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Vitrectomy for idiopathic epiretinal membranes causing macular pucker
S de Bustros1, J T Thompson, R G Michels
1Wilmer Ophthalmological Institute, Johns Hopkins University, Baltimore, MD.
The British Journal of Ophthalmology
|September 1, 1988
Summary
Vitreous surgery effectively removed epiretinal membranes, improving vision in most patients. However, nuclear sclerosis progression impacted final visual acuity in many cases.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Idiopathic epiretinal membranes can cause visual impairment.
- Surgical removal is a common treatment option.
Purpose of the Study:
- To evaluate the outcomes of vitreous surgery for idiopathic epiretinal membranes.
- To identify factors influencing final visual acuity after surgery.
Main Methods:
- Vitreous surgery was performed on 70 consecutive patients with idiopathic epiretinal membranes.
- Surgical success and visual acuity were assessed postoperatively and at final examination.
Main Results:
- Successful membrane removal was achieved in all cases.
- Initial postoperative vision improved in 87% of eyes.
- Final visual acuity improved in 67% of eyes, with nuclear sclerosis progression affecting outcomes in 63% of phakic eyes.
- Preoperative factors associated with better final vision included better initial acuity, shorter symptom duration, thinner membranes, and absence of retinal detachment.
Conclusions:
- Vitreous surgery is effective for removing epiretinal membranes.
- Long-term visual outcomes can be influenced by the development or progression of nuclear sclerosis.
- Preoperative patient and membrane characteristics predict better surgical results.