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Khurram M. Chaudhary, Philip J. Ferrone; Macular Epiretinal Membrane Peeling Treatment Outcomes in Young Children. Invest. Ophthalmol. Vis. Sci. 2011;52(14):2141.
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To describe macular epiretinal membrane (ERM) peeling treatment outcomes in young children.
The medical records of all vitrectomies from 1998 through 2010 were retrospectively reviewed. Patients who were selected were less than or equal to 16 years of age and had primarily macular or posterior pole disease secondary to an epiretinal membrane. Patients with retinopathy of prematurity, Coats disease, Norries disease, and Incontinentia Pigmenti were excluded. Fourteen patients underwent vitrectomy with epiretinal membrane peeling and the preoperative and postoperative visual acuities were compared.
The mean age at surgery was eight years old with an average follow up of 4.2 years (range, 6 months to 11 years). The average presenting visual acuity was 20/258. The presenting visual acuity ranged from 20/50 to ≤20/200 in nine patients (64%), and >20/200 in five patients (36%). Nine patients underwent 20 gauge pars plana vitrectomy with membrane peel, and five patients underwent 25 gauge pars plana vitrectomy with membrane peel. Average postoperative visual acuity was 20/100 with improvement in 12 patients (86%) and no change of visual acuity in two patients (14%). None of the patients had worsening of visual acuity postoperatively and only one patient (7%) had recurrence of an epiretinal membrane.
Pediatric epiretinal membranes respond well to vitrectomy and membrane peel with a low likelihood of recurrence. Other associated pathology such as familial exudative retinopathy, and combined hamartomas of the retina and retinal pigment epithelium was associated with complications such as delayed onset rhegmatogenous retinal detachment from peripheral traction, and recurrence of ERM in 7% of patients.
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