Hayashi Eye Hospital, Fukuoka, Japan.
Eye (Lond). 2009 Apr;23(4):774-9. doi: 10.1038/eye.2008.161. Epub 2008 Jun 6.
To examine whether or not phacoemulsification surgery accelerates the progression of idiopathic epiretinal membrane (ERM) by measuring the degree of ERM.
Forty-three consecutive eyes with idiopathic ERM that underwent phacoemulsification surgery were recruited; 41 consecutive eyes with ERM that did not undergo surgery served as controls. Foveal thickness and macular volume were measured using optical coherence tomography at 3 days after surgery (baseline), and at 3, 6, and 12 months after baseline. Visual acuity and the incidence of eyes that underwent ERM peeling surgery were also examined.
There were no significant differences in the foveal thickness and macular volume between the two groups at baseline. The foveal thickness gradually increased by 7.0% in the cataract surgery (CS) group by 5.3% in the no surgery group at 12 months after surgery. When comparing the groups, no significant differences were found in the foveal thickness, macular volume, or their percentage increases from baseline throughout the 12-month follow-up period. Only one eye in the CS group underwent ERM peeling surgery within the 12 months. Mean visual acuity did not worsen significantly in either group during follow-up.
Progression of idiopathic ERM is not accelerated by phacoemulsification surgery.
通过测量特发性视网膜内膜（ERM）的程度，来检查白内障超声乳化手术是否会加速特发性 ERM 的进展。
招募了 43 例连续接受白内障超声乳化手术的特发性 ERM 患者；41 例连续未接受手术的 ERM 患者作为对照组。在术后 3 天（基线）以及术后 3、6 和 12 个月，使用光学相干断层扫描测量中心凹厚度和黄斑体积。还检查了视力和接受 ERM 剥除手术的眼发生率。
两组基线时中心凹厚度和黄斑体积无显著差异。在术后 12 个月时，白内障手术（CS）组的中心凹厚度逐渐增加了 7.0%，无手术组增加了 5.3%。两组间比较，在整个 12 个月的随访期间，中心凹厚度、黄斑体积或其从基线增加的百分比均无显著差异。仅在 CS 组中有 1 只眼在 12 个月内接受了 ERM 剥除手术。两组在随访期间视力均无明显恶化。
白内障超声乳化手术不会加速特发性 ERM 的进展。
