Rates of reoperation in 10,114 Patients with Epiretinal Membranes Treated by Vitrectomy with or without Inner Limiting Membrane Peeling

2020 ◽  
Author(s):  
Nadim Rayess ◽  
Daniel Vail ◽  
Prithvi Mruthyunjaya
Keyword(s):  
Epiretinal Membranes ◽  
Membrane Peeling ◽  
Inner Limiting Membrane

Vitrectomy With Membrane Peeling for Vasocentric Idiopathic Epiretinal Membranes

Retina ◽  
2008 ◽  
Vol 28 (7) ◽  
pp. 981-986 ◽  
Author(s):  
Maged S. Habib ◽  
David H. Steel ◽  
Roland Ling ◽  
Charles James ◽  
Timothy J. Fetherston ◽  
...  
Keyword(s):  
Epiretinal Membranes ◽  
Membrane Peeling

scholarly journals Functional and Morphological Correlations before and after Video-Documented 23-Gauge Pars Plana Vitrectomy with Membrane and ILM Peeling in Patients with Macular Pucker

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Wolfgang J. Mayer ◽  
Clara Fazekas ◽  
Ricarda Schumann ◽  
Armin Wolf ◽  
Denise Compera ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Morphological Changes ◽  
Mechanical Trauma ◽  
Retinal Sensitivity ◽  
Ilm Peeling ◽  
Epiretinal Membranes ◽  
Morphological Alterations ◽  
Inner Limiting Membrane ◽  
Before And After ◽  
23 Gauge

Purpose. To assess functional and morphological alterations following video-documented surgery for epiretinal membranes.Methods. Forty-two patients underwent video-documented 23-gauge vitrectomy with peeling of epiretinal (ERM) and inner limiting membrane (ILM). Patient assessment was performed before and 3 and 6 months including best corrected visual acuity (BCVA), slit lamp biomicroscopy, SD-OCT, and central 2° and 18° microperimetry. In addition, all video-documented areas of peeling on the retinal surface were evaluated postoperatively using an additional focal 2° microperimetry. Retinal sensitivity and BCVA were correlated with morphological changes (EZ and ELM) in the foveal region and in regions of membrane peeling.Results. Overall, BCVA increased from 0.6 (±0.2) to 0.2 (±0.2) logMAR after 6 months with an increase in retinal sensitivity (17.9 ± 2.7 dB to 26.8 ± 3.1 dB,p<0.01). We observed a significant correlation between the integrity of the EZ but not of the ELM and the retinal sensitivity, overall and in peeling areas (p<0.05). However, no significant correlation between alterations in the area of peeling and overall retinal sensitivity regarding visual acuity gain could be observed after 6 months (p>0.05). In contrast, overall postoperative retinal sensitivity was significantly decreased in patients with a visual acuity gain lower than 2 lines (p<0.05) correlating with EZ defects seen in OCT.Conclusions. Mechanical trauma of epiretinal membrane and ILM peeling due to the use of intraocular forceps may affect the outer retinal structure. Nevertheless, these changes seem to have no significant impact on postoperative functional outcome.

Effect of Air Tamponade among Patients with Epiretinal Membranes and Intraretinal Cystoid Changes Undergoing Vitrectomy with Membrane Peeling – A Prospective Randomized Trial

2021 ◽  
Author(s):  
Christoph Leisser ◽  
Manuel Ruiss ◽  
Caroline Pilwachs ◽  
Julius Hienert ◽  
Kristina Stjepanek ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Statistical Significance ◽  
Randomized Study ◽  
Epiretinal Membranes ◽  
Membrane Peeling ◽  
Corrected Distance Visual Acuity ◽  
Study Population ◽  
Pars Plana ◽  
Air Tamponade

