Michels R G
Ophthalmology. 1984 Nov;91(11):1384-8. doi: 10.1016/s0161-6420(84)34136-7.
Vitreous surgery was used to treat 130 consecutive cases with epiretinal membranes causing macular pucker. The membrane: (1) occurred after otherwise successful retinal reattachment surgery in 78 eyes (60%), (2) was idiopathic in 28 eyes (22%), (3) was associated with other ocular disorders in 20 eyes (15%), and (4) in four eyes may have been developmental. The abnormal tissue was successfully removed in 128 of 130 eyes, and vision improved at least two lines on the Snellen chart in 108 eyes (83%). Postoperative visual acuity was 20/20 in five eyes (4%), 20/25 to 20/40 in 41 eyes (31.5%), 20/50 to 20/100 in 64 eyes (49%), 20/200 in 15 eyes (11.5%), and 20/400 in five eyes (4%). Complications included one case of sterile endophthalmitis and one case of infective endophthalmitis (Staphylococcus epidermidis). Peripheral retinal tears occurred in six eyes (5%). No posterior retinal breaks occurred in this series. Later retinal detachment occurred in eight eyes (6%) requiring further retinal surgery. Progressive postoperative nuclear sclerotic lens changes occurred in 31 (34%) of 90 phakic eyes. Sizable amounts of epiretinal tissue recurred postoperatively in four eyes (3%).
采用玻璃体手术连续治疗130例因视网膜前膜导致黄斑皱襞的患者。这些视网膜前膜：（1）在78只眼（60%）的视网膜复位手术成功后出现；（2）28只眼（22%）为特发性；（3）20只眼（15%）与其他眼部疾病相关；（4）4只眼可能为发育性。130只眼中的128只成功切除了异常组织，108只眼（83%）的视力在斯内伦视力表上至少提高了两行。术后视力为20/20的有5只眼（4%），20/25至20/40的有41只眼（31.5%），20/50至20/100的有64只眼（49%），20/200的有15只眼（11.5%），20/400的有5只眼（4%）。并发症包括1例无菌性眼内炎和1例感染性眼内炎（表皮葡萄球菌）。6只眼（5%）出现周边视网膜裂孔。本系列中未发生视网膜后裂孔。8只眼（6%）发生了后期视网膜脱离，需要进一步进行视网膜手术。90只晶状体眼中有31只（34%）术后出现了进行性核性硬化晶状体改变。4只眼（3%）术后出现了大量视网膜前组织复发。
