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Epiretinal Membrane Surgery in Daily Clinical Practice: Results of a Proposed Management Scheme
المؤلفون المشاركون
Pareja, Jesús
Coronado, Alba
Contreras, Inés
المصدر
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-01-10
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Purpose.
To report the results of the epiretinal membrane (ERM) management guidelines followed in our center.
Methods.
Patients with ERM seen between 2014 and 2015, with ≥2 years follow-up or who had undergone ERM surgery, were included.
Corrected visual acuity (VA), lens status, and ERM configuration were recorded at each visit.
Our guidelines for ERM are if VA is ≥20/30, observation is recommended unless there is moderate/intense metamorphopsia.
Vitrectomy is recommended during follow-up if there is a drop >one line in VA with changes in ERM configuration.
If VA at diagnosis is <20/30, vitrectomy is recommended.
If visual loss is thought to be due to cataract, phacoemulsification is performed first and visual status reevaluated.
Results.
Ninety-nine eyes of 94 patients were included; 52 eyes underwent vitrectomy, and 47 eyes were monitored.
From eyes with VA at diagnosis <20/30 (41 eyes), 8 eyes underwent isolated phacoemulsification: VA improved to ≥20/30.
Vitrectomy was recommended but refused by 4 patients.
The other 29 eyes underwent vitrectomy.
Of the 58 eyes with VA at diagnosis ≥20/30, 5 underwent surgery due to metamorphopsia.
Eighteen eyes underwent vitrectomy during follow-up.
VA improved a mean of 0.13 logMAR (SD 0.30) after vitrectomy.
There were no differences in mean VA improvement between eyes that underwent vitrectomy within six months of diagnosis (0.24, SD 0.32) and those that underwent surgery more than six months after diagnosis (mean 0.17, SD 0.17), p=0.106.
Three eyes developed postsurgical complications with visual loss: persistent macular edema in one eye, two consecutive retinal detachments in one eye, and a central visual defect in another eye.
At the end of follow-up, VA was similar in the observation group (0.14, SD 0.14) and in the vitrectomy group (0.16, SD 0.28), p=0.528.
Conclusions.
Our proposed guidelines lead to visual preservation in most patients while limiting surgery and its possible complications.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Pareja, Jesús& Coronado, Alba& Contreras, Inés. 2019. Epiretinal Membrane Surgery in Daily Clinical Practice: Results of a Proposed Management Scheme. Journal of Ophthalmology،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1186280
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Pareja, Jesús…[et al.]. Epiretinal Membrane Surgery in Daily Clinical Practice: Results of a Proposed Management Scheme. Journal of Ophthalmology No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1186280
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Pareja, Jesús& Coronado, Alba& Contreras, Inés. Epiretinal Membrane Surgery in Daily Clinical Practice: Results of a Proposed Management Scheme. Journal of Ophthalmology. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1186280
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1186280
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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