Functional and anatomical results of epiretinal membrane peeling after rhegmatogenous retinal detachment

Session Details

Session Title: Free Paper Session 1: Vitreoretinal Surgery I

Session Date/Time: Thursday 07/09/2017 | 09:00-10:30

Paper Time: 09:30

Venue: Room 111

First Author: : A.Dyrda SPAIN

Co Author(s): :    A. Rey   I. Jurgens                          

Abstract Details

Purpose:

To describe the functional and anatomical results of epiretinal membrane (ERM) peeling in patients previously operated on rhegmatogenous retinal detachment (RD).

Setting:

Institut Català de Retina, Barcelona, Spain

Methods:

Retrospective review of a consecutive case-series of patients who had undergone ERM peeling after previous RD repair.

Results:

27 patients (27 eyes) were included. Mean age was 61.2±11.4 years. Best corrected visual acuity before and after RD repair was 0.4±0.4 and 0.5±0.3, respectively. There were 9 cases of complicated RD and 14 with macular involvement. Surgical approaches to RD repair were vitrectomy alone (n=3), scleral buckling alone (n=5) or both (n=19). Mean time of ERM appearance, ERM peeling and follow-up after ERM surgery was 212±591, 166±166 and 750±603 days, respectively. Concurrent procedures done at time of ERM peeling included cataract surgery (n=6), subtenon´s injection of triamcinolone (n=11) or both (n=4). In 7 cases macular cystoid edema was diagnosed and treated after ERM peeling. The mean BCVA at diagnosis, pre-ERM peeling and after-ERM peeling at the end of follow-up was 0.4±0.3, 0.3±0.2 and 0.6±0.3, respectively. The mean central foveal thickness at diagnosis, pre-ERM peeling and after-ERM peeling at the end of follow-up was 458±1153, 546±167 and 352±50 µm, respectively. There was no difference in functional or anatomical results when comparing patients with initial, poor (<0.2) or better visual acuity or patients with macula-sparing or macula-involving RD.

Conclusions:

Macular epiretinal membrane peeling after previous rhegmatogenous retinal detachment repair resulted in improvement in visual acuity and optical coherence tomography thickness, even in eyes with initial, poor visual acuity or previous macula-involving rhegmatogenous retinal detachment.

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