Outcomes of Epiretinal Membrane Removal Utilizing Triamcinolone Acetonide Visualization and Internal Limiting Membrane Forceps

Masumi G Asahi, Josh O Wallsh, Ron P Gallemore Retina Macula Institute, Torrance, CA, USACorrespondence: Ron P GallemoreRetina Macula Institute, 4201 Torrance Boulevard, Suite 220, Torrance, CA, USATel +1 310 944-9393Fax +1 310 944-3393Email rongallemoremd@gmail.comPurpose: To evaluate epiretinal me...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Asahi MG, Wallsh JO, Gallemore RP
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	chromovitrectomy epiretinal membrane triamcinolone acetonide Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/83049e76c8924c4191c8a78d076ec446
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:83049e76c8924c4191c8a78d076ec446
record_format	dspace
spelling	oai:doaj.org-article:83049e76c8924c4191c8a78d076ec4462021-12-02T11:12:54ZOutcomes of Epiretinal Membrane Removal Utilizing Triamcinolone Acetonide Visualization and Internal Limiting Membrane Forceps1177-5483https://doaj.org/article/83049e76c8924c4191c8a78d076ec4462020-11-01T00:00:00Zhttps://www.dovepress.com/outcomes-of-epiretinal-membrane-removal-utilizing-triamcinolone-aceton-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Masumi G Asahi, Josh O Wallsh, Ron P Gallemore Retina Macula Institute, Torrance, CA, USACorrespondence: Ron P GallemoreRetina Macula Institute, 4201 Torrance Boulevard, Suite 220, Torrance, CA, USATel +1 310 944-9393Fax +1 310 944-3393Email rongallemoremd@gmail.comPurpose: To evaluate epiretinal membrane (ERM) removal utilizing internal limiting membrane (ILM) forceps and visualization with triamcinolone acetonide (TA).Methods: Retrospective interventional case series of eyes undergoing ERM removal with TA visualization with follow-up of up to five years. Best-corrected visual acuity (BCVA), central macular thickness (CMT), and incidence of complications were reviewed.Results: A total of 132 eyes were included with 54 and 16 eyes completing 3- and 5-year follow-up, respectively. Mean BCVA and CMT improved significantly at all postoperative evaluations compared to baseline (p< 0.001). Pre-operative presence of PVD did not affect outcome measures. No intraoperative complications were reported. Immediate post-operative complications included one case of sterile endophthalmitis and one case of vitreous and perimacular hemorrhage. At one year, complications included progression of cataract in phakic eyes (65.4%), steroid-induced glaucoma (2.2%), retinal tear (0.8%), recurrent ERM (4.5%), and recurrent macular edema (11.3%). No further complications were reported at three- and five-year follow-up.Conclusion: Combination ILM forceps and TA visualization offers an affordable and safe option for ERM removal with comparable or better outcomes than traditional methods of ERM surgery.Keywords: chromovitrectomy, epiretinal membrane, triamcinolone acetonideAsahi MGWallsh JOGallemore RPDove Medical Pressarticlechromovitrectomyepiretinal membranetriamcinolone acetonideOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 3913-3921 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	chromovitrectomy epiretinal membrane triamcinolone acetonide Ophthalmology RE1-994
spellingShingle	chromovitrectomy epiretinal membrane triamcinolone acetonide Ophthalmology RE1-994 Asahi MG Wallsh JO Gallemore RP Outcomes of Epiretinal Membrane Removal Utilizing Triamcinolone Acetonide Visualization and Internal Limiting Membrane Forceps
description	Masumi G Asahi, Josh O Wallsh, Ron P Gallemore Retina Macula Institute, Torrance, CA, USACorrespondence: Ron P GallemoreRetina Macula Institute, 4201 Torrance Boulevard, Suite 220, Torrance, CA, USATel +1 310 944-9393Fax +1 310 944-3393Email rongallemoremd@gmail.comPurpose: To evaluate epiretinal membrane (ERM) removal utilizing internal limiting membrane (ILM) forceps and visualization with triamcinolone acetonide (TA).Methods: Retrospective interventional case series of eyes undergoing ERM removal with TA visualization with follow-up of up to five years. Best-corrected visual acuity (BCVA), central macular thickness (CMT), and incidence of complications were reviewed.Results: A total of 132 eyes were included with 54 and 16 eyes completing 3- and 5-year follow-up, respectively. Mean BCVA and CMT improved significantly at all postoperative evaluations compared to baseline (p< 0.001). Pre-operative presence of PVD did not affect outcome measures. No intraoperative complications were reported. Immediate post-operative complications included one case of sterile endophthalmitis and one case of vitreous and perimacular hemorrhage. At one year, complications included progression of cataract in phakic eyes (65.4%), steroid-induced glaucoma (2.2%), retinal tear (0.8%), recurrent ERM (4.5%), and recurrent macular edema (11.3%). No further complications were reported at three- and five-year follow-up.Conclusion: Combination ILM forceps and TA visualization offers an affordable and safe option for ERM removal with comparable or better outcomes than traditional methods of ERM surgery.Keywords: chromovitrectomy, epiretinal membrane, triamcinolone acetonide
format	article
author	Asahi MG Wallsh JO Gallemore RP
author_facet	Asahi MG Wallsh JO Gallemore RP
author_sort	Asahi MG
title	Outcomes of Epiretinal Membrane Removal Utilizing Triamcinolone Acetonide Visualization and Internal Limiting Membrane Forceps
title_short	Outcomes of Epiretinal Membrane Removal Utilizing Triamcinolone Acetonide Visualization and Internal Limiting Membrane Forceps
title_full	Outcomes of Epiretinal Membrane Removal Utilizing Triamcinolone Acetonide Visualization and Internal Limiting Membrane Forceps
title_fullStr	Outcomes of Epiretinal Membrane Removal Utilizing Triamcinolone Acetonide Visualization and Internal Limiting Membrane Forceps
title_full_unstemmed	Outcomes of Epiretinal Membrane Removal Utilizing Triamcinolone Acetonide Visualization and Internal Limiting Membrane Forceps
title_sort	outcomes of epiretinal membrane removal utilizing triamcinolone acetonide visualization and internal limiting membrane forceps
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/83049e76c8924c4191c8a78d076ec446
work_keys_str_mv	AT asahimg outcomesofepiretinalmembraneremovalutilizingtriamcinoloneacetonidevisualizationandinternallimitingmembraneforceps AT wallshjo outcomesofepiretinalmembraneremovalutilizingtriamcinoloneacetonidevisualizationandinternallimitingmembraneforceps AT gallemorerp outcomesofepiretinalmembraneremovalutilizingtriamcinoloneacetonidevisualizationandinternallimitingmembraneforceps
_version_	1718396116023640064

Outcomes of Epiretinal Membrane Removal Utilizing Triamcinolone Acetonide Visualization and Internal Limiting Membrane Forceps

Ejemplares similares