Back to Journals » Clinical Ophthalmology » Volume 11

Refractive changes after lens-sparing vitrectomy for macular hole and epiretinal membrane

Authors Muto T, Nishimura T, Yamaguchi T, Chikuda M, Machida S

Received 14 May 2017

Accepted for publication 22 July 2017

Published 21 August 2017 Volume 2017:11 Pages 1527—1532

DOI https://doi.org/10.2147/OPTH.S141771

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser

Tetsuya Muto,1 Tomoharu Nishimura,1 Takefumi Yamaguchi,2 Makoto Chikuda,1 Shigeki Machida1

1Department of Ophthalmology, Dokkyo Medical University Koshigaya Hospital, Koshigaya, Japan; 2Department of Ophthalmology, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Japan

Purpose: Cataract progression after lens-sparing vitrectomy might differ according to original posterior segment diseases. Our objective was to analyze the refractive values after lens-sparing vitrectomy for macular hole (MH) and epiretinal membrane (ERM).
Materials and methods: We reviewed the medical records of 25 MH patients (25 eyes) and 23 ERM patients (23 eyes) who underwent lens-sparing vitrectomy. Refractive changes in both groups were compared. All patients underwent 20-gauge three-port pars plana vitrectomy. Fluid–air exchange was performed during vitrectomy only in the MH group. The results were analyzed using the unpaired t-test, chi-square test, or Fisher exact probability test, and multivariate analysis.
Results: There were no significant differences in the patient’s age (P=0.45). The myopia progression rate (D/month) was higher in the MH group after surgery than that in the ERM group (P=0.035). MH group had more females (P=0.043), longer surgical time (P<0.001), and higher frequencies of surgical adjuvants use (triamcinolone acetonide, P=0.019; brilliant blue G, P<0.001). The myopia progression rate in the MH group (R=0.568, P<0.001) correlated with female gender. However, no correlation was observed between longer surgical time and the use of surgical adjuvants.
Conclusion: The rate of myopia progression was higher in the MH group. Fluid–air exchange and gender may affect the rate of myopia progression.

Keywords: cataract, vitrectomy, macular hole, epiretinal membrane

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]

 

Other articles by this author:

Lens dislocation has a possible relationship with laser iridotomy

Mutoh T, Barrette KF, Matsumoto Y, Chikuda M

Clinical Ophthalmology 2012, 6:2019-2022

Published Date: 5 December 2012

A case of radial keratoneuritis in non-Acanthamoeba keratitis

Mutoh T, Matsumoto Y, Chikuda M

Clinical Ophthalmology 2012, 6:1535-1538

Published Date: 21 September 2012

Four cases of endophthalmitis after 25-gauge pars plana vitrectomy

Mutoh T, Kadoya K, Chikuda M

Clinical Ophthalmology 2012, 6:1393-1397

Published Date: 28 August 2012

Case of bilateral complete posterior dislocation of lens caused by elder abuse

Mutoh T, Tien T, Horie M, Matsumoto Y, Chikuda M

Clinical Ophthalmology 2012, 6:261-263

Published Date: 17 February 2012

Scleral fixation of foldable acrylic intraocular lenses in aphakic post-vitrectomy eyes

Tetsuya Mutoh, Yukihiro Matsumoto, Makoto Chikuda

Clinical Ophthalmology 2011, 5:17-21

Published Date: 30 December 2010

A retrospective study of nine cases of Acanthamoeba keratitis

Tetsuya Mutoh, Isao Ishikawa, Yukihiro Matsumoto, et al

Clinical Ophthalmology 2010, 4:1189-1192

Published Date: 12 October 2010

Photorefractive keratectomy: measuring the matrix metalloproteinase activity and chondroitin sulfate concentration in tear fluid

Tetsuya Mutoh, Masaya Nishio, Yukihiro Matsumoto, et al

Clinical Ophthalmology 2010, 4:1015-1018

Published Date: 9 September 2010

Correlation between the matrix metalloproteinase-9 activity and chondroitin sulfate concentrations in tear fluid after laser in situ keratomileusis

Tetsuya Mutoh, Masaya Nishio, Yukihiro Matsumoto, et al

Clinical Ophthalmology 2010, 4:823-828

Published Date: 20 July 2010

A case of iridoschisis associated with lens displacement into the vitreous cavity

Tetsuya Mutoh, Yukihiro Matsumoto, Makoto Chikuda

Clinical Ophthalmology 2010, 4:487-491

Published Date: 17 May 2010