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Article: 'En bloc' dissection of epimacular membranes using aspiration delamination

Title'En bloc' dissection of epimacular membranes using aspiration delamination
Authors
KeywordsAspiration delamination
Internal limiting membrane
Macular pucker
Vitrectomy
Issue Date1996
PublisherNature Publishing Group. The Journal's web site is located at http://www.nature.com/eye
Citation
Eye, 1996, v. 10 n. 1, p. 47-52 How to Cite?
Abstract'En bloc' dissection is a technique in which epiretinal membranes (ERM) are separated from the retina as a single lamina with a 20-gauge blunt flute needle. We used this technique to remove epimacular membranes of various aetiologies in a consecutive series of 25 eyes, with a minimum follow-up of 5 months (mean 10.4 months). Small residual epicentres of ERM away from the fovea remained in 7 (29.1%) eyes only; 3 were inside and 4 outside the temporal vascular arcades. Postoperatively 64% (16/25) of patients achieved a final visual acuity of 6/12 or better and 76% (19/25) achieved a final visual acuity of 6/18 or better. Progressive lens opacities were the most important postoperative complication in phakic eyes that significantly affected the visual results. This technique successfully removed epimacular membranes over a wide area, without the need to find a starting edge or the use of sharp instruments near the retina. Diaphanous ERMs with ill-defined borders and tenaciously adherent membranes could be removed with minimal trauma to the underlying retina. Histopathological and immunohistochemical examination of 10 ERMs demonstrated the absence of internal limiting lamina in 6 (60%).
Persistent Identifierhttp://hdl.handle.net/10722/146230
ISSN
2015 Impact Factor: 2.213
2015 SCImago Journal Rankings: 1.132
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorKanawati, Cen_HK
dc.contributor.authorWong, Den_HK
dc.contributor.authorHiscott, Pen_HK
dc.contributor.authorSheridan, Cen_HK
dc.contributor.authorMcGalliard, Jen_HK
dc.date.accessioned2012-04-10T01:49:33Z-
dc.date.available2012-04-10T01:49:33Z-
dc.date.issued1996en_HK
dc.identifier.citationEye, 1996, v. 10 n. 1, p. 47-52en_HK
dc.identifier.issn0950-222Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/146230-
dc.description.abstract'En bloc' dissection is a technique in which epiretinal membranes (ERM) are separated from the retina as a single lamina with a 20-gauge blunt flute needle. We used this technique to remove epimacular membranes of various aetiologies in a consecutive series of 25 eyes, with a minimum follow-up of 5 months (mean 10.4 months). Small residual epicentres of ERM away from the fovea remained in 7 (29.1%) eyes only; 3 were inside and 4 outside the temporal vascular arcades. Postoperatively 64% (16/25) of patients achieved a final visual acuity of 6/12 or better and 76% (19/25) achieved a final visual acuity of 6/18 or better. Progressive lens opacities were the most important postoperative complication in phakic eyes that significantly affected the visual results. This technique successfully removed epimacular membranes over a wide area, without the need to find a starting edge or the use of sharp instruments near the retina. Diaphanous ERMs with ill-defined borders and tenaciously adherent membranes could be removed with minimal trauma to the underlying retina. Histopathological and immunohistochemical examination of 10 ERMs demonstrated the absence of internal limiting lamina in 6 (60%).en_HK
dc.languageengen_US
dc.publisherNature Publishing Group. The Journal's web site is located at http://www.nature.com/eyeen_HK
dc.relation.ispartofEyeen_HK
dc.subjectAspiration delaminationen_HK
dc.subjectