Idiopathic epiretinal membrane management and prognosis: a review
| Autor: | William E. Smiddy, Thalmon R. Campagnoli |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Retina genetic structures business.industry medicine.medical_treatment Internal limiting membrane Unnecessary Surgery Biomedical Engineering Vitrectomy Visual symptoms medicine.disease Ilm peeling eye diseases Macular function Surgery Ophthalmology medicine.anatomical_structure medicine sense organs Epiretinal membrane business Optometry |
| Zdroj: | Expert Review of Ophthalmology. 10:549-561 |
| ISSN: | 1746-9902 1746-9899 |
| DOI: | 10.1586/17469899.2015.1094378 |
| Popis: | Idiopathic epiretinal membrane is one of the most common disorders encountered by vitreoretinal surgeons. While it precise pathogenic mechanism, by definition, is unknown, there are some steps that seem to explain its formation and effects. It is characteristically a semitranslucent, avascular, contractile fibrocellular tissue situated on the internal limiting membrane of the retina. Loss of vision is attributed to a variety of mechanisms, but most prominent and important are the effects of traction forces that may either directly or indirectly compromise macular function. The advent of optical coherence tomography has contributed greatly to the diagnosis and understanding of the pathoanatomy, and may be an important treatment guide, but may also lead the clinician to overattribute visual loss to the epiretinal membrane, possibly prompting unnecessary surgery. It is important to realize that vast majority of afflicted eyes do not develop visual symptoms sufficient to justify intervention. The aim of this ... |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|