ABSTRACT

Purpose:

To audit the frequency of cystoid macular edema (CME) and the level of vision after pars plana vitrectomy (PPV), for idiopathic epiretinal membrane (ERM), and phacoemulsification surgery performed simultaneously or sequentially.

Methods:

Retrospective extraction and analysis of nationally standardized cataract surgery pathway dataset extracted from 8 hospitals in the UK that used the same electronic medical record (EMR) for all cases, was performed. Eyes that underwent PPV for idiopathic ERM and phacoemulsification surgery either simultaneously (group 1) or sequentially (group 2) were included. Incidence of CME and the visual outcome were analyzed.

Results:

848 eyes (695 in group 1, 153 in group 2) were included in the study. We did not find a significant difference (P>0.05) in the frequency of CME between group1 (6.1%) and group 2 (8.5%). The mean change in vision at 4 weeks was -0.2 and +0.6 LogMAR letters in group 1 and group 2, respectively (P<0.05). At week 12-24, mean gain in vision was +0.1 in group 1 and +0.4 in group 2 (P<0.05).

Conclusion:

CME is a common complication after either sequential or simultaneous PPV and phacoemulsification. Vision improvement after cataract surgery in eyes with ERM peeling appears to be greater if PPV was performed before phacoemulsification rather than simultaneously.


CONTACT DETAILS

Ahmed SALLAM*, S. UWAYDAT, Mahmoud M. SOLIMAN, C. CHU, R.L. JOHNSTON, Y. YANG
University of Arkansas for Medical Sciences
Little Rock
United States
Email : ahmedsallam11@yahoo.com
Cell Phone: +15013982074
Work Phone: +15013982074