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Refractive changes after lens-sparing vitrectomy for macular hole and epiretinal membrane
| Content Provider | Scilit |
|---|---|
| Author | Muto, Tetsuya Nishimura, Tomoharu Yamaguchi, Takefumi Chikuda, Makoto Machida, Shigeki |
| Copyright Year | 2017 |
| Description | Refractive changes after lens-sparing vitrectomy for macular hole and epiretinal membrane Tetsuya Muto,1 Tomoharu Nishimura,1 Takefumi Yamaguchi,2 Makoto Chikuda,1 Shigeki Machida1 1Department of Ophthalmology, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Japan; 2Department of Ophthalmology, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Japan Purpose: Cataract progression after lens-sparing vitrectomy might differ according to original posterior segment diseases. Our objective was to analyze the refractive values after lens-sparing vitrectomy for macular hole (MH) and epiretinal membrane (ERM). Materials and methods: We reviewed the medical records of 25 MH patients (25 eyes) and 23 ERM patients (23 eyes) who underwent lens-sparing vitrectomy. Refractive changes in both groups were compared. All patients underwent 20-gauge three-port pars plana vitrectomy. Fluid–air exchange was performed during vitrectomy only in the MH group. The results were analyzed using the unpaired t-test, chi-square test, or Fisher exact probability test, and multivariate analysis. Results: There were no significant differences in the patient's age (P=0.45). The myopia progression rate (D/month) was higher in the MH group after surgery than that in the ERM group (P=0.035). MH group had more females (P=0.043), longer surgical time (P<0.001), and higher frequencies of surgical adjuvants use (triamcinolone acetonide, P=0.019; brilliant blue G, P<0.001). The myopia progression rate in the MH group (R=0.568, P<0.001) correlated with female gender. However, no correlation was observed between longer surgical time and the use of surgical adjuvants. Conclusion: The rate of myopia progression was higher in the MH group. Fluid–air exchange and gender may affect the rate of myopia progression. Keywords: cataract, vitrectomy, macular hole, epiretinal membrane |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571842/pdf https://www.dovepress.com/getfile.php?fileID=38023 |
| Ending Page | 1532 |
| Page Count | 6 |
| Starting Page | 1527 |
| ISSN | 11775467 |
| e-ISSN | 11775483 |
| DOI | 10.2147/opth.s141771 |
| Journal | Clinical Ophthalmology |
| Volume Number | 11 |
| Language | English |
| Publisher | Informa UK Limited |
| Publisher Date | 2017-08-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Clinical Ophthalmology Ophthalmology Cataract Epiretinal Membrane Macular Hole Vitrectomy |
| Content Type | Text |
| Resource Type | Article |
| Subject | Ophthalmology |
