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Rita Ehrlich
International journal of ophthalmology
7y
Cohort studyInternational journal of ophthalmology · 2019

Epiretinal membrane following pars plana vitrectomy for rhegmatogenous retinal detachment repair.

Ruti Sella, Amir Sternfeld, Ivan Budnik … Rita Ehrlich
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OphthalmologyCohort study

Nearly half of eyes developed epiretinal membrane after retinal detachment repair.

Epiretinal membrane following pars plana vitrectomy for rhegmatogenous retinal detachment repair.

Ruti Sella … Rita Ehrlich
International journal of ophthalmology · 2019
Purpose

To determine the rate and possible contributors for post-pars plana vitrectomy (PPV) epiretinal membrane (epiretinal membrane) in patients treated for rhegmatogenous retinal detachment (rhegmatogenous retinal detachment).

Methods

This prospective, nonrandomized study comprised 47 consecutive patients (47 eyes) with acute rhegmatogenous retinal detachment treated with 23 G post-PPV.

n = 47 eyes
48.9%
Results
48.9%
eyes developed a scar-like membrane on the retina after repair
n = 47 eyes
More results

There was a statistically significant difference between patients with and without epiretinal membrane postoperatively in preoperative best corrected visual acuity (median logMAR 1.9 vs 0.3, respectively; P =0.003) rate of macula-off (69.6% vs 37.5%, respectively, P =0.028), and rate of ≥5 cryo-applications (55.6% and 18.8%, respectively, P =0.039).

More results

Epiretinal membrane developed mainly between the 1 st and 3 rd months of follow-up.

Macula-off status increased the risk of epiretinal membrane, with the odds ratio of 3.81 ( P =0.031).

“
Conclusion

Epiretinal membrane is a frequent post rhegmatogenous retinal detachment finding, and its development is associated with macula-off rhegmatogenous retinal detachment.

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