Rate and Severity of Epiretinal Membrane Formation Following Scleral Buckling Surgery.

IF 2.1 2区医学 Q2 OPHTHALMOLOGY

Retina-The Journal of Retinal and Vitreous Diseases Pub Date : 2025-08-26 DOI:10.1097/IAE.0000000000004652

Kristine Y Wang, Sidra Zafar, Julia Yu, Adina S Kazan, Lara Cheslow, Taku Wakabayashi, Robert Abishek, Meera Sivalingam, Raziyeh Mahmoudzadeh, Jason Hsu

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引用次数: 0

Abstract

Purpose: To investigate the rate and progression of epiretinal membrane (ERM) formation following scleral buckling (SB) for rhegmatogenous retinal detachment (RRD).

Methods: A retrospective review of eyes undergoing SB for RRD repair between January 2015 and June 2022 that developed ERM. ERM grading and structural analysis were performed using spectral domain optical coherence tomography (SD-OCT) based on a standardized scheme.

Results: Among 1064 eyes undergoing SB, 143 eyes (13.4%) developed ERM. Over a mean (SD, standard deviation) follow-up of 5.3 (2.6) years, most eyes (122/143, 85.3%) were observed, while 21 (14.7%) underwent membrane peeling (MP) at a mean (SD) of 13.2 (13.8) months post-SB. There was no statistically significant ERM stage predilection observed in the eyes that underwent MP. The observed eyes had mean (SD) logMAR VA [Snellen equivalent] of 0.51 (0.63) [20/65] at ERM diagnosis, 0.34 (0.39) [20/44] at 12 months post-ERM diagnosis (p=0.03), and 0.36 (0.43) [20/46] at final visit (p=0.03). In eyes that underwent MP, mean (SD) logMAR VA [Snellen] improved from 1.25 (0.69) [20/356] pre-peel to 0.63 (0.71) [20/85] at final visit (p<0.001).

Conclusion: ERM commonly develops after SB for RRD repair. Most cases were mild stage and managed conservatively with vision improving over 5.3 years.

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巩膜屈曲手术后视网膜上膜形成的比率和严重程度。

目的：探讨孔源性视网膜脱离（RRD）患者巩膜屈曲（SB）后视网膜前膜（ERM）形成的速度和进展。方法：回顾性分析2015年1月至2022年6月期间发生ERM的行SB手术的RRD修复眼。采用基于标准化方案的光谱域光学相干层析成像（SD-OCT）进行ERM分级和结构分析。结果：1064只眼行SB手术，143只眼（13.4%）发生ERM。平均（SD，标准差）随访5.3（2.6）年，观察到大多数眼睛（122/143,85.3%），其中21只（14.7%）在sb后平均（SD） 13.2（13.8）个月发生了膜剥离（MP）。在接受MP手术的眼睛中，没有统计学意义上的ERM分期倾向。观察眼在ERM诊断时的平均（SD） logMAR VA [Snellen当量]为0.51 (0.63)[20/65]，ERM诊断后12个月的平均（SD） logMAR VA [Snellen当量]为0.34 (0.39)[20/44](p=0.03)，末次随访时的平均（SD） logMAR VA [Snellen当量]为0.36 (0.43)[20/46]（p=0.03）。在接受MP的眼睛中，平均（SD） logMAR VA [Snellen]从剥离前的1.25(0.69)[20/356]改善到最后一次就诊时的0.63(0.71)[20/85](结论：ERM通常在SB进行RRD修复后发生。大多数病例为轻度，保守治疗，视力改善超过5.3年。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Retina-The Journal of Retinal and Vitreous Diseases 医学-眼科学

CiteScore

5.70

自引率

9.10%

发文量

554

审稿时长

3-6 weeks

期刊介绍： RETINA® focuses exclusively on the growing specialty of vitreoretinal disorders. The Journal provides current information on diagnostic and therapeutic techniques. Its highly specialized and informative, peer-reviewed articles are easily applicable to clinical practice. In addition to regular reports from clinical and basic science investigators, RETINA® publishes special features including periodic review articles on pertinent topics, special articles dealing with surgical and other therapeutic techniques, and abstract cards. Issues are abundantly illustrated in vivid full color. Published 12 times per year, RETINA® is truly a “must have” publication for anyone connected to this field.