el Aouni A, Behar-Cohen F, Chauvaud D
Service d'Ophtalmologie, Hôtel-Dieu, Paris.
J Fr Ophtalmol. 1998 Jun-Jul;21(6):403-7.
To evaluate the occurrence of macular edema (ME) after epiretinal membrane resection, managed either with simple vitrectomy or with combined vitrectomy and phacoemulsification.
Two groups of 12 patients had a vitrectomy for epiretinal membrane associated or not to a phacoemulsification. A fundus fluorescein angiography was performed pre and postoperatively and at least 3 months after the surgery.
In the group of patients who had a simple vitrectomy, a ME was observed in 50% of the cases preoperatively and in 25% of the cases at the end of follow-up. In 3 cases, preoperative ME was worsened after the surgery. In the group of patients who were treated by a combined vitrectomy and phacoemulsification, a ME was observed in 25% of the cases preoperatively and in 50% of the cases at the end of follow-up. A de novo ME was observed in 3 cases.
Combined vitrectomy and cataract surgery could allow a rapid recovery of visual acuity but might increase the occurrence of ME.
评估视网膜前膜切除术后黄斑水肿（ME）的发生情况，手术方式为单纯玻璃体切除术或玻璃体切除术联合超声乳化术。
两组各12例患者接受了与超声乳化术相关或无关的视网膜前膜玻璃体切除术。术前、术后及术后至少3个月进行了眼底荧光血管造影。
在单纯玻璃体切除术组中，50%的病例术前观察到ME，随访结束时25%的病例观察到ME。3例患者术前ME术后加重。在玻璃体切除术联合超声乳化术治疗组中，25%的病例术前观察到ME，随访结束时50%的病例观察到ME。3例患者出现了新发ME。
玻璃体切除术联合白内障手术可使视力快速恢复，但可能增加ME的发生率。
