Abstract
Purpose
To assess the occurrence rate of retinal detachment (RD) after small gauge vitrectomy for idiopathic epiretinal membrane (ERM).
Patients and methods
Retrospective observational case series. The records of consecutive patients operated on for idiopathic ERM using small gauge pars plana vitrectomy between August 2012 and December 2014 with at least a 1-year follow-up were reviewed. All patients were contacted by phone to assess the occurrence of RD during the post-operative follow-up. The main outcome was the occurrence of RD. Patients who underwent surgery for senile cataract over the same period with at least a 1-year follow-up were also contacted by phone for comparison.
Results
Two hundred and sixteen eyes of 212 patients who had undergone ERM surgery were included, with a mean follow-up of 892±211 days (216–1238). RD occurred in two eyes (0.92%). Over the same period, two RD occurred in the 203 eyes (0.98%) of 157 patients operated on for senile cataract in our department.
Conclusions
The occurrence of RD after 25-gauge vitrectomy for idiopathic ERM was <1%. Using small gauge sutureless vitrectomy systems has improved the safety of ERM surgery, with a RD rate similar to that observed after cataract surgery.
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Acknowledgements
The Department of Ophthalmology of Lariboisière Hospital received an independent research grant from Novartis Pharma SAS.
Author contributions
JM-L, AD, and RT: design and conduct of the study. JM-L: data collection. EP, AD, and BD: data analysis and interpretation. JM-L, EP: writing of the manuscript. JM-L, EP, RT, and BD: critical review and final approval of the manuscript.
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Competing interests
EP: Novartis, Bayer, Allergan (travel expenses). RT: board membership (Alcon, Novartis, Allergan, Bausch&Lomb, Pfizer, Alimera, Bayer, FCI-Zeiss, Thrombogenics), consultancy (Alcon, Novartis, Allergan, Bausch&Lomb, Dorc, Takeda, FCI-zeiss, Thrombogenics). BD: consultancy (Novartis, Bayer), board membership (Novartis, Allergan). The remaining authors declare no conflict of interest.
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Meeting presentation: Poster 1102-A0273, Association for Research in Vision and Ophthalmology, Annual meeting 2016, Seattle, WA, USA.
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Marie-Louise, J., Philippakis, E., Darugar, A. et al. Occurrence rate of retinal detachment after small gauge vitrectomy for idiopathic epiretinal membrane. Eye 31, 1259–1265 (2017). https://doi.org/10.1038/eye.2017.79
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DOI: https://doi.org/10.1038/eye.2017.79
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