İDYOPATİK EPİRETİNAL MEMBRANLI HASTALARDA SINIRLI VİTREKTOMİ

Amaç: Epiretinal membran nedeni ile vitreoretinal cerrahi uygulanan hastalarda sınırlı vitrektomi uygulamasının güvenliğinin ve etkinliğinin değerlendirilmesi Hastalar ve Yöntem: Sınırlı vitrektomi uygulanan epiretinal membranlı 58 hastanın bulguları değerlendirildi. Görme keskinliğindeki artış, operasyon sırasında oluşan periferik yırtıklar ve retina dekolmanı gelişimi sıklığı, anatomik sonuçlar, intraoperatif ve postoperatif komplikasyonlar değerlendirildi. Bulgular: Median görme keskinliği ameliyat öncesi 0.4 0.3-0.5 , ameliyat sonrası 0.6 0.3-0.8 olarak bulundu p=0.016 . Ondört hastaya 24,13% operasyon sırasında profilaktik laser fotokoagulasyon yapıldı. Hiç bir hastada operasyon sırasında retina yırtığı ve retina dekolmanı gelişmedi. Hiç bir hastada sınırlı vitrektomiye bağlı proliferatif vitreoretinopati ve komplikasyon oluşmadı. Sonuç: Periferik vitreusu temizlemden yapılan sınırlı vitrektomi, epiretinal membranı olan hastaların tedavisinde etkili ve güvenli bir yöntemdi. Bu yöntem hastalarda periferik retina yırtıkları ve retina dekolmanı riskini azaltmaktadır

Limited Vitrectomy In Patients With Idiopathic Epiretinal Membrane

Purpose: To evaluate the safety and effectivity of limited vitrectomy in patients with epiretinal membrane. Methods: We included 58 consecutive patients who underwent epiretinal membrane surgery without performing a complete peripheral vitreous removal. The improvement in visual acuity, the incidence of retinal breaks and detachment; anatomical results and intraoperative and postoperative complications of this technique were evaluated. Results: The median visual acuity was 0.4 0.3-0.5 before the surgery, and it was 0.6 0.3-0.8 after the surgery p=0.016 . Prophylactic laser photocoagulation was performed in 14 24,13% patients during surgery. Retinal breaks and detachments did not occur in any of our patients. We did not observe proliferative vitreoretinopathy or surgery- related major complications in any patient. Conclusion: Limited vitrectomy without removing peripheral vitreous is safe and effective in idiopathic epiretinal membrane surgery. It reduces the risk of peripheral retinal breaks and retinal detachment.

Keywords:

Limited vitrectomy epiretinal membrane surgery, pars plana vitrectomy, retinal breaks, retinal detachment,

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