Advertisement

The outcomes of subtotal vitrectomy in macular surgeries: a single surgeon case series

  • Abdullah Ozkaya
  • Gurkan Erdogan
  • Beril Tulu
  • Hatice Nur Tarakcioglu
Original Paper
  • 64 Downloads

Abstract

Purpose

To investigate the outcomes of subtotal vitrectomy in epiretinal membrane (ERM) and idiopathic macular hole (IMH) surgeries.

Methods

The patients who underwent vitrectomy for primary ERM and IMH were included. After the truncation of posterior hyaloid, cortical vitreous was incompletely removed and anterior vitreous was left in place. The main outcome measure was the complications of the surgical technique during the postoperative 12 months of follow-up.

Results

Fifty-two eyes were included. Thirty-seven eyes had ERM, and 15 had IMH. During the 12 months of follow-up period, 33% of the phakic patients showed progression in the lens opacities and required cataract surgery. Other postoperative complications were listed as follows: transient intraocular pressure increase in 3 (5.9%), endophthalmitis in 1 (2.0%), and retinal detachment in 1 patient (2.0%).

Conclusion

Subtotal vitrectomy seems as an effective and safe surgical technique in the treatment of macular diseases.

Keywords

Complication Epiretinal membrane Macular hole Vitrectomy 

Notes

Author contributions

AO, GE, BT, and HNT involved in design and conduct of the study and preparation and review of the study; AO, BT, and HNT contributed to data collection; and AO helped with statistical analysis.

Compliance with ethical standards

Conflict of interest

None of the authors has any conflicts of interest or competing interests regarding the materials used in the research.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Meuer SM, Myers CE, Klein BEK, Swift MK et al (2015) The epidemiology of vitreoretinal interface abnormalities as detected by spectral-domain optical coherence tomography: the beaver dam eye study. Ophthalmology 122:787–795CrossRefPubMedGoogle Scholar
  2. 2.
    Son SJ, Kuriyan AE, Smiddy WE (2015) Results and prognostic factors for visual improvement after pars plana vitrectomy for idiopathic epiretinal membrane. Retina 35:866–872CrossRefGoogle Scholar
  3. 3.
    Gao Y, Smiddy WE (2012) Metamorphometric analysis of epiretinal membranes using spectral-domain optical coherence tomography. Ophthalmic Surg Lasers Imaging 43:1–9CrossRefGoogle Scholar
  4. 4.
    Rahman R, Stephenson J (2014) Early surgery for epiretinal membrane preserves more vision for patients. Eye (Lond) 28:410–414CrossRefGoogle Scholar
  5. 5.
    Thinda S, Shah RJ, Kim SJ (2015) Two-year anatomical and functional outcomes after macular hole surgery: a prospective, controlled study. Ophthalmic Surg Lasers Imaging Retina 46:926–934CrossRefPubMedGoogle Scholar
  6. 6.
    Yuksel K, Goker YS, Yazici AT, Ozkaya A, Cosar G (2014) Can perifoveal pseudocyst area be a prognostic factor in macular hole surgery? A prospective study with quantitative data. Medicine 93:e182CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Erdogan G, Unlu C, Karasu B, Kardes E, Ergin A (2016) Comparing peripheral vitrectomy under air and fluid infusion for primary rhegmatogenous retinal detachment. Retina 36:1281–1284CrossRefPubMedGoogle Scholar
  8. 8.
    Gonzales MA, Flynn HW Jr, Smiddy WE, Albini TA, Tenzel P (2013) Surgery for retinal detachment in patients with giant retinal tear: etiologies, management strategies, and outcomes. Ophthalmic Surg Lasers Imaging Retina 44:232–237CrossRefGoogle Scholar
  9. 9.
    Uzel MM, Citirik M, Ilhan M, Inanc M (2016) The effect of bevacizumab pretreatment on the choice of endotamponade in diabetic tractional retinal detachment. Ophthalmic Surg Lasers Imaging Retina 47:924–929CrossRefPubMedGoogle Scholar
  10. 10.
    Kapran Z, Ozkaya A, Erdogan G et al (2017) Wide-field landers keratoprosthesis in various combined corneal and vitreoretinal problems: twelve-month results. Ophthalmic Surg Lasers Imaging Retina 48:237–241CrossRefPubMedGoogle Scholar
  11. 11.
    Bainbridge J, Herbert E, Gregor Z (2008) Macular holes: vitreoretinal relationships and surgical approaches. Eye (Lond) 22:1301–1309CrossRefGoogle Scholar
  12. 12.
    Liu H, Zuo S, Ding C, Xunzhang D, Zhu X (2015) Comparison of the effectiveness of pars plana vitrectomy with and without internal limiting membrane peeling for idiopathic retinal membrane removal: a meta-analysis. J Ophthalmol 2015:9744568Google Scholar
  13. 13.
    Kang SW, Ahn K, Ham DI (2003) Types of macular hole closure and their clinical implications. Br J Ophthalmol 87:1015–1019CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Kwok AK, Lai TY, Man-Chan W, Woo DC (2003) Indocyanine green assisted retinal internal limiting membrane removal in stage 3 or 4 macular hole surgery. Br J Ophthalmol 87:71–74CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Marie-Loise J, Philippakis E, Darugar A, Tadayoni R, Dupas B (2017) Occurrence rate of retinal detachment after small gauge vitrectomy for idiopathic epiretinal membrane. Eye (Lond) 2017 May 19.  https://doi.org/10.1038/eye.2017.79. [Epub ahead of print]
  16. 16.
    Won JY, Kim M, Park YH (2017) Postoperative changes in the retinal thickness and volüme after vitrectomy for epiretinal membrane and internal limiting membrane peeling. Medicine 96:e6709CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Mura M, Barca F, Dell’Omo R, Nasini F, Peiretti E (2016) Iatrogenic retinal breaks in ultrahigh-speed 25-gauge vitrectomy: a prospective study of elective cases. Br J Ophthalmol 100:1383–1387CrossRefPubMedGoogle Scholar
  18. 18.
    Tan HS, Mura M, De Smet MD (2009) Iatrogenic retinal breaks in 25-gauge macular surgery. Am J Ophthalmol 148:427–430CrossRefPubMedGoogle Scholar
  19. 19.
    Chung SE, Kim K-H, Kang SW (2009) Retinal breaks associated with the induction of posterior vitreous detachment. Am J Ophthalmol 147:1012–1016CrossRefPubMedGoogle Scholar
  20. 20.
    Scartozzi R, Bessa AS, Gupta OP, Regillo CD (2007) Intraoperative sclerotomy-related retinal breaks for macular surgery, 20- vs 25-gauge vitrectomy systems. Am J Ophthalmol 143:155–156CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media B.V., part of Springer Nature 2018

Authors and Affiliations

  • Abdullah Ozkaya
    • 1
  • Gurkan Erdogan
    • 1
  • Beril Tulu
    • 1
  • Hatice Nur Tarakcioglu
    • 1
  1. 1.Beyoglu Eye Training and Research HospitalBeyogluTurkey

Personalised recommendations