Epiretinal membrane after retinal detachment.

Session Details

Session Title: Free Paper Session 8: Vitreoretinal Surgery III

Session Date/Time: Friday 08/09/2017 | 08:00-09:30

Paper Time: 09:06

Venue: Room 111

First Author: : A.Dyrda SPAIN

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

Abstract Details


To describe functional and anatomical outcomes of epiretinal membrane (ERM) in patients previously treated for retinal detachment (RD).


Institut Català de Retina, Barcelona, Spain


Retrospective review of a consecutive case-series of patients who developed ERM after previous RD in 2012 -2016. Demographic, preoperative and postoperative data were analyzed. Best-corrected visual acuity (BCVA) and OCT characteristics were registered at baseline when the ERM was diagnosed and during follow-up at 3, 6, 12 months and at the final visit.


67 patients (70 eyes) were included. BCVA before and after RD repair was 0.5±0.4 and 0.6±0.3, respectively. The majority of patients had uncomplicated RD (75.5%), macula-involving RD (51%) and were pseudophakic (44.9%). Surgical approaches to RD repair were vitrectomy (VPP) (n=13), scleral buckle (n=10) or combination of both (n=26). Mean interval between RD and ERM diagnosis was 169±282 days. Mean BCVA at baseline and during follow-up at 3, 6, 12 months, and final visit was 0.5±0.3, 0.6±0.3, 0.6±0.3, 0.7±0.3 and 0.8±0.3, respectively. Mean central foveal thickness (CFT) at baseline and during follow-up at 3, 6, 12 months, and at the final visit was 381±119, 429±166, 380±90, 360±79 and 345±49 µm, respectively. Applied treatments included vitrectomy with ERM peeling (44.9%), subtenon´s triamcinolone injection (8%) and cataract surgery alone (28.6%). Although there were no differences in mean central foveal thickness (CFT) between the ERM peeling and the observation group (354±46 vs 338±51), BCVA differed between groups (0.6±0.3 vs 0.9±0.2). This was also observed when comparing complicated and no complicated RD, macula-involving and macula-sparing RD, ellipsoid line disruption or integrity and in different surgical approaches.


Epiretinal membrane after RD repair did not result in BCVA deterioration at the final follow-up visit when compared to BCVA in patients without ERM. In subgroup analysis differences in BCVA were observed, even though there were no differences in anatomical results. Complicated RD, macula-involving RD, ellipsoid line disruption in OCT and scleral buckling combined with VPP were prognostic factors for a worse visual outcome.

Back to previous
EURETINA, Temple House, Temple Road, Blackrock, Co Dublin. | Phone: 00353 1 2100092 | Fax: 00353 1 2091112 | Email: euretina@euretina.org

Privacy policyHotel Terms and Conditions Cancellation policy