Authors
Bogdanova V.A. 2, Pavlovskij O.A.1, 2, Вosov E.D.1, 2, Lukinyh M.A.3
1 N.I. Pirogov National Medical Surgical Center, Moscow
2 Institute of Advanced Training of Physicians N.I. Pirogov National Medical Surgical Center, Moscow
3 Oftal’mologicheskij centr Vizion, Moscow
Abstract
Rationale: Idiopathic epiretinal fibrosis (iERM) is a translucent layer of connective tissue along the inner limiting membrane (ILM). The prevalence varies from 2% to 34% depending on age, ethnicity and a number of other factors.
Objective: Determination of changes in the morphofunctional parameters of the retina in patients with iERM, depending on the methods of surgical treatment.
Methods: The study included 40 patients (40 eyes) with ief. The inclusion criteria were the presence of an epiretinal membrane with fixation in the foveolar fossa, which was confirmed under the OCT data, the presence of subjective symptoms characteristic of this pathology, the integrity of the subfoveolar junction of the inner and outer layers of the retina, artifacia, and the absence of a history of vitreoretinal intervention.
Results: According to visometry data, patients of both groups had comparable indicators before treatment: 0.37±0.12 and 0.39±0.16 in the 1st and 2nd, respectively. Significant improvement of BCVA in the second observation group. Before treatment, this indicator was 418.3±89.7 in the 1st group of patients, 411.9±90.9 in the 2nd group. The initial GCL data in group 1 were 49.73±1.97; in group 2, 45.82±1.39, the data were statistically comparable.
Conclusions: The results of our studies have shown that the absence of ILM peeling during surgical intervention gives the best functional result in the postoperative period according to the assessment of BCVA.
Keywords: epiretinal fibrosis, internal limiting membrane, peeling, central retinal thickness.
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