Epiretinal Membrane
Conditions
Brief summary
Vitrectomy with membrane peeling has developed to be the gold-standard in treatment of epiretinal membranes. Due to the possibility of vitrectomy induced cataract, in many ophthalmic surgical centers it has become usual to indicate combined phacoemulsification and vitrectomy in case of existing cataract. Epiretinal membranes (ERM) and pseudomaculaforamen are disorders involving the posterior pole of the eyeball with consecutive vision loss. ERM can be well visualized with spectral domain optical coherence tomography (SD-OCT). Different study groups showed that even intraoperative use of SD-OCT is possible.
Detailed description
The aim of the study is to document tilt of the intraocular lens in combined phacoemulsification and vitrectomy by photography of purkinjereflexes. During vitrectomy tamonade with air or saline are regarded as equal in substituting the removed vitreous. In case of airtamponade, air will be resolved within several days. As airtamponade induces more anterior movement of the implanted intraocular lens in the superior parts of the lens, tilt can result. Saline doesn´t have any influence on the intraocular lens.
Interventions
airtamponade is applicated in the study group air
saline is left in the study Group saline
Sponsors
Study design
Eligibility
Inclusion criteria
* patients sheduled for combined phakoemulsification and 23G pars plana vitrectomy * Minimum Age of 21 years * written informed consent
Exclusion criteria
* none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative tilt of the IOL is measured with purkinjemetry | 3 months | airtamponade has the potential to leave postoperative tilt of the IOL |
Countries
Austria