Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Dec 18;12(12):1872-1877.
doi: 10.18240/ijo.2019.12.09. eCollection 2019.

Epiretinal membrane following pars plana vitrectomy for rhegmatogenous retinal detachment repair

Ruti Sella  1   2 , Amir Sternfeld  1   2 , Ivan Budnik  3 , Ruth Axer-Siegel  1   2 , Rita Ehrlich  1   2
Affiliations

Epiretinal membrane following pars plana vitrectomy for rhegmatogenous retinal detachment repair

Ruti Sella et al. Int J Ophthalmol. .

Abstract

Aim: To determine the rate and possible contributors for post-pars plana vitrectomy (PPV) epiretinal membrane (ERM) in patients treated for rhegmatogenous retinal detachment (RRD).

Methods: This prospective, nonrandomized study comprised 47 consecutive patients (47 eyes) with acute RRD treated with 23 G post-PPV. All participants were followed prospectively for 6mo for the development of ERM using spectral domain optical coherence tomography. Preoperative and intraoperative data were collected by questionnaires to surgeons. Main outcome measure was the percentage of the ERM formation following post-PPV for RRD.

Results: ERM developed postoperatively in 23 eyes (48.9%), none necessitated surgical removal. There was a statistically significant difference between patients with and without ERM postoperatively in preoperative best corrected visual acuity (median logMAR 1.9 vs 0.3, respectively; P=0.003) rate of macula-off (69.6% vs 37.5%, respectively, P=0.028), and rate of ≥5 cryo-applications (55.6% and 18.8%, respectively, P=0.039). ERM developed mainly between the 1st and 3rd months of follow-up. Macula-off status increased the risk of ERM, with the odds ratio of 3.81 (P=0.031).

Conclusion: ERM is a frequent post RRD finding, and its development is associated with macula-off RRD.

Keywords: cryotherapy; epiretinal membrane; macula-off; pars plana vitrectomy; rhegmatogenous retinal detachment.

PubMed Disclaimer

Figures

Figure 1
Figure 1. Box-and-whiskers plots of changes in BCVA during follow-up
The boxes span the 25th to the 75th percentile; the whiskers span the lowest to the highest observations; and the line inside each box denotes the median. The figure shows the median BCVAs of the ERM and non-ERM groups prior to surgery and at every follow-up visit. BCVA was significantly worse in the ERM group prior to surgery. At each time point, the groups were compared using the Mann-Whitney U test.
Figure 2
Figure 2. Proportion of patients with ERM during follow-up.
See this image and copyright information in PMC

References

    1. Minihan M, Tanner V, Williamson TH. Primary rhegmatogenous retinal detachment: 20 years of change. Br J Ophthalmol. 2001;85(5):546–548. - PMC - PubMed
    1. Haugstad M, Moosmayer S, Bragadόttir R. Primary rhegmatogenous retinal detachment-surgical methods and anatomical outcome. Acta Ophthalmol. 2017;95(3):247–251. - PubMed
    1. Lv Z, Li Y, Wu YZ, Qu Y. Surgical complications of primary rhegmatogenous retinal detachment: a meta-analysis. PLoS One. 2015;10(3):e0116493. - PMC - PubMed
    1. Pastor JC, Fernandez I, de la Rua ER, Coco R, Colmenares MRSR, Chicharro DS, Martinho R, Moreno JMR, Arumi JG, de Figueroa MS, Giraldo A, Manzanas L. Surgical outcomes for primary rhegmatogenous retinal detachments in phakic and pseudophakic patients: the Retina 1 Project-report 2. Br J Ophthalmol. 2008;92(3):378–382. - PubMed
    1. Katira RC, Zamani M, Berinstein DM, Garfinkel RA. Incidence and characteristics of macular pucker formation after primary retinal detachment repair by pars plana vitrectomy alone. Retina. 2008;28(5):744–748. - PubMed

LinkOut - more resources