Epiretinal membrane vitrectomy: outcomes with or without cataract surgery and a novel prognostic factor for cystoid macular edema

• Tipo: Artigo em Revista Científica Internacional
• Data: 2021

Autores

Silva, N (Autor) Outra; Ferreira, A (Autor) FMUP; Marques, JH (Autor) Outra; Ferreira, N (Autor) Outra; Correia, N (Autor) Outra; Pessoa, B (Autor) Outra; Beirao, JM (Autor) ICBAS; Kuhn, F (Autor) Outra; Meireles, A (Autor) Outra

Revista

Título: Graefe's Archive for Clinical and Experimental Ophthalmology

ISSN: 0721-832X

Editora: Springer Nature

Indexação

ISI Web of Knowledge - 2 Citações

Scopus - 4 Citações

Outras Informações

ID Authenticus: P-00T-DGT

DOI: 10.1007/s00417-021-05076-5

Abstract (EN): Purpose To assess the outcomes of vitrectomy with or without cataract surgery for the treatment of idiopathic ERM in phakic eyes and evaluate predictors of functional and anatomical outcomes. Methods Retrospective cohort of consecutive phakic ERM eyes distributed in three groups: a) combined (phacovitrectomy) group, b) PPV-only group, and c) consecutive group (PPV followed by cataract surgery). Main outcomes were final visual acuity (VA) and cystoid macular edema (CME) occurrence. Potential predictors of VA or CME included clinical variables and SD-OCT parameters. Results A total of 108 eyes were included in this study. There were no differences in the final VA between consecutive and combined groups (0.22 vs 0.10 logMAR, p = 0.851). Twelve eyes from the combined group (23%) and one eye from the PPV-only group presented CME (p = 0.001). There were no differences between postoperative CME occurrence in combined versus consecutive group (12 vs 7, p = 0.38). The presence of cotton-ball sign predicted the development of CME [OR 2.86 (95%CI 1.01-8.18), p = 0.049] while separated ERM-ILM complex was found to be protective [OR 0.25 (95%CI 0.08-0.77), p = 0.015]. Conclusions Functional and anatomical results of PPV with ERM and ILM peeling combined with cataract surgery was equivalent to the consecutive procedure, with both strategies being effective. Separated ERM-ILM complex has prognostic value in these patients, as its presence at baseline was found to be protective for postoperative CME.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 10