Limited Vitrectomy versus Complete Vitrectomy for Epiretinal Membranes: A Comparative Multicenter Trial
Purpose. To evaluate whether limited vitrectomy is as effective as complete vitrectomy in eyes with epiretinal membrane (ERM) and to compare the surgical times and rates of complications. Methods. In this multicentre European study, data of eyes with ERM that underwent vitrectomy from January 2017 t...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2020/6871207 |
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| author | Matteo Forlini Purva Date Domenico D’Eliseo Paolo Rossini Adriana Bratu Andrea Volinia Giovanni Neri Tommaso Verdina Maria Rosaria Carbotti Gian Maria Cavallini Luigi Sborgia Alessandra Galeone Aurelio Imburgia Alessandro Mularoni Alessandro Meduri |
| author_facet | Matteo Forlini Purva Date Domenico D’Eliseo Paolo Rossini Adriana Bratu Andrea Volinia Giovanni Neri Tommaso Verdina Maria Rosaria Carbotti Gian Maria Cavallini Luigi Sborgia Alessandra Galeone Aurelio Imburgia Alessandro Mularoni Alessandro Meduri |
| author_sort | Matteo Forlini |
| collection | DOAJ |
| description | Purpose. To evaluate whether limited vitrectomy is as effective as complete vitrectomy in eyes with epiretinal membrane (ERM) and to compare the surgical times and rates of complications. Methods. In this multicentre European study, data of eyes with ERM that underwent vitrectomy from January 2017 to July 2018 were analyzed retrospectively. In the limited vitrectomy group, a posterior vitreous detachment (PVD) was induced up till the equator as opposed to complete PVD induction till the vitreous base in the comparison group. Incidence of iatrogenic retinal breaks, retinal detachment, surgical time, and visual outcomes were compared between groups. Results. We included 139 eyes in the analysis with a mean age being 72.2 ± 6.9 years. In this, sixty-five eyes (47%) underwent limited vitrectomy and 74 eyes (53%) underwent complete vitrectomy. Iatrogenic retinal tears were seen in both groups (5% in limited vitrectomy versus 7% in complete vitrectomy, p=0.49). Retinal detachment occurred in 2 eyes in the limited vitrectomy group (3%) compared to none in the complete vitrectomy group (p=0.22). Best-corrected visual acuity (BCVA) and central macular thickness improved significantly with no intergroup differences (p=0.18). Surgical time was significantly shorter in the limited vitrectomy group with 91% surgeries taking less than 1 hour compared to 71% in the complete vitrectomy group (p<0.001). Conclusion. A limited vitrectomy is a time-efficient and effective surgical procedure for removal of epiretinal membrane with no additional complications. |
| format | Article |
| id | doaj-art-7863ea36b23147c2a6a7adb23b0663e7 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-7863ea36b23147c2a6a7adb23b0663e72025-02-03T01:20:20ZengWileyJournal of Ophthalmology2090-004X2090-00582020-01-01202010.1155/2020/68712076871207Limited Vitrectomy versus Complete Vitrectomy for Epiretinal Membranes: A Comparative Multicenter TrialMatteo Forlini0Purva Date1Domenico D’Eliseo2Paolo Rossini3Adriana Bratu4Andrea Volinia5Giovanni Neri6Tommaso Verdina7Maria Rosaria Carbotti8Gian Maria Cavallini9Luigi Sborgia10Alessandra Galeone11Aurelio Imburgia12Alessandro Mularoni13Alessandro Meduri14Division of Ophthalmology, San Marino Hospital, San Marino, CA, USAValvekar Medical & Research Centre, Solapur, Maharashtra, IndiaDepartment of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, ItalyDepartment of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, ItalyDepartment of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, ItalyDepartment of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, ItalyInstitute of Ophthalmology, University of Modena and Reggio Emilia, Modena, ItalyInstitute of Ophthalmology, University of Modena and Reggio Emilia, Modena, ItalyInstitute of Ophthalmology, University of Modena and Reggio Emilia, Modena, ItalyInstitute of Ophthalmology, University of Modena and Reggio Emilia, Modena, ItalyDepartment of Ophthalmology, University of Bari, Bari, ItalyDepartment of Ophthalmology, University of Bari, Bari, ItalyDivision of Ophthalmology, San Marino Hospital, San Marino, CA, USADivision of Ophthalmology, San Marino Hospital, San Marino, CA, USAClinic of Ophthalmology, Department of Biomedical Sciences, University of Messina, Messina, ItalyPurpose. To evaluate whether limited vitrectomy is as effective as complete vitrectomy in eyes with epiretinal membrane (ERM) and to compare the surgical times and rates of complications. Methods. In this multicentre European study, data of eyes with ERM that underwent vitrectomy from January 2017 to July 2018 were analyzed retrospectively. In the limited vitrectomy group, a posterior vitreous detachment (PVD) was induced up till the equator as opposed to complete PVD induction till the vitreous base in the comparison group. Incidence of iatrogenic retinal breaks, retinal detachment, surgical time, and visual outcomes were compared between groups. Results. We included 139 eyes in the analysis with a mean age being 72.2 ± 6.9 years. In this, sixty-five eyes (47%) underwent limited vitrectomy and 74 eyes (53%) underwent complete vitrectomy. Iatrogenic retinal tears were seen in both groups (5% in limited vitrectomy versus 7% in complete vitrectomy, p=0.49). Retinal detachment occurred in 2 eyes in the limited vitrectomy group (3%) compared to none in the complete vitrectomy group (p=0.22). Best-corrected visual acuity (BCVA) and central macular thickness improved significantly with no intergroup differences (p=0.18). Surgical time was significantly shorter in the limited vitrectomy group with 91% surgeries taking less than 1 hour compared to 71% in the complete vitrectomy group (p<0.001). Conclusion. A limited vitrectomy is a time-efficient and effective surgical procedure for removal of epiretinal membrane with no additional complications.http://dx.doi.org/10.1155/2020/6871207 |
| spellingShingle | Matteo Forlini Purva Date Domenico D’Eliseo Paolo Rossini Adriana Bratu Andrea Volinia Giovanni Neri Tommaso Verdina Maria Rosaria Carbotti Gian Maria Cavallini Luigi Sborgia Alessandra Galeone Aurelio Imburgia Alessandro Mularoni Alessandro Meduri Limited Vitrectomy versus Complete Vitrectomy for Epiretinal Membranes: A Comparative Multicenter Trial Journal of Ophthalmology |
| title | Limited Vitrectomy versus Complete Vitrectomy for Epiretinal Membranes: A Comparative Multicenter Trial |
| title_full | Limited Vitrectomy versus Complete Vitrectomy for Epiretinal Membranes: A Comparative Multicenter Trial |
| title_fullStr | Limited Vitrectomy versus Complete Vitrectomy for Epiretinal Membranes: A Comparative Multicenter Trial |
| title_full_unstemmed | Limited Vitrectomy versus Complete Vitrectomy for Epiretinal Membranes: A Comparative Multicenter Trial |
| title_short | Limited Vitrectomy versus Complete Vitrectomy for Epiretinal Membranes: A Comparative Multicenter Trial |
| title_sort | limited vitrectomy versus complete vitrectomy for epiretinal membranes a comparative multicenter trial |
| url | http://dx.doi.org/10.1155/2020/6871207 |
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