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Efficacy of vitrectomy and epiretinal membrane peeling in eyes with dry age-related macular degeneration

Authors Mason III JO, Patel S

Received 22 August 2015

Accepted for publication 29 September 2015

Published 23 October 2015 Volume 2015:9 Pages 1999—2003

DOI https://doi.org/10.2147/OPTH.S94948

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Prof. Dr. Wei Kun Hu

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser


John O Mason III,1,2 Shyam A Patel1

1Department of Ophthalmology, University of Alabama School of Medicine, Birmingham, AL, USA; 2Retina Consultants of Alabama, Callahan Eye Foundation Hospital, Birmingham, AL, USA

Objective: To study the efficacy of epiretinal membrane (ERM) peeling in eyes with dry age-related macular degeneration (AMD).
Methods: We retrospectively analyzed patient charts on 17 eyes (16 patients) that underwent ERM peeling with a concurrent diagnosis of dry AMD.
Results: Eyes with concurrent dry AMD and with a good preoperative best-corrected visual acuity (BCVA) (better than or equal to 20/50) had a statistically significant mean BCVA improvement at 6 months after ERM peeling. There was a statistical increase in mean BCVA from 20/95 to 20/56 in dry AMD eyes, and no eyes showed worsening in BCVA at 6 months or at most recent follow-up. Five/seventeen (29.4%) eyes had cataract formation or progression. There were no other complications, reoperations, or reoccurrences.
Conclusion: ERM peeling in eyes with dry AMD may show significant improvement, especially in eyes with good preoperative BCVA. The procedure is relatively safe with low complications and reoccurrences.

Keywords: macular pucker, epiretinal membrane peeling, epimacular membrane, macular degeneration

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