Abstract Background The effect of air tamponade among patients undergoing vitrectomy with membrane peeling for removal of epiretinal membranes (ERM) is controversially discussed. The aim of the present study was to analyze differences in outcomes between air tamponade and balanced salt solution (BSS) in a study population with preoperative intraretinal cystoid changes. Patients and Methods This randomized study included patients scheduled for pars plana vitrectomy with membrane peeling owing to ERM and intraretinal cystoid changes. Air tamponade or BSS at the end of surgery was applied according to preoperative randomization. Optical coherence tomography and best-corrected distance visual acuity (DCVA) measurements were performed before surgery, 5 days after surgery, and 3 months after surgery. Results From 96 patients included, 85 eyes had full follow-up and could be included for analysis. Median improvement of DCVA was + 16 EDTRS letters (IQR: 8 to 22) among patients with BSS, while it was + 13 EDTRS letters (IQR: 8 to 17) among patients with air tamponade. There was a trend for better improvement of DCVA when BSS was left at the end of surgery, compared to air tamponade, but not reaching statistical significance. Conclusions There were no statistically significant differences concerning resorption of preoperative intraretinal cystoid changes, improvement of visual acuity, and final DVCA between air tamponade and BSS.

scholarly journals Vitrectomy for the removal of idiopathic epiretinal membrane with or without internal limiting membrane peeling: a meta-analysis

2020 ◽  
Vol 12 ◽  
pp. 251584142092713 ◽  
Author(s):  
Eleni Christodoulou ◽  
Georgios Batsos ◽  
Petros Galanis ◽  
Christos Kalogeropoulos ◽  
Andreas Katsanos ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Epiretinal Membrane ◽  
Meta Analysis ◽  
Internal Limiting Membrane ◽  
Foveal Thickness ◽  
Epiretinal Membranes ◽  
Internal Limiting Membrane Peeling ◽  
Membrane Peeling ◽  
Central Foveal Thickness ◽  
Corrected Visual Acuity

Purpose: The aim of this study is to analyze the effect of internal limiting membrane peeling in removal of idiopathic epiretinal membranes through meta-analysis. Methods: We searched PubMed for studies published until 30 April 2018. Inclusion criteria included cases of idiopathic epiretinal membranes, treated with vitrectomy with or without internal limiting membrane peeling. Exclusion criteria consisted of coexisting retinal pathologies and use of indocyanine green to stain the internal limiting membrane. Sixteen studies were included in our meta-analysis. We compared the results of surgical removal of epiretinal membrane, with or without internal limiting membrane peeling, in terms of best-corrected visual acuity and anatomical restoration of the macula (central foveal thickness). Studies or subgroups of patients who had indocyanine green used as an internal limiting membrane stain were excluded from the study, due to evidence of its toxicity to the retina. Results: Regarding best-corrected visual acuity levels, the overall mean difference was –0.29 (95% confidence interval: –0.319 to –0.261), while for patients with internal limiting membrane peeling was –0.289 (95% confidence interval: –0.334 to –0.244) and for patients without internal limiting membrane peeling was –0.282 (95% confidence interval: –0.34 to –0.225). Regarding central foveal thickness levels, the overall mean difference was –117.22 (95% confidence interval: –136.70 to –97.74), while for patients with internal limiting membrane peeling was –121.08 (95% confidence interval: –151.12 to –91.03) and for patients without internal limiting membrane peeling was –105.34 (95% confidence interval: –119.47 to –96.21). Conclusion: Vitrectomy for the removal of epiretinal membrane combined with internal limiting membrane peeling is an effective method for the treatment of patients with idiopathic epiretinal membrane.

scholarly journals Changes in the Ganglion Cell Complex after Inner Limiting Membrane Peeling for Epiretinal Membrane in Glaucoma Patients

2021 ◽  
Vol 88 (2) ◽  
pp. 97-102
Author(s):  
Yusuke Umemoto ◽  
Tsutomu Igarashi ◽  
Kenji Nakamoto ◽  
Takeshi Arima ◽  
Maika Kobayashi ◽  
...  
Keyword(s):  
Ganglion Cell ◽  
Epiretinal Membrane ◽  
Cell Complex ◽  
Ganglion Cell Complex ◽  
Membrane Peeling ◽  
Inner Limiting Membrane

scholarly journals Macular hole with inner limiting membrane peeling off spontaneously in Terson syndrome

Medicine ◽  
2021 ◽  
Vol 100 (22) ◽  
pp. e25960
Author(s):  
Hui Qi ◽  
Hongtao Yan ◽  
Yan Cheng ◽  
Ling Zuo
Keyword(s):  
Macular Hole ◽  
Membrane Peeling ◽  
Terson Syndrome ◽  
Inner Limiting Membrane ◽  
Peeling Off
Sign in / Sign up

Export Citation Format

Share Document