Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2010 , Vol 1, Issue 2
Pars Plana Vitrectomy Combined With Internal Limiting Membrane Peeling In The Treatment of Epiretinal Membrane
Abdullah Özkırış
Acıbadem Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İstanbul, Türkiye AIM: To evaluate the outcomes of peeling of the internal limiting membrane (ILM) combined with pars plana vitrectomy in patients with epiretinal membrane (ERM).

Materials-Methods: The charts of 53 patients (63 eyes) who had undergone PPV combined ILM peeling due to various reasons were retrospectively reviewed. There were 23 men and 30 women, and the mean age of the patients was 59.5 years. In all patients, a complete ophthalmological examination including visual acuity determination, slit-lamp biomicroscopy, intraocular pressure (IOP) measurement, fundus examination and fundus fluorescein angiography was performed before and after surgery.

Results: Visual acuity averaged at 20/200 before surgery. The mean follow-up time was 14.3 months and vision acuity improved or remained unchanged in 96.8 % of eyes after surgery. The average improvement in visual acuity was 3.0 lines. The most common complication was cataract formation after surgery. Postoperative rhegmatogenous retinal detachment was observed in one eye (1.5%). No ERM recurrence was observed during the follow-up period.

Conclusion: We observed that PPV combined with ILM peeling is a safe and effective procedure and increases the visual acuity. Keywords : epiretinal membrane, pars plana vitrectomy, internal limiting membran peeling