Sharma T, Bhende P S, Parikh S, Gopal L, Biswas J, Badrinath S S
Sankara Nethralaya Vision Research Foundation, Madras, India.
Ophthalmic Surg Lasers. 1996 Mar;27(3):192-6.
Epimacular proliferation (EMP) represents a localized form of reproliferation at the macula. The significance of EMP in eyes that have undergone vitrectomy is still not clear. This study investigated the redetachment rate following silicone oil removal when combined with removal of EMP.
Twenty-two consecutive eyes underwent removal of silicone oil and EMP These eyes had attached retinas following silicone oil injection used as an adjunct to complex vitreoretinal surgery.
The retina remained attached in 19 (86.4%) of the eyes, with functional improvement it vision in 81.8% of the eyes. Visual acuity of 6/60 (20/200) or better was obtained in 12 (54.5%*) of the eyes. The mean follow-up time was 6.3 months.
These results suggest that removal of EMP and silicone oil does not increase the risk of redetachment.
黄斑前增殖（EMP）是黄斑区局部再增殖的一种形式。EMP在接受玻璃体切除术的眼中的意义仍不明确。本研究调查了硅油取出联合EMP取出后的视网膜再脱离率。
连续22只眼接受了硅油和EMP取出术。这些眼在作为复杂玻璃体视网膜手术辅助手段注入硅油后视网膜已复位。
19只（86.4%）眼的视网膜保持附着，81.8%的眼视力有功能性改善。12只（54.5%*）眼的视力达到6/60（20/200）或更好。平均随访时间为6.3个月。
这些结果表明，取出EMP和硅油不会增加视网膜再脱离的风险。
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