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F. Viti, C. Mariotti, G. Amato, F. Luciani, S. Salvolini, A. Giovannini; Peeling of Idiopathic Epiretinal Membranes Without Vitrectomy Prevents Nuclear Sclerosis Progression . Invest. Ophthalmol. Vis. Sci. 2005;46(13):5439.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose:To evaluate if no vitreous removal for the surgery of idiopathic epiretinal membrane prevents the progression of postoperative nuclear sclerosis without affecting the clinical outcome. Methods: 33 eyes underwent removal of idiopathic epimacular proliferation by non–vitrectomizing vitreous surgery (mean follow up 32.4 months; range 36–48 months).Lens opacity was graded according to the Lens Opacity Grading Protocol of Age Related Eye Disease Study (AREDS). Results: Progression of nuclear sclerosis was obseved in one patient during the follow–up. No retinal detachment occurred. Visual acuity improved in 92% of cases. Conclusions: The non–vitrectomizing vitreous surgery of idiopathic epiretinal membrane prevents progression of the postoperative nuclear sclerosis (common finding after pars plana vitrectomy) and does not preclude clinical success. That’s why today the 25 gauge approach with minimal invasive vitrectomy could rappresent an encouraging opportunity to prevent lens opacity and the same anatomic and functional results.
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