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Macular epiretinal membrane formation and treated retinal breaks
1Retina Service, Scheie Eye Institute, University of Pennsylvania, Philadelphia 19104, USA.
American Journal of Ophthalmology
|October 1, 1995
Summary
Treatment for retinal breaks using laser photocoagulation or cryotherapy showed no significant difference in causing macular epiretinal membrane formation. This study compared outcomes for retinal tears treated with different methods.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Macular epiretinal membranes (MEMs) can affect vision after retinal break treatment.
- Understanding the incidence of MEMs is crucial for patient outcomes.
Purpose of the Study:
- To compare the incidence of macular epiretinal membrane formation following treatment of retinal breaks.
- Investigate outcomes after laser photocoagulation, cryotherapy, or combined modalities.
Main Methods:
- Retrospective chart review of 205 patients with retinal tears and >6 months follow-up.
- Analysis of 220 treated eyes (195 patients) using cryopexy, laser, or both.
Main Results:
- Macular epiretinal membranes developed in 26 eyes (11.8%).
- Incidence was 12/125 (9.6%) for cryopexy, 10/73 (13.7%) for laser, and 4/22 (18.2%) for combined treatment.
- No statistically significant difference in MEM formation rates between treatment groups (P <= .01).
Conclusions:
- Laser photocoagulation and cryotherapy for retinal breaks yield similar rates of macular epiretinal membrane formation.
- Treatment modality does not significantly influence the risk of developing MEMs.