$Refractive changes after lens-sparing vitrectomy for macular hole and epiretinal membrane$
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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 p...

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Autores principales:	Muto T, Nishimura T, Yamaguchi T, Chikuda M, Machida S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	cataract vitrectomy macular hole epiretinal membrane Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/4512833c48684e59a789f62a826c94c0
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spelling	oai:doaj.org-article:4512833c48684e59a789f62a826c94c02021-12-02T06:58:49ZRefractive changes after lens-sparing vitrectomy for macular hole and epiretinal membrane1177-5483https://doaj.org/article/4512833c48684e59a789f62a826c94c02017-08-01T00:00:00Zhttps://www.dovepress.com/refractive-changes-after-lens-sparing-vitrectomy-for-macular-hole-and--peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Tetsuya 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 membraneMuto TNishimura TYamaguchi TChikuda MMachida SDove Medical Pressarticlecataractvitrectomymacular holeepiretinal membraneOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 1527-1532 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	cataract vitrectomy macular hole epiretinal membrane Ophthalmology RE1-994
spellingShingle	cataract vitrectomy macular hole epiretinal membrane Ophthalmology RE1-994 Muto T Nishimura T Yamaguchi T Chikuda M Machida S Refractive changes after lens-sparing vitrectomy for macular hole and epiretinal membrane
description	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
format	article
author	Muto T Nishimura T Yamaguchi T Chikuda M Machida S
author_facet	Muto T Nishimura T Yamaguchi T Chikuda M Machida S
author_sort	Muto T
title	Refractive changes after lens-sparing vitrectomy for macular hole and epiretinal membrane
title_short	Refractive changes after lens-sparing vitrectomy for macular hole and epiretinal membrane
title_full	Refractive changes after lens-sparing vitrectomy for macular hole and epiretinal membrane
title_fullStr	Refractive changes after lens-sparing vitrectomy for macular hole and epiretinal membrane
title_full_unstemmed	Refractive changes after lens-sparing vitrectomy for macular hole and epiretinal membrane
title_sort	refractive changes after lens-sparing vitrectomy for macular hole and epiretinal membrane
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/4512833c48684e59a789f62a826c94c0
work_keys_str_mv	AT mutot refractivechangesafterlenssparingvitrectomyformacularholeandepiretinalmembrane AT nishimurat refractivechangesafterlenssparingvitrectomyformacularholeandepiretinalmembrane AT yamaguchit refractivechangesafterlenssparingvitrectomyformacularholeandepiretinalmembrane AT chikudam refractivechangesafterlenssparingvitrectomyformacularholeandepiretinalmembrane AT machidas refractivechangesafterlenssparingvitrectomyformacularholeandepiretinalmembrane
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Refractive changes after lens-sparing vitrectomy for macular hole and epiretinal membrane

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