Functional and Morphological Results of Epiretinal Membrane Surgery in Idiopathic versus Diabetic Epiretinal Membranes.

Autor:	Ozturk M; Haseki Training and Research Hospital, Clinic of Ophthalmology, University of Health Sciences, Istanbul, Turkey., Guven D; Sisli Hamidiye Etfal Training and Research Hospital, Clinic of Ophthalmology, University of Health Sciences, Istanbul, Turkey., Kacar H; Sisli Hamidiye Etfal Training and Research Hospital, Clinic of Ophthalmology, University of Health Sciences, Istanbul, Turkey., Karapapak M; Sisli Hamidiye Etfal Training and Research Hospital, Clinic of Ophthalmology, University of Health Sciences, Istanbul, Turkey., Demir M; Sisli Hamidiye Etfal Training and Research Hospital, Clinic of Ophthalmology, University of Health Sciences, Istanbul, Turkey.
Jazyk:	angličtina
Zdroj:	Seminars in ophthalmology [Semin Ophthalmol] 2021 Aug 18; Vol. 36 (5-6), pp. 366-372. Date of Electronic Publication: 2021 Feb 22.
DOI:	10.1080/08820538.2021.1890143
Abstrakt:	Purpose: Idiopathic and diabetic epiretinal membranes (ERM) are different in terms of pathophysiology, etiology, and macular morphology, and thus might respond to surgical treatment differently. We aimed to compare the surgical results of two groups. Methods: Retrospective case series study of 71 eyes of 66 patients who underwent pars plana vitrectomy (PPV) due to idiopathic or diabetic ERM with at least 1-year follow-up. Examinations were performed before, and 1, 3, 6, and 12 months after surgery. The average macular thicknesses in nine sectors described by the Early Treatment Diabetic Retinopathy Study (ETDRS) were measured with spectral-domain optical coherence tomography (OCT), and BCVA was evaluated. ERM recurrence rates were investigated. Results: In both idiopathic and diabetic groups, retinal thickness (RT) changes occurred as long as 12 months after vitrectomy surgery for ERM. However, in the idiopathic group, significant changes were mainly seen in the first 6 months, while in the diabetic group changes slowed considerably between the third and sixth months, but again accelerated (becoming significant) during the last 6 months. Conclusions: According to the findings of this study, as compared to those with idiopathic ERM, diabetic patients would likely see continuing benefits from ERM surgery 6 to 12 months post surgery. The BCVA changes of the two groups were similar. ILM peeling decreased ERM recurrence in the idiopathic group but not in the diabetic group.
Databáze:	MEDLINE
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