[Secondary complications in surgery of epiretinal membranes].
METHODS
Preoperative findings, intraoperative and postoperative complications as final results of 70 consecutive cases of idiopathic or secondary ERM operated by the same retina surgeon were analyzed.


RESULTS
In all cases the ERMs were successfully removed from the fovea. The mean v.a. increased from 0.34 +/- 0.2. to 0.54 +/- 0.31, (p < 0.05) postoperatively. Idiopathic and secondary ERMs both showed significant improvement after surgery. Complications included intraoperative hemorrhage and retinal tears. Postoperative progressive nuclear sclerosis, retinal tears causing detachments, macular edema and retinal pigmentary epitheliopathy.


CONCLUSIONS
Performing surgery for ERMs is worthwhile on eyes with major decreased v.a. and on eyes with metamorphopsia but only moderately reduced vision. Postoperative complications are frequent but can usually be managed successfully. Of them only retinal detachment is of some worse prognosis on the final functional outcome.
Département des Neurosciences Cliniques, Hôpitaux Universitaires de Genève.
G
G
Donati
A D
AD
Kapetanios
C J
CJ
Pournaras
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019773:Epiretinal Membrane / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis*; D008269:Macular Edema / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D010857:Pigment Epithelium of Eye; D011183:Postoperative Complications / Q000175:diagnosis*; D012163:Retinal Detachment / Q000175:diagnosis; D012166:Retinal Hemorrhage / Q000175:diagnosis; D012167:Retinal Perforations / Q000175:diagnosis; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology
Complications secondaires à la chirurgie des membranes épirétiniennes.