Banker Tanuj P, Reilly Gayatri S, Jalaj Sanjai, Weichel Eric D
Department of Ophthalmology, Georgetown University Hospital, Washington, DC - USA.
Retina Group of Washington, Washington, DC - USA.
Eur J Ophthalmol. 2015 Nov-Dec;25(6):565-70. doi: 10.5301/ejo.5000609. Epub 2015 Apr 15.
To evaluate the incidence rates of cystoid macular edema (CME) and epiretinal membrane (ERM) formation after uncomplicated primary 23-G and 25-G retinal detachment (RD) repair and to identify risk factors associated with postoperative CME and ERM formation.
This was a consecutive interventional case series of 587 eyes that underwent one RD repair with 23-G or 25-G pars plana vitrectomy (PPV) with scleral buckling. Epiretinal membrane and CME were confirmed by optical coherence tomography (OCT) and fluorescein angiography (FA).
A total of 587 eyes with a mean follow-up of 404 days had incidence rates of 35.1% for ERM and 15.2% for CME. The incidence of ERM after combined PPV and scleral buckling (48.4%) (n = 61) was greater (p<0.0001) compared to that after PPV alone (31.2%) (n = 144).
Epiretinal membrane and CME develop frequently after small-gauge RD repair. Pars plana vitrectomy combined with scleral buckling is associated with a higher incidence of ERM. Patients might benefit from increased use of OCT and FA to help rule out CME/ERM.
评估单纯性原发性23G和25G视网膜脱离（RD）修复术后黄斑囊样水肿（CME）和视网膜前膜（ERM）形成的发生率，并确定与术后CME和ERM形成相关的危险因素。
这是一项连续性干预病例系列研究，纳入587只接受23G或25G玻璃体切割联合巩膜扣带术进行RD修复的患眼。通过光学相干断层扫描（OCT）和荧光素血管造影（FA）确诊ERM和CME。
共587只患眼，平均随访404天，ERM发生率为35.1%，CME发生率为15.2%。玻璃体切割联合巩膜扣带术后ERM发生率（48.4%）（n = 61）高于单纯玻璃体切割术后（31.2%）（n = 144）（p<0.0001）。
小切口RD修复术后ERM和CME发生率较高。玻璃体切割联合巩膜扣带术与较高的ERM发生率相关。增加OCT和FA的使用可能有助于患者排除CME/ERM。
