The Effect of Surgical Management for Macular Epiretinal Membranes.

Lee, Ho Chun; Kim, Hyung Chan; Kim, Ha Kyoung

Original Article

Journal of the Korean Ophthalmological Society 1995;36(10):1713-1720.
Published online October 1, 1995.

The Effect of Surgical Management for Macular Epiretinal Membranes.

Ho Chun Lee, Hyung Chan Kim, Ha Kyoung Kim

Department of Ophthalmology, College of Medicine, Hallym University, Seoul, Korea.

황반 망막전막에 대한 유리체 절제술의 효과

김형찬(Hyung Chan Kim),김하경(Ha Kyoung Kim),이호천(Ho Chun Lee)

Abstract

We did a follow-up study of 49 patients who had vitrectomy with removal of the macular epiretinal membrane. The patients were followed over 3 months (3-86 months). The patients had an average age of 39.3(13-72) years. Changes of postoperative visual acuity, complications, cause of poor visual outcome, and the prognostic factors were evaluated. 34 eyes(69.4%) showed improvement of visual acuity two lines or more compared to preoperative visual acuity and 25 eyes(51.0%) achieved a final visual acuity of 0.5 or better. Complications were noted in 13 eyes. They were consisted of cataract progression in 6 eyes, retinal break in 3 eyes, recurred membranes in 2 eyes, increased intraocular pressure and endophthalmitis in each eye. The causes of poor visual outcome related with the complications and the preoperative macular damages. Among the various prognostic factors, the preoperative visual acuity and the duration of disease show statistical significance in this study(p<0.001, p<0.002).

Key Words: Complications;Macular epiretinal membrane;Prognostic factor;Visual acuity;Vitrectomy