Epiretinal membrane and cystoid macular edema after retinal detachment repair with small-gauge pars plana vitrectomy

作者：Banker Tanuj P^*; Reilly Gayatri S; Jalaj Sanjai; Weichel Eric D

来源：European Journal of Ophthalmology, 2015, 25(6): 565-570.

DOI：10.5301/ejo.5000609

• Cystoid macular edema
• Epiretinal membrane
• Retinal detachment

Purpose: To evaluate the incidence rates of cystoid macular edema (CME) and epiretinal membrane (ERM) formation after uncomplicated primary 23-G and 25-G retinal detachment (RD) repair and to identify risk factors associated with postoperative CME and ERM formation.
Methods: This was a consecutive interventional case series of 587 eyes that underwent one RD repair with 23-G or 25-G pars plana vitrectomy (PPV) with scleral buckling. Epiretinal membrane and CME were confirmed by optical coherence tomography (OCT) and fluorescein angiography (FA).
Results: A total of 587 eyes with a mean follow-up of 404 days had incidence rates of 35.1% for ERM and 15.2% for CME. The incidence of ERM after combined PPV and scleral buckling (48.4%) (n = 61) was greater (p<0.0001) compared to that after PPV alone (31.2%) (n = 144).
Conclusions: Epiretinal membrane and CME develop frequently after small-gauge RD repair. Pars plana vitrectomy combined with scleral buckling is associated with a higher incidence of ERM. Patients might benefit from increased use of OCT and FA to help rule out CME/ERM.

• 出版日期2015-12