Epiretinal membrane peeling after uncomplicated primary retinal detachment repair

Tanuj P. Banker; Kyle W. Godfrey; Gayatri S. Reilly; Eric D. Weichel

doi:10.3928/23258160-20140815-01

Epiretinal membrane peeling after uncomplicated primary retinal detachment repair

Tanuj P. Banker, Kyle W. Godfrey, Gayatri S. Reilly, Eric D. Weichel

Ophthalmology

Research output: Contribution to journal › Review article

Abstract

BACKGROUND AND OBJECTIVE: To identify rates and potential risk factors for epiretinal membrane (ERM) and for membrane peel (MP) after 23- or 25-gauge repair and to compare outcomes for eyes with ERM that underwent MP versus observation. PATIENTS AND METHODS: Review of 587 eyes with ERM after retinal detachment repair. Patients who developed ERM either underwent pars plana vitrectomy (PPV) and MP or were observed. RESULTS: Preoperatively, the PPV and MP group had a mean best corrected visual acuity (BCVA) of 20/100, compared to 20/40 for the observation group (P < .001). The PPV and MP group had a higher mean central subfield mean thickness (CSMT) (414 μm vs 281 μm). In the PPV and MP group, mean BCVA was 20/100 preoperatively and 20/50 postoperatively (P < .01). Mean CSMT was 397.5 μm preoperatively and 282.6 μm postoperatively (P < .01). CONCLUSION : ERM is common after 23- or 25-gauge PPV. PPV and MP can improve BCVA and decrease CSMT.

Original language	English (US)
Pages (from-to)	415-450
Number of pages	36
Journal	Ophthalmic Surgery Lasers and Imaging Retina
Volume	45
Issue number	5
DOIs	https://doi.org/10.3928/23258160-20140815-01
State	Published - Sep 1 2014

ASJC Scopus subject areas

Surgery
Ophthalmology

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Banker, T. P., Godfrey, K. W., Reilly, G. S., & Weichel, E. D. (2014). Epiretinal membrane peeling after uncomplicated primary retinal detachment repair. Ophthalmic Surgery Lasers and Imaging Retina, 45(5), 415-450. https://doi.org/10.3928/23258160-20140815-01

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abstract = "BACKGROUND AND OBJECTIVE: To identify rates and potential risk factors for epiretinal membrane (ERM) and for membrane peel (MP) after 23- or 25-gauge repair and to compare outcomes for eyes with ERM that underwent MP versus observation. PATIENTS AND METHODS: Review of 587 eyes with ERM after retinal detachment repair. Patients who developed ERM either underwent pars plana vitrectomy (PPV) and MP or were observed. RESULTS: Preoperatively, the PPV and MP group had a mean best corrected visual acuity (BCVA) of 20/100, compared to 20/40 for the observation group (P < .001). The PPV and MP group had a higher mean central subfield mean thickness (CSMT) (414 μm vs 281 μm). In the PPV and MP group, mean BCVA was 20/100 preoperatively and 20/50 postoperatively (P < .01). Mean CSMT was 397.5 μm preoperatively and 282.6 μm postoperatively (P < .01). CONCLUSION : ERM is common after 23- or 25-gauge PPV. PPV and MP can improve BCVA and decrease CSMT.",

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AU - Banker, Tanuj P.

AU - Godfrey, Kyle W.

AU - Reilly, Gayatri S.

AU - Weichel, Eric D.

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N2 - BACKGROUND AND OBJECTIVE: To identify rates and potential risk factors for epiretinal membrane (ERM) and for membrane peel (MP) after 23- or 25-gauge repair and to compare outcomes for eyes with ERM that underwent MP versus observation. PATIENTS AND METHODS: Review of 587 eyes with ERM after retinal detachment repair. Patients who developed ERM either underwent pars plana vitrectomy (PPV) and MP or were observed. RESULTS: Preoperatively, the PPV and MP group had a mean best corrected visual acuity (BCVA) of 20/100, compared to 20/40 for the observation group (P < .001). The PPV and MP group had a higher mean central subfield mean thickness (CSMT) (414 μm vs 281 μm). In the PPV and MP group, mean BCVA was 20/100 preoperatively and 20/50 postoperatively (P < .01). Mean CSMT was 397.5 μm preoperatively and 282.6 μm postoperatively (P < .01). CONCLUSION : ERM is common after 23- or 25-gauge PPV. PPV and MP can improve BCVA and decrease CSMT.

AB - BACKGROUND AND OBJECTIVE: To identify rates and potential risk factors for epiretinal membrane (ERM) and for membrane peel (MP) after 23- or 25-gauge repair and to compare outcomes for eyes with ERM that underwent MP versus observation. PATIENTS AND METHODS: Review of 587 eyes with ERM after retinal detachment repair. Patients who developed ERM either underwent pars plana vitrectomy (PPV) and MP or were observed. RESULTS: Preoperatively, the PPV and MP group had a mean best corrected visual acuity (BCVA) of 20/100, compared to 20/40 for the observation group (P < .001). The PPV and MP group had a higher mean central subfield mean thickness (CSMT) (414 μm vs 281 μm). In the PPV and MP group, mean BCVA was 20/100 preoperatively and 20/50 postoperatively (P < .01). Mean CSMT was 397.5 μm preoperatively and 282.6 μm postoperatively (P < .01). CONCLUSION : ERM is common after 23- or 25-gauge PPV. PPV and MP can improve BCVA and decrease CSMT.

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