title: 25-Gauge Vitrectomy with Epiretinal Membrane and Internal Limiting Membrane Peeling in Eyes with Very Good Visual Acuity.
abstract: To evaluate the efficacy and safety of pars plana vitrectomy (PPV) in patients with epiretinal membrane (ERM) and preoperative visual acuity (VA) of 20/40 or better.
  
  
  
  44 eyes that underwent PPV and ERM peeling were included in this retrospective study. Data retrieved included demographic information, VA and intraocular pressure (IOP) preoperatively, after 1 month, 6 months and at final visit, presence of metamorphopsia, surgical reports, and occurrence of any complications.
  
  
  
  Mean preoperative VA was 20/36 (0.24 ± 0.08 logMAR) and had improved to 20/27 (0.13 ± 0.11 logMAR) at the final follow-up (p < 0.001). Thirty (68.1%) eyes had improved by 1 line of vision or more, and 10 (22.7%) achieved final 20/20 vision. Significant improvement in vision was achieved earlier in eyes that underwent vitrectomy combined with cataract extraction. Preoperative OCT scans demonstrated preserved outer retinal layer structure.
  
  
  
  PPV and ERM peeling is a safe and effective procedure in eyes with very good preoperative VA. PPV combined with cataract extraction offers a faster improvement in VA than PPV alone with deferred cataract surgery. PPV should be considered in symptomatic eyes with ERM and VA of 20/40 or better, in order to preserve and even improve the VA.
authors: a Department of Ophthalmology , Tel Aviv Sourasky Medical Center , Tel Aviv , Israel.|b Sackler Faculty of Medicine , Tel Aviv University , Tel Aviv , Israel.
authors: Elad
authors: E
authors: Moisseiev
authors: b Sackler Faculty of Medicine , Tel Aviv University , Tel Aviv , Israel.|c Department of Ophthalmology , Sheba Medical Center , Tel Hashomer , Israel.
authors: Michael
authors: M
authors: Kinori
authors: b Sackler Faculty of Medicine , Tel Aviv University , Tel Aviv , Israel.|c Department of Ophthalmology , Sheba Medical Center , Tel Hashomer , Israel.
authors: Iris
authors: I
authors: Moroz
authors: d Ophthalmology Department , MOR Institute , Bnei Brak , Israel.
authors: Ethan
authors: E
authors: Priel
authors: b Sackler Faculty of Medicine , Tel Aviv University , Tel Aviv , Israel.|c Department of Ophthalmology , Sheba Medical Center , Tel Hashomer , Israel.
authors: Joseph
authors: J
authors: Moisseiev
mesh_terms: D000328:Adult; D000368:Aged; D001485:Basement Membrane / Q000473:pathology / Q000601:surgery*; D019773:Epiretinal Membrane / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D012160:Retina / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D013997:Time Factors; D041623:Tomography, Optical Coherence / Q000379:methods*; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000295:instrumentation*
keywords: Epiretinal membrane; good visual acuity; vitrectomy