Tearing and folding of the retinal internal limiting membrane associated with macular epiretinal membrane

Détails

ID Serval
serval:BIB_9EE5F8627831
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Tearing and folding of the retinal internal limiting membrane associated with macular epiretinal membrane
Périodique
Retina
Auteur⸱e⸱s
Bovey E. H., Uffer S.
ISSN
0275-004X
Statut éditorial
Publié
Date de publication
2008
Peer-reviewed
Oui
Volume
28
Numéro
3
Pages
433-440
Langue
anglais
Résumé
PURPOSE: To describe the clinical and histologic features of a particular form of macular epiretinal membrane. METHODS: The charts of all patients operated for macular epiretinal membrane by a single surgeon (E.H.B.) between June 2001 and January 2005 were retrospectively reviewed. Patients with macular epiretinal membrane associated with tearing and folding of the internal limiting membrane (ILM) were identified and the following parameters were recorded when available: age, gender, best-corrected visual acuity before and after vitrectomy; optical coherence tomography; pre-, intra-, and postoperative macular status; intraoperative staining by indocyanine green; histology. RESULTS: Twenty-three of 268 eyes (8.6%) with macular epiretinal membrane were associated with tearing and folding of the ILM, forming a whitish prominent band on the surface of the retina. The mean age of the patients was 68.6 years with a significant female predominance (78.3%). The vitreous was completely detached in 21 eyes. After surgical peeling, the mean visual gain was 3.2 Early Treatment Diabetic Retinopathy Study lines. No recurrence was observed. CONCLUSION: Tearing and folding of the ILM was associated with macular epiretinal membranes in 8.6% of cases. The ILM was probably torn during posterior hyaloid detachment, but the pathogenesis has not been clearly elucidated. The surgeon should begin to peel the macular epiretinal membrane by grasping the folded ILM to ensure complete removal of the ILM together with the epiretinal membrane. The postoperative visual prognosis was good
Mots-clé
Aged , Aged,80 and over , Basement Membrane , Coloring Agents , diagnosis , diagnostic use , Epiretinal Membrane , Eye , Female , Fluorescein Angiography , Humans , Indocyanine Green , injuries , Male , methods , Middle Aged , pathology , Patients , Prognosis , Recurrence , Retinal Perforations , Retrospective Studies , Rupture,Spontaneous , surgery , Switzerland , Tomography , Tomography,Optical Coherence , Visual Acuity , Vitrectomy
Pubmed
Web of science
Création de la notice
29/01/2009 22:14
Dernière modification de la notice
20/08/2019 15:05
Données d'usage