Intraoperative Optical Coherence Tomography-Guided Membrane Peeling for Surgery of Macular Pucker: Advantages and Limitations
| Autor: | Christoph Leisser, Nino Hirnschall, Stefan Palkovits, Oliver Findl, Katharina Kefer, Birgit Doeller |
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| Rok vydání: | 2018 |
| Předmět: |
Male
genetic structures medicine.medical_treatment Visual Acuity Vitrectomy 01 natural sciences Basement Membrane chemistry.chemical_compound Intraoperative Period 0302 clinical medicine Postoperative results Macula Lutea Prospective Studies Aged 80 and over medicine.diagnostic_test Epiretinal Membrane General Medicine Middle Aged Macular surgery Sensory Systems medicine.anatomical_structure Treatment Outcome Surgery Computer-Assisted Female medicine.symptom Tomography Optical Coherence Pars plana endocrine system medicine.medical_specialty 03 medical and health sciences Optical coherence tomography medicine Humans Metamorphopsia 0101 mathematics Aged business.industry Internal limiting membrane 010102 general mathematics Retinal eye diseases Surgery body regions Ophthalmology chemistry 030221 ophthalmology & optometry sense organs business Follow-Up Studies |
| Zdroj: | Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde. 241(4) |
| ISSN: | 1423-0267 |
| Popis: | Purpose: Epiretinal membranes (ERMs) are a disorder leading to progressive vision loss and metamorphopsia. The gold standard in therapy is vitrectomy with membrane peeling. The aim of this study was to assess whether the use of intraoperative optical coherence tomography (iOCT), which allows tomographic visualization of the membrane during peeling, enables peeling without staining. Methods: This prospective study included 30 eyes of 30 patients with idiopathic ERMs scheduled for surgery. Pars plana vitrectomy with iOCT was performed in all cases, whereas staining of ERMs was only performed if needed. Internal limiting membrane (ILM) peeling was performed in case of wrinkled retinal surface after peeling of ERMs. Results: In 63% (n = 19) eyes the ERM could be peeled successfully without use of staining. Nevertheless, in 89% (n = 17) of patients having had ERM peeling without dye, staining of the ILM was performed afterwards for peeling the ILM. Best corrected visual acuity improved in 80% (n = 24) and remained unchanged in 7% (n = 2) 3 months after surgery. There were no significant differences in postoperative results between patients with and without staining for ERM peeling. Conclusions: Use of iOCT helps to complete ERM peeling in a majority of cases without use of a chromovitrectomy dye, but as iOCT fails to visualize the ILM, chromovitrectomy still facilitates macular surgery in a majority of cases. |
| Databáze: | OpenAIRE |
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