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Vitrectomy for Idiopathic and Secondary Epi-retinal Membranes causing Macular Pucker

1Oficjalska-Mlynczak J., 2Jamrozy-Witkowska A., 1Zajac-Pytrus H., 1Marek J.,
1Department of Ophthalmology and Eye Clinic, Wroclaw Medical University (Wroclaw)
2Department of Ophthalmology and Eye Clinic, Wroclaw Medical University, Medical University (Wroclaw)

Aim: to evaluate the results of pars plana vitrectomy and membrane stripping for idiopathic and secondary macular epiretinal membranes (ERMs).
Methods: 17 consecutive subjects (17 eyes) with an idiopathic ERMs and 4 consecutive subjects (4 eyes) with secondary ERMs occurred after succesful retinal reattachment surgery underwent vitrectomy and membrane peeling. Visual acuity, Amsler grid and fluorescein dye leakage was assess pre- and postoperatively. The mean follow-up was 3 to 14 months.
Results: The abnormal tissue was succesfully removed in each case. Visual acuity improved postoperatively at least two lines on the Snellen chart in 17 eyes (80.9%), remained unchanged in 4 eyes (19.1%). In the idiopathic cases visual results were significantly better. Complications included residual membrane formation was noted in 1 eye. No posterior retinal breaks or retinal detachment were observed. Pseudohole was observed in one case. Removal of membranes decreased fluorescein leakage.
Conclusions: Eyes that began with vision better than 20/100 tended to have better postoperative vision than eyes with poorer preoperative visual acuity. Thin epiretinal membrane was associated with better final visual acuity. Vitrectomy should not be postponed in patients who complain of reduce VA and metamorphopsia.

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