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T. Micelli Ferrari, M. Leozappa, M. Lorusso, A. Palma Modoni, G. Colasuonno, D. Intini; Nonvitrectomizing Surgery of Idiopathic Epiretinal Membrane: A Case Series. Invest. Ophthalmol. Vis. Sci. 2010;51(13):2551.
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© ARVO (1962-2015); The Authors (2016-present)
To report the results of nonvitrectomizing vitreous surgery for idiopathic epiretinal membrane (ERM).
10 patients (10 eyes ) with Epiretinal membrane (ERM) were treated with peeling of ERM without removal of the vitreousPatients were followed postoperatively for at least 12 months.Visual acuity, slit-lamp biomicroscopy, Optical Coherence Tomography (OCT), and fluorangiography (FA) were assessed preoperatively and postoperatively, at 1 week, 1, 3, 6 and 12 months after surgery.Results were compared with data of 43 eyes undergone conventional vitrectomy with peeling of ERM.
The follow-up periods ranged from 8 to 14 months.The patient ages ranged from 64 to 72 years.(mean 66,5). Mean operative time was 7,5 minutes (against 16,5 minutes of conventional intervention).The final VA improved from a mean preoperative value of 0,86 LogMAR to a mean postoperative value of 0,7 LogMAR. There was no significant difference between nonvitrectomizing and vitrectomizing group in terms of Visual and tomographical outcomes.No recurrence of ERM was noted during follow-up period.No unilateral progression of nuclear sclerosis occurred in any cases.
Peeling of ERM without vitrectomy seems a safe procedure, with same results of conventional surgery but less rate of vitrectomy-related complications
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