J Korean Ophthalmol Soc.
2004 Oct;45(10):1681-1688.
Factors for Epiretinal Membrane Formation after Retinal Detachment Surgery with Silicone Oil Tamponade
- Affiliations
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- 1Department of Ophthalmology, Pusan National University Hospital, Pusan National University, College of Medicine, #1-10 Ami-dong, Seo-ku, Busan, Korea. bsoum@pusan.ac.kr
Abstract
- PURPOSE
To evaluate the factors for postoperative formation of epiretinal membrane (ERM) in vitrectomized eyes with silicone oil tamponade for rhegmatogenous retinal detachment (RRD). METHODS: Retrospective evaluation was performed in 93 vitrectomized eyes with silicone oil tamponade for RRD. Fifty-two (55.9%) were male and 41 (44.1%) were female, and the mean age was 51.8 years. RESULTS: ERM was developed postoperatively in 32 eyes (34.8%) with a mean onset of formation of 3.2 months postoperatively. Univariate analysis revealed that ERM was significantly more frequent in the eyes receiving cryoretinopexy, in the eyes with RRD involving 2 quadrants or more, and in the eyes with preoperative vitreous hemorrhage(P<0.05). Multivariate analysis revealed that ERM was significantly more frequent in the eyes receiving cryoretinopexy and in the eyes with preoperative vitreous hemorrhage.(P<0.05). CONCLUSIONS: We conclude that avoiding or minimizing cryoretinopexy and completely removing vitreous hemorrhage are important to prevent ERM from developing in the cases of vitrectomy with silicone oil tamponade for RRD.