title: Epiretinal membrane and cystoid macular edema after retinal detachment repair with small-gauge pars plana vitrectomy.
abstract: OBJECTIVE
  To evaluate the incidence rates of cystoid macular edema (CME) and epiretinal membrane (ERM) formation after uncomplicated primary 23-G and 25-G retinal detachment (RD) repair and to identify risk factors associated with postoperative CME and ERM formation.
  
  
  METHODS
  This was a consecutive interventional case series of 587 eyes that underwent one RD repair with 23-G or 25-G pars plana vitrectomy (PPV) with scleral buckling. Epiretinal membrane and CME were confirmed by optical coherence tomography (OCT) and fluorescein angiography (FA).
  
  
  RESULTS
  A total of 587 eyes with a mean follow-up of 404 days had incidence rates of 35.1% for ERM and 15.2% for CME. The incidence of ERM after combined PPV and scleral buckling (48.4%) (n = 61) was greater (p&lt;0.0001) compared to that after PPV alone (31.2%) (n = 144).
  
  
  CONCLUSIONS
  Epiretinal membrane and CME develop frequently after small-gauge RD repair. Pars plana vitrectomy combined with scleral buckling is associated with a higher incidence of ERM. Patients might benefit from increased use of OCT and FA to help rule out CME/ERM.
authors.affiliation: Department of Ophthalmology, Georgetown University Hospital, Washington, DC - USA.
authors.forename: Tanuj P
authors.initials: TP
authors.lastname: Banker
authors.affiliation: Department of Ophthalmology, Georgetown University Hospital, Washington, DC - USA.|Retina Group of Washington, Washington, DC - USA.
authors.forename: Gayatri S
authors.initials: GS
authors.lastname: Reilly
authors.affiliation: Department of Ophthalmology, Georgetown University Hospital, Washington, DC - USA.
authors.forename: Sanjai
authors.initials: S
authors.lastname: Jalaj
authors.affiliation: Department of Ophthalmology, Georgetown University Hospital, Washington, DC - USA.|Retina Group of Washington, Washington, DC - USA.
authors.forename: Eric D
authors.initials: ED
authors.lastname: Weichel
mesh_terms: D000368:Aged; D019773:Epiretinal Membrane / Q000209:etiology* / Q000601:surgery; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D008269:Macular Edema / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000601:surgery*; D012189:Retrospective Studies; D012591:Scleral Buckling; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy / Q000379:methods*