Chen Yen-Chih, Chen San-Ni
Department of Ophthalmology, Changhua Christian Hospital, Changhua, Taiwan.
Department of Ophthalmology, Yunlin Christian Hospital, Xiluo, Yunlin, Taiwan.
J Ophthalmol. 2021 Apr 14;2021:6654604. doi: 10.1155/2021/6654604. eCollection 2021.
To report a rare complication presenting as an isolated central epiretinal membrane (ERM) related to fovea-sparing internal limiting membrane (ILM) peeling technique.
Five patients who received fovea-sparing ILM peeling were enrolled. Postoperatively, an isolated central ERM developed. Optical coherence tomography (OCT) was used to evaluate the serial anatomic change.
Among the five included patients, one patient had high myopia with foveoschisis, two patients had vitreomacular traction, and two patients had proliferative diabetic retinopathy with tractional retinal detachment and a fovea cyst. With an average of 5.80 months, OCT showed the gradual development of the isolated central ERM with severe fovea distortion. Four patients received secondary revision surgery, with improvement of the fovea contour and visual acuity.
The fovea-sparing ILM peeling technique may cause a rare but serious complication as the isolated central ERM, which would cause significant fovea distortion as well as visual deterioration. Timely detection and intervention is recommended to prevent further visual loss. This trial is registered with NCT04445142.
报告一种罕见的并发症，表现为与保留黄斑中心凹的内界膜（ILM）剥除术相关的孤立性黄斑中心视网膜前膜（ERM）。
纳入5例接受保留黄斑中心凹ILM剥除术的患者。术后出现了孤立性黄斑中心ERM。采用光学相干断层扫描（OCT）评估一系列解剖学变化。
在纳入的5例患者中，1例为高度近视合并黄斑劈裂，2例为玻璃体黄斑牵拉，2例为增殖性糖尿病视网膜病变合并牵拉性视网膜脱离及黄斑囊肿。平均5.80个月时，OCT显示孤立性黄斑中心ERM逐渐发展，黄斑中心凹严重变形。4例患者接受了二次修复手术，黄斑中心凹轮廓和视力得到改善。
保留黄斑中心凹的ILM剥除术可能导致一种罕见但严重的并发症，即孤立性黄斑中心ERM，这会导致黄斑中心凹显著变形以及视力下降。建议及时检测和干预以防止进一步的视力丧失。本试验已在ClinicalTrials.gov注册，注册号为NCT04445142。
