망막앞막 수술 후 남아있는 황반부종

• 영문명: Remained Macular Edema After Surgical Treatment in Patients With Epiretinal Membrane
• 발행기관: 대한안과학회
• 저자명: 장선영 최경식 이성진,Sun Young Jang, MD, Kyung Seek Choi, MD, Sung Jin Lee, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number11, 1657~1660쪽, 전체 4쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.11.15

영문 초록

Purpose: To investigate the clinical features of patients with macular edema persisting for three months after a successful vitrectomy and removal of the epiretinal membrane. Methods: The authors retrospectively reviewed the records of 32 patients (32 eyes) with epiretinal membranes who underwent pars plana vitrectomies and membranectomies from January 2005 to September 2008. The patients selected for the study underwent optical coherence tomography (OCT) which revealed macular edema. Macular edema is defined as central macular thickness measuring over 300 m. Several factors including age, presence of systemic disorders, preoperative visual acuity, surgical technique, preoperative state of the macula, and the response to treatment for macular edema were reviewed. Results: Eight out of 32 eyes (25%) had no improvement of visual acuity after surgery of the epiretinal membrane. Six out of 32 eyes (18.75%) persisted in their macular edema. No common features were detected. All patients showed no improvement of visual acuity after their vitrectomies. Two of the eyes were treated with intravitreal or subtenon triamcinolone injection or non-steroidal antiinflammatory eye drops. Only one eye (16.7%) achieved visual improvement as of the last follow-up. Conclusions: Despite a successful vitrectomy and membranectomy, macular edema can remain without any specific cause. Persistantmacular edema appears to be a main cause of poor visual outcome and tends to resist conventional treatment. J Korean Ophthalmol Soc 2009;50(11):1657-1660

키워드

Epiretinal membrane, Membranectomy, Remained macular edema, Triamcinolone injection