La chirurgie combinée phacoémulsification/pelage de membrane épirétinienne et oedème maculaire [Combined phacoemulsification/membrane resection and macular edema].
Details
State: Public
Version: Final published version
Serval ID
serval:BIB_2D3FA61D7183
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
La chirurgie combinée phacoémulsification/pelage de membrane épirétinienne et oedème maculaire [Combined phacoemulsification/membrane resection and macular edema].
Journal
Journal Français D'ophtalmologie
ISSN
0181-5512 (Print)
ISSN-L
0181-5512
Publication state
Published
Issued date
1998
Peer-reviewed
Oui
Volume
21
Number
6
Pages
403-407
Language
french
Notes
Publication types: English Abstract ; Journal Article Publication Status: ppublish
Abstract
PURPOSE: To evaluate the occurrence of macular edema (ME) after epiretinal membrane resection, managed either with simple vitrectomy or with combined vitrectomy and phacoemulsification.
MATERIAL AND METHODS: Two groups of 12 patients had a vitrectomy for epiretinal membrane associated or not to a phacoemulsification. A fundus fluorescein angiography was performed pre and postoperatively and at least 3 months after the surgery.
RESULTS: In the group of patients who had a simple vitrectomy, a ME was observed in 50% of the cases preoperatively and in 25% of the cases at the end of follow-up. In 3 cases, preoperative ME was worsened after the surgery. In the group of patients who were treated by a combined vitrectomy and phacoemulsification, a ME was observed in 25% of the cases preoperatively and in 50% of the cases at the end of follow-up. A de novo ME was observed in 3 cases.
CONCLUSION: Combined vitrectomy and cataract surgery could allow a rapid recovery of visual acuity but might increase the occurrence of ME.
MATERIAL AND METHODS: Two groups of 12 patients had a vitrectomy for epiretinal membrane associated or not to a phacoemulsification. A fundus fluorescein angiography was performed pre and postoperatively and at least 3 months after the surgery.
RESULTS: In the group of patients who had a simple vitrectomy, a ME was observed in 50% of the cases preoperatively and in 25% of the cases at the end of follow-up. In 3 cases, preoperative ME was worsened after the surgery. In the group of patients who were treated by a combined vitrectomy and phacoemulsification, a ME was observed in 25% of the cases preoperatively and in 50% of the cases at the end of follow-up. A de novo ME was observed in 3 cases.
CONCLUSION: Combined vitrectomy and cataract surgery could allow a rapid recovery of visual acuity but might increase the occurrence of ME.
Keywords
Aged, Cataract/diagnosis, Cataract Extraction, Female, Fluorescein Angiography, Humans, Macular Edema/etiology, Macular Edema/physiopathology, Male, Phacoemulsification, Postoperative Care, Postoperative Complications, Preoperative Care, Treatment Outcome
Pubmed
Web of science
Create date
10/04/2014 11:00
Last modification date
20/08/2019 13:12
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