major complications of pars plana vitrectomy (PPV)? 4. Is there any technical solution available for increased safety during vitrectomy? 5. What are the advantages of wide-angle light probes? 6. How can dye-related chemotoxicity be reduced? 7. How non-contact wide-angle viewing systems could help during vitrectomy? 8. What were the results of a safe standardized approach to symptomatic ERM?

Sign in / Sign up

Export Citation Format

Share Document