Oh Ha Na, Lee Joo Eun, Kim Hyun Woong, Yun Il Han
Department of Ophthalmology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
Korean J Ophthalmol. 2013 Aug;27(4):256-60. doi: 10.3341/kjo.2013.27.4.256. Epub 2013 Jun 25.
To assess the clinical outcomes in idiopathic epiretinal membrane (ERM) patients after vitrectomy and ERM removal with or without additional indocyanine green (ICG)-assisted internal limiting membrane (ILM) peeling.
The medical records of 43 patients with an idiopathic ERM that underwent vitrectomy and ERM removal between July 2007 and April 2010 were reviewed. The patients were divided into two groups: triamcinolone-assisted simple ERM peeling only (group A, n = 23) and triamcinolone-assisted ERM peeling followed by ICG staining and peeling of the remaining internal ILM (group B, n = 20).
No difference was found between the two groups in terms of visual acuity, macular thickness, P1 amplitude or implicit time on multifocal-electroretinogram (mfERG) at six and 12 months postoperatively. In group B, ICG staining after ERM peeling demonstrated that the ILM had been removed together with the ERM in 12 eyes (60%), and all 12 eyes showed punctate retinal hemorrhages during ERM peeling. There was no recurrence of an ERM in either group.
Additional procedures involving ICG staining and ILM peeling during ERM surgery do not appear to have an additive effect on the clinical outcomes in terms of visual acuity, retinal function based on mfERG, or recurrence rate.
评估特发性视网膜前膜（ERM）患者在玻璃体切割术联合ERM剥除术时，行或不行额外的吲哚菁绿（ICG）辅助内界膜（ILM）剥除术的临床结局。
回顾性分析2007年7月至2010年4月间43例行玻璃体切割术联合ERM剥除术的特发性ERM患者的病历。患者分为两组：单纯曲安奈德辅助ERM剥除术（A组，n = 23）和曲安奈德辅助ERM剥除术，随后行ICG染色及剩余内界膜剥除术（B组，n = 20）。
术后6个月和12个月时，两组患者在视力、黄斑厚度、多焦视网膜电图（mfERG）的P1波幅或隐含时间方面均无差异。在B组中，ERM剥除术后的ICG染色显示，12只眼（60%）的ILM与ERM一起被剥除，且所有12只眼在ERM剥除过程中均出现点状视网膜出血。两组均未出现ERM复发。
在ERM手术中，涉及ICG染色和ILM剥除的额外操作在视力、基于mfERG的视网膜功能或复发率方面似乎对临床结局没有附加作用。
