| Myopic Shift and Cataract Change after Lens Sparing Vitrectomy in Patients with Idiopathic Epiretinal Membrane in Their 5th and 6th Decade. |
|
Jae Jung Lee, Kyung Ho Kim, Min Kyu Shin, Sung Who Park, Ik Soo Byon, Ji Eun Lee, Boo Sup Oum |
1Department of Ophthalmology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea. oph97@naver.com
2Department of Ophthalmology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.
3Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.
4Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.
5Jung Geun Eye Hospital, Busan, Korea. |
| 40, 50대 특발성 망막앞막에서 수정체 보존 유리체절제술 후 근시변화 및 백내장 진행 |
|
이재정1⋅김경호2,4⋅신민규1,3⋅박성후1,3⋅변익수2,4⋅이지은1,3⋅엄부섭5 |
|
부산대학교 의학전문대학원 부산대학교병원 안과학교실1, 부산대학교 의학전문대학원 양산부산대학교병원 안과학교실2, 부산대학교 의학전문대학원 부산대학교병원 의학연구소3, 부산대학교 의학전문대학원 양산부산대학교병원 의생명융합연구소4, 정근안과병원5 |
|
Received: 5 December 2014 • Revised: 8 April 2015 • Accepted: 4 June 2015 |
| Abstract |
PURPOSE
To determine the myopic shift and cataract change after lens sparing vitrectomy (LSV) in patients with idiopathic epiretinal membrane (ERM) in their 5th and 6th decade of life. METHODS: The medical records of patients undergoing LSV for idiopathic ERM from 2008 to 2012 were reviewed. Patients with previous intraocular surgery, preoperative significant cataract, under 40 or over 60 years of age and a follow-up period of less than 6 months were excluded. The change in refractive errors, visual acuity, and cataract grade were evaluated for 6 months after LSV as well as the correlation between myopic shift and cataract change at 6 months after LSV. RESULTS: Twenty-eight eyes were included in this study. The cataract status worsened by 1.07 levels, myopia progressed by 3.13 diopters (p < 0.001), and uncorrected visual acuity (log MAR) decreased from 0.73 to 0.98 (p = 0.022) at 6 months after LSV. Additional cataract surgery was performed in 22 eyes (78.6%) at 13.6 months on average during the follow-up period (average 16.9 months). In 6 eyes (21.4%) having myopic change below 1.0 diopters, crystalline lens was preserved for 36 months after vitrectomy. Conversely, 22 eyes (78.6%) with myopic change over 1.5 diopters required cataract surgery. Therefore, myopic change over 1.5 diopters could be a major postoperative change predicting the necessity for cataract surgery (p < 0.001). CONCLUSIONS: LSV for ERM caused a significant myopic shift and cataract changes in patients in their 5th and 6th decade of life and additional cataract surgery was required in 78.6% of patients within 3 years after vitrectomy. The myopic shift over 1.5 diopters at 6 months after vitrectomy could be a major postoperative change predicting the necessity for cataract surgery. |
| Key Words:
Cataract;Epiretinal membrane;Lens sparing vitrectomy;Myopia |
|
PDF Links
Full text via DOI
Download Citation
