Visual outcomes and complications of combined versus sequential pars plana vitrectomy and phacoemulsification for epiretinal membrane.
In: Eye (London, England), Jg. 38 (2024-06-01), Heft 9, S. 1707-1713
Online
academicJournal
Zugriff:
Background: Symptomatic epiretinal membrane (ERM) often requires surgical intervention via pars plana vitrectomy (PPV), for which cataract development is a common complication. There is insufficient data on the visual outcomes and complications of combined phacovitrectomy (COMB) in comparison to sequential PPV with deferred cataract surgery (SEQ) for ERM.
Methods: A retrospective dataset analysis of 8 National Health Service ophthalmology departments. The main outcome measures were postoperative visual acuity (VA), operative complications, postoperative cystoid macular oedema (CMO) and recurrent ERM.
Results: We included 898 and 299 eyes in the COMB and SEQ groups, respectively. Both procedures resulted in significantly better VA across all follow-up intervals (24 weeks). The proportion of eyes with Snellen VA of at least 20/40 at 12-24 weeks was comparable in both groups (47.8% [COMB] vs. 54.7% [SEQ], p = 0.4456). More eyes in the COMB group experienced posterior capsular rupture (2.9% vs. 0%, p = 0.0009) and iatrogenic retinal trauma (2.4% vs. 0%, p = 0.0023). However, regression analysis revealed that combined surgery did not predict either complication. There were no significant differences in the rates of CMO (6.5% [COMB] vs. 9% [SEQ], p = 0.1522) and recurrent ERM (2.1% [COMB] vs. 3.3% [SEQ], p = 0.2758) between both groups.
Conclusion: Both combined and sequential procedures are comparably effective and safe means for managing eyes with ERM.
(© 2024. The Author(s), under exclusive licence to The Royal College of Ophthalmologists.)
Titel: |
Visual outcomes and complications of combined versus sequential pars plana vitrectomy and phacoemulsification for epiretinal membrane.
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Autor/in / Beteiligte Person: | Fouad, YA ; Soliman, MK ; Elhusseiny, AM ; Yang, YC ; Sallam, AB |
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Zeitschrift: | Eye (London, England), Jg. 38 (2024-06-01), Heft 9, S. 1707-1713 |
Veröffentlichung: | <2003->: London : Nature Publishing Group ; <i>Original Publication</i>: [London : Ophthalmological Society of the United Kingdom, 1987-, 2024 |
Medientyp: | academicJournal |
ISSN: | 1476-5454 (electronic) |
DOI: | 10.1038/s41433-024-03004-5 |
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