Triamcinolone in small-gauge vitrectomy for epiretinal membrane peeling
Reinhard Angermann1, Claus Zehetner2, Patrick Sidoroff2
1Department of Ophthalmology, Medical University Innsbruck, Innsbruck, Austria..
Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie
|December 4, 2018
Summary
Epiretinal membrane (ERM) peeling improved vision and macular morphology. Intravitreal triamcinolone (IVTA) with ERM peeling did not significantly alter visual outcomes but did reduce central foveal thickness.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Epiretinal membrane (ERM) affects vision and macular structure.
- Surgical peeling is a common treatment for ERM.
Purpose of the Study:
- To compare visual and macular morphological outcomes after epiretinal membrane (ERM) peeling, with and without intravitreal triamcinolone (IVTA) treatment.
- To evaluate the efficacy of IVTA as an adjunct to ERM surgery.
Main Methods:
- Retrospective, case-control study involving 41 eyes.
- Comparison of pre- and postoperative best-corrected visual acuity (BCVA) and central foveal thickness (CFT) between standard ERM peeling and ERM peeling with IVTA.
Main Results:
- Both groups showed significant improvements in BCVA and CFT at 6 months post-surgery.
- No significant difference in visual improvement or CFT reduction was observed between the standard ERM peeling group and the IVTA-augmented group at follow-up.
- A significant reduction in CFT was noted specifically in the IVTA group.
Conclusions:
- Epiretinal membrane peeling effectively improves visual acuity and macular morphology.
- While IVTA did not significantly enhance visual outcomes at 6 months, it was associated with a significant reduction in central foveal thickness.
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