Journal of the Korean Ophthalmological Society 2004;45(10):1681-1688.
Published online October 1, 2004.
Factors for Epiretinal Membrane Formation after Retinal Detachment Surgery with Silicone Oil Tamponade.
Tae Jin Yoon, Boo Sup Oum
Department of Ophthalmology, Pusan National University Hospital, Pusan National University, College of Medicine, #1-10 Ami-dong, Seo-ku, Busan, Korea. bsoum@pusan.ac.kr
실리콘기름을 주입한 망막박리 수술안에서 망막전막 발생 인자
윤태진 ( Tae Jin Yoon ) , 엄부섭 ( Boo Sup Oum )
Abstract
PURPOSE
To evaluate the factors for postoperative formation of epiretinal membrane (ERM) in vitrectomized eyes with silicone oil tamponade for rhegmatogenous retinal detachment (RRD). METHODS: Retrospective evaluation was performed in 93 vitrectomized eyes with silicone oil tamponade for RRD. Fifty-two (55.9%) were male and 41 (44.1%) were female, and the mean age was 51.8 years. RESULTS: ERM was developed postoperatively in 32 eyes (34.8%) with a mean onset of formation of 3.2 months postoperatively. Univariate analysis revealed that ERM was significantly more frequent in the eyes receiving cryoretinopexy, in the eyes with RRD involving 2 quadrants or more, and in the eyes with preoperative vitreous hemorrhage(P<0.05). Multivariate analysis revealed that ERM was significantly more frequent in the eyes receiving cryoretinopexy and in the eyes with preoperative vitreous hemorrhage.(P<0.05). CONCLUSIONS: We conclude that avoiding or minimizing cryoretinopexy and completely removing vitreous hemorrhage are important to prevent ERM from developing in the cases of vitrectomy with silicone oil tamponade for RRD.
Key Words: Cryoretinopexy;Epiretinal membrane;Silicone oil;Retinal detachment


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