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Refractive change after vitrectomy for epiretinal membrane in pseudophakic eyes
Author(s) -
Hamoudi Hassan,
Kofod Mads,
La Cour Morten
Publication year - 2013
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2012.02574.x
Subject(s) - vitrectomy , pars plana , refraction , dioptre , ophthalmology , medicine , epiretinal membrane , visual acuity , optics , physics
. Purpose:  To report the change in refraction in pseudophakic eyes following 23‐gauge vitrectomy for epiretinal membrane (ERM), without use of silicone oil, intraocular gas or scleral buckling. Methods:  Retrospective review of the records of 28 pseudophakic eyes in 28 patients undergoing 23‐gauge pars plana vitrectomy for ERM. All 28 eyes had a measured preoperative refraction in their records and were seen minimum 2 months after vitrectomy for measuring their refraction. Fellow eyes (28 eyes) were used as controls. Results:  The mean preoperative refraction was −0.15 ± 0.85 dioptre (D), and the mean postoperative refraction was −0.41 ± 0.93 D. Thus, a myopic shift was observed following vitrectomy with a mean change in refraction of −0.26 ± 0.60 D (range +0.75 to −2.13 D, p = 0.032). The postoperative change in refraction was within ±0.25, ±0.50 and ±1.00 D in 39%, 68% and 96% of the eyes, respectively. The mean absolute refractive error was 0.47 ± 0.44 D. The change in refraction in fellow eyes was +0.01 D (p = 0.82). Conclusion:  The change in refraction following 23‐gauge pars plana vitrectomy for ERM in pseudophakic eyes was −0.26 D.

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