2Prof. Dr., Başkent Üniversitesi Hastanesi, Göz Hastalıkları Anabilim Dalı, Ankara, Türkiye
3Uz. Dr., Van Eğitim ve Araştırma Hastanesi, Göz Hastalıkları, Van, Türkiye
4Prof. Dr., Başkent Üniversitesi Hastanesi, Göz Hastalıkları Anabilim Dalı, Ankara, Türkiye Purpose: To investigate anatomical and functional changes on retinal thickness (RT) in patients who underwent pars plana vitrectomy (PPV)+epiretinal membrane (ERM)+internal limiting membrane (ILM) peeling for idiopathic ERM treatment.
Materials and Methods: The medical records of patients diagnosed with idiopathic ERM in one eye and treated with PPV+ERM+ILM peeling and had healthy other eye were retrospectively reviewed. RT was measured in 9 different segments using optical coherence tomography (OCT). The best corrected visual acuity (BCVA) and 9 RT areas were compared preoperatively and postoperatively.
Results: Study included 35 patients (male/18 female: 17/18, mean age: 67,40 ± 8,8 years). 20 patients underwent phacoemulsifi cation simultaneously, and 15 patients were pseudophakic before the surgery. None of the patients had recurrence after 12-month follow-up, all 9 RT areas in the patient eyes were signifi cantly decreased compared to preoperative values (p <0.05), while compared to healthy eyes values, there was no signifi cant difference except fovea segment (p>0.05). When the ratios between the segments were compared, it was observed that the postoperative inner temporal/inner nasal RT ratio was signifi cantly lower than the preoperative ratio and the healthy eyes ratio. There was no significant difference in preoperative and postoperative 9 RK areas between eyes with concurrent phacoemulsifi cation surgery and pseudophakic eyes. In both groups, BCVA was signifi cantly increased at 12 months postoperatively compared to preoperative values (p <0.001).
Conclusion: PPV+ERM+ILM peeling seems to be safe and effective for ERM patients. The effect of concurrent phacoemulsifi cation surgery on RT is not different from that of pseudophakic eyes.
Keywords : Epiretinal Membrane, Internal Limiting Membrane, Pars Plana Vitrectomy, Retinal Thickness, Optical Coherence Tomography