title: Surgical management of premacular fibroplasia.
abstract: The results of pars plana vitrectomy and membrane peeling for premacular fibroplasia (PMF) were reviewed retrospectively for 88 eyes of 86 patients. Premacular fibroplasia was idiopathic in 61 eyes (69%) and postdetachment in 27 eyes (31%). All patients had a minimum follow-up of 12 months. Visual symptoms of blurring and metamorphopsia were reduced in 75 (85%) study eyes at the end of the follow-up period. Poor visual outcome was significantly related to preoperative cystoid macular edema and prolonged duration of visual blurring. Posterior retinal breaks occurred in three eyes (5%) with idiopathic PMF and five eyes (19%) with postdetachment PMF. Cataract progression was demonstrated in 35 eyes (48%) at 12 months of follow-up and 49 eyes (68%) at 24 months of follow-up, reflecting an incidence of cataract formation that has not been previously reported (to our knowledge) after limited vitrectomy and membrane peeling for PMF.
authors: Department of Ophthalmology, Washington University School of Medicine, St Louis, MO.
authors: L S
authors: LS
authors: Poliner
authors: R J
authors: RJ
authors: Olk
authors: M G
authors: MG
authors: Grand
authors: R F
authors: RF
authors: Escoffery
authors: E
authors: E
authors: Okun
authors: I
authors: I
authors: Boniuk
mesh_terms: D000328:Adult; D000368:Aged; D006801:Humans; D008266:Macula Lutea / Q000601:surgery*; D008875:Middle Aged; D012164:Retinal Diseases / Q000601:surgery*; D012189:Retrospective Studies; D014821:Vitrectomy