Limited Vitrectomy In Patients With Idiopathic Epiretinal Membrane

Authors : Berna ÖZKAN, Levent KARABAŞ, Büşra TUĞAN, Özgül ALTINTAŞ

Pages : 451-454

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Publication Date : 2019-09-01

Article Type : Research Paper

Abstract :Purpose: To evaluate the safety and effectivity of limited vitrectomy in patients with epiretinal membrane. Methods: We included 58 consecutive patients who underwent epiretinal membrane surgery without performing a complete peripheral vitreous removal. The improvement in visual acuity, the incidence of retinal breaks and detachment; anatomical results and intraoperative and postoperative complications of this technique were evaluated. Results: The median visual acuity was 0.4 0.3-0.5 before the surgery, and it was 0.6 0.3-0.8 after the surgery p=0.016 . Prophylactic laser photocoagulation was performed in 14 24,13% patients during surgery. Retinal breaks and detachments did not occur in any of our patients. We did not observe proliferative vitreoretinopathy or surgery- related major complications in any patient. Conclusion: Limited vitrectomy without removing peripheral vitreous is safe and effective in idiopathic epiretinal membrane surgery. It reduces the risk of peripheral retinal breaks and retinal detachment.
Keywords : Limited vitrectomy, epiretinal membrane surgery, pars plana vitrectomy, retinal breaks, retinal detachment