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Observational Study
. 2017 Sep;31(9):1259-1265.
doi: 10.1038/eye.2017.79. Epub 2017 May 19.

Occurrence rate of retinal detachment after small gauge vitrectomy for idiopathic epiretinal membrane

J Marie-Louise  1 , E Philippakis  1 , A Darugar  1 , R Tadayoni  1 , B Dupas  1
Affiliations
Observational Study

Occurrence rate of retinal detachment after small gauge vitrectomy for idiopathic epiretinal membrane

J Marie-Louise et al. Eye (Lond). 2017 Sep.

Abstract

PurposeTo assess the occurrence rate of retinal detachment (RD) after small gauge vitrectomy for idiopathic epiretinal membrane (ERM).Patients and methodsRetrospective observational case series. The records of consecutive patients operated on for idiopathic ERM using small gauge pars plana vitrectomy between August 2012 and December 2014 with at least a 1-year follow-up were reviewed. All patients were contacted by phone to assess the occurrence of RD during the post-operative follow-up. The main outcome was the occurrence of RD. Patients who underwent surgery for senile cataract over the same period with at least a 1-year follow-up were also contacted by phone for comparison.ResultsTwo hundred and sixteen eyes of 212 patients who had undergone ERM surgery were included, with a mean follow-up of 892±211 days (216-1238). RD occurred in two eyes (0.92%). Over the same period, two RD occurred in the 203 eyes (0.98%) of 157 patients operated on for senile cataract in our department.ConclusionsThe occurrence of RD after 25-gauge vitrectomy for idiopathic ERM was <1%. Using small gauge sutureless vitrectomy systems has improved the safety of ERM surgery, with a RD rate similar to that observed after cataract surgery.

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Conflict of interest statement

EP: Novartis, Bayer, Allergan (travel expenses). RT: board membership (Alcon, Novartis, Allergan, Bausch&Lomb, Pfizer, Alimera, Bayer, FCI-Zeiss, Thrombogenics), consultancy (Alcon, Novartis, Allergan, Bausch&Lomb, Dorc, Takeda, FCI-zeiss, Thrombogenics). BD: consultancy (Novartis, Bayer), board membership (Novartis, Allergan). The remaining authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flow chart illustrating patient inclusion. Patients who had undergone surgery for idiopathic ERM and senile cataract with at least a 1-year follow-up were included. ERM, epiretinal membrane; VMT, vitreomacular traction.
Figure 2
Figure 2
Occurrence of retinal detachment after 25-gauge vitrectomy for idiopathic epiretinal membrane and after senile cataract surgery (Kaplan–Meier curve). Retinal detachment after epiretinal membrane surgery occurred earlier than after cataract surgery (P=0.013).
See this image and copyright information in PMC

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