Does Laser Iridotomy Cause Secondary Epiretinal Membrane?

Q3 Medicine Turkish Journal of Ophthalmology Pub Date : 2024-10-25 DOI:10.4274/tjo.galenos.2024.61094

Okan Akmaz, Nurdan Talay

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Abstract

Objectives: This study aimed to determine the frequency of epiretinal membrane (ERM) in the long term after neodymium-doped yttrium aluminum garnet laser iridotomy (LI) using spectral domain optical coherence tomography (SD-OCT).

Materials and methods: This retrospective study included 94 eyes that underwent LI for primary angle-closure glaucoma, were followed for at least 4 years, and had no ERM before the procedure. The control group consisted of 66 eyes that were followed for suspected glaucoma did not have a previous ERM. We compared the ERM frequencies of the groups at the last visit. Additionally, ERM frequencies were compared between those who had cataract surgery in the post-LI period and those who did not.

Results: After a follow-up period of at least 4 years, ERM developed in 36 of 94 eyes (38.2%) in the LI group. Of these, 32 were stage 1 ERM (34.0%) and 4 were stage 2 ERM (4.2%). In the control group, ERM developed in 13 of 66 eyes (19.6%), 12 of which were stage 1 ERM (18.1%) and 1 was stage 2 ERM (1.5%) (p=0.012). ERM developed in 14 of 32 eyes (43.7%) who underwent phacoemulsification surgery after LI and in 22 of 62 eyes (35.4%) that underwent only LI without subsequent cataract surgery (p=0.435). ERM developed significantly more frequently in the 62 phakic eyes that underwent only LI than in the eyes in the control group (p=0.045).

Conclusion: LI appears to be a predisposing factor for the development of ERM, regardless of subsequent cataract surgery.

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激光虹膜切开术会导致继发性视网膜外膜吗？

研究目的本研究旨在使用光谱域光学相干断层扫描（SD-OCT）确定掺钕钇铝石榴石激光虹膜切开术（LI）后长期视网膜外膜（ERM）的发生频率：这项回顾性研究包括94只因原发性闭角型青光眼而接受激光虹膜切开术的眼睛，这些眼睛接受了至少4年的随访，术前没有ERM。对照组包括 66 只因疑似青光眼而接受随访且之前没有 ERM 的眼睛。我们比较了各组最后一次就诊时的ERM频率。此外，我们还比较了在人工晶体植入术后接受白内障手术和未接受白内障手术的患者的 ERM 频率：经过至少 4 年的随访，白内障组 94 只眼睛中有 36 只（38.2%）出现了 ERM。其中，32 只为 1 期 ERM（34.0%），4 只为 2 期 ERM（4.2%）。对照组 66 眼中有 13 眼（19.6%）出现 ERM，其中 12 眼为 1 期 ERM（18.1%），1 眼为 2 期 ERM（1.5%）（P=0.012）。32 只眼睛中有 14 只（43.7%）在角膜屈光手术后接受了超声乳化手术，62 只眼睛中有 22 只（35.4%）只接受了角膜屈光手术而没有随后接受白内障手术（P=0.435）。62只接受了人工晶体植入术的有晶体眼发生ERM的频率明显高于对照组（P=0.045）：结论：无论随后是否接受白内障手术，角膜缺损似乎都是诱发 ERM 的一个因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Turkish Journal of Ophthalmology Medicine-Ophthalmology

CiteScore

2.20

自引率

0.00%

发文量

期刊介绍： The Turkish Journal of Ophthalmology (TJO) is the only scientific periodical publication of the Turkish Ophthalmological Association and has been published since January 1929. In its early years, the journal was published in Turkish and French. Although there were temporary interruptions in the publication of the journal due to various challenges, the Turkish Journal of Ophthalmology has been published continually from 1971 to the present. The target audience includes specialists and physicians in training in ophthalmology in all relevant disciplines.

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