[Combined phacoemulsificaion/membrane resection and macular edema].
OBJECTIVE
To evaluate the occurrence of macular edema (ME) after epiretinal membrane resection, managed either with simple vitrectomy or with combined vitrectomy and phacoemulsification.


METHODS
Two groups of 12 patients had a vitrectomy for epiretinal membrane associated or not to a phacoemulsification. A fundus fluorescein angiography was performed pre and postoperatively and at least 3 months after the surgery.


RESULTS
In the group of patients who had a simple vitrectomy, a ME was observed in 50% of the cases preoperatively and in 25% of the cases at the end of follow-up. In 3 cases, preoperative ME was worsened after the surgery. In the group of patients who were treated by a combined vitrectomy and phacoemulsification, a ME was observed in 25% of the cases preoperatively and in 50% of the cases at the end of follow-up. A de novo ME was observed in 3 cases.


CONCLUSIONS
Combined vitrectomy and cataract surgery could allow a rapid recovery of visual acuity but might increase the occurrence of ME.
Service d'Ophtalmologie, Hôtel-Dieu, Paris.
A
A
el Aouni
F
F
Behar-Cohen
D
D
Chauvaud
D000368:Aged; D002386:Cataract / Q000175:diagnosis; D002387:Cataract Extraction; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D008269:Macular Edema / Q000209:etiology* / Q000503:physiopathology; D008297:Male; D018918:Phacoemulsification; D011182:Postoperative Care; D011183:Postoperative Complications; D011300:Preoperative Care; D016896:Treatment Outcome
La chirurgie combinée phacoémulsification/pelage de membrane épirétinienne et oedème maculaire.