Marie-Louise J, Philippakis E, Darugar A, Tadayoni R, Dupas B
Department of Ophthalmology, Hôpital Lariboisière, Université Paris 7- Sorbonne Paris Cité, Paris, France.
Eye (Lond). 2017 Sep;31(9):1259-1265. doi: 10.1038/eye.2017.79. Epub 2017 May 19.
PurposeTo assess the occurrence rate of retinal detachment (RD) after small gauge vitrectomy for idiopathic epiretinal membrane (ERM).Patients and methodsRetrospective observational case series. The records of consecutive patients operated on for idiopathic ERM using small gauge pars plana vitrectomy between August 2012 and December 2014 with at least a 1-year follow-up were reviewed. All patients were contacted by phone to assess the occurrence of RD during the post-operative follow-up. The main outcome was the occurrence of RD. Patients who underwent surgery for senile cataract over the same period with at least a 1-year follow-up were also contacted by phone for comparison.ResultsTwo hundred and sixteen eyes of 212 patients who had undergone ERM surgery were included, with a mean follow-up of 892±211 days (216-1238). RD occurred in two eyes (0.92%). Over the same period, two RD occurred in the 203 eyes (0.98%) of 157 patients operated on for senile cataract in our department.ConclusionsThe occurrence of RD after 25-gauge vitrectomy for idiopathic ERM was <1%. Using small gauge sutureless vitrectomy systems has improved the safety of ERM surgery, with a RD rate similar to that observed after cataract surgery.
目的
评估特发性视网膜前膜（ERM）行小切口玻璃体切除术后视网膜脱离（RD）的发生率。
患者与方法
回顾性观察病例系列研究。对2012年8月至2014年12月期间因特发性ERM接受小切口玻璃体切除术且随访至少1年的连续患者的记录进行回顾。通过电话联系所有患者以评估术后随访期间RD的发生情况。主要结局是RD的发生。同时对同期接受老年性白内障手术且随访至少1年的患者也进行电话联系以作比较。
结果
纳入212例接受ERM手术患者的216只眼，平均随访时间为892±211天（216 - 1238天）。2只眼发生RD（0.92%）。同期，我科157例接受老年性白内障手术患者的203只眼中有2只发生RD（0.98%）。
结论
特发性ERM行25G玻璃体切除术后RD发生率<1%。使用小切口无缝线玻璃体切除系统提高了ERM手术的安全性，其RD发生率与白内障手术后观察到的相似。
