Delayed onset inner nuclear layer cystic changes following internal limiting membrane removal for epimacular membrane.
Graefes Arch Clin Exp Ophthalmol
; 251(7): 1679-85, 2013 Jul.
Article
in En
| MEDLINE
| ID: mdl-23306785
ABSTRACT
PURPOSE:
To report the rare occurrence of new inner nuclear layer cystic spaces occurring in eyes treated with pars plana vitrectomy (PPV) and internal limiting membrane (ILM) removal for idiopathic epimacular membrane (EMM). MATERIALS ANDMETHODS:
Consecutive patients with EMM without preoperative retinal cystic changes undergoing PPV with ILM peeling were retrospectively evaluated. Patients developing a characteristic inner nuclear layer cystic change were analyzed.RESULTS:
Inner nuclear layer cystic changes appeared in eight of 768 (1.04 %) eyes at a mean postoperative time period of 3.2 ± 0.89 months. No leakage or pooling was demonstrated on postoperative fluorescein angiography. Morphologic characteristics included vertically elongated hyporeflectant spaces within the inner nuclear layer on spectral domain optical coherence tomography (SD-OCT).CONCLUSIONS:
A minority of patients undergoing PPV with ILM peeling develop new, delayed onset, postoperative inner nuclear layer cystic spaces with a characteristic SD-OCT appearance and no evidence of angiographic leakage.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Postoperative Complications
/
Vitrectomy
/
Macular Edema
/
Epiretinal Membrane
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Graefes Arch Clin Exp Ophthalmol
Year:
2013
Type:
Article
Affiliation country:
United States