OBJECTIVE: To document the outcome of macular pucker surgery in terms of improvement of visual acuity. DESIGN: Interventional quasi experimental study. SETTING: Ophthalmology Department, Civil Hospital, Karachi. PATIENTS AND METHODS: Twenty-two patients with macular pucker underwent surgical repair. Pars plana posterior vitrectomy with epiretinal membrane peeling and internal limiting membrane peeling (maculorrhexis) was carried out. Postoperative follow-up was done for one year. Main outcome measure were visual acuity, causes and ocular complications. Data was analyzed using SPSS Version-10. Non-parametric sign test with chi-square statistic was used to compare the pre-operative and postoperative outcome. RESULTS: The macular pucker was successfully removed in 18 patients that revealed high statistical significance regarding improvement in visual acuity. Earlier, significant improvement (18 / 22 cases) was observed at three-month postoperative examination (p < 0.0001). Insignificant (9/22) postoperative complications were noted at six-month post-operative follow-up. Metamorphopsia was relieved in 18 patients. Ten patients developed cataract, 4 patients developed increased intra-ocular pressure (transient) and two patients developed retinal detachment. CONCLUSION: Pars plana posterior vitrectomy with epiretinal membrane peeling and internal limiting membrane peeling (maculorrhexis) can successfully remove macular pucker, improve vision and relieve metamorphopsia.
OBJECTIVE: To document the outcome of macular pucker surgery in terms of improvement of visual acuity. DESIGN: Interventional quasi experimental study. SETTING: Ophthalmology Department, Civil Hospital, Karachi. PATIENTS AND METHODS: Twenty-two patients with macular pucker underwent surgical repair. Pars plana posterior vitrectomy with epiretinal membrane peeling and internal limiting membrane peeling (maculorrhexis) was carried out. Postoperative follow-up was done for one year. Main outcome measure were visual acuity, causes and ocular complications. Data was analyzed using SPSS Version-10. Non-parametric sign test with chi-square statistic was used to compare the pre-operative and postoperative outcome. RESULTS: The macular pucker was successfully removed in 18 patients that revealed high statistical significance regarding improvement in visual acuity. Earlier, significant improvement (18 / 22 cases) was observed at three-month postoperative examination (p < 0.0001). Insignificant (9/22) postoperative complications were noted at six-month post-operative follow-up. Metamorphopsia was relieved in 18 patients. Ten patients developed cataract, 4 patients developed increased intra-ocular pressure (transient) and two patients developed retinal detachment. CONCLUSION: Pars plana posterior vitrectomy with epiretinal membrane peeling and internal limiting membrane peeling (maculorrhexis) can successfully remove macular pucker, improve vision and relieve metamorphopsia.
Authors: Friederike Schaub; Werner Adler; Philip Enders; Meike C Koenig; Konrad R Koch; Claus Cursiefen; Bernd Kirchhof; Ludwig M Heindl Journal: Graefes Arch Clin Exp Ophthalmol Date: 2018-03-21 Impact factor: 3.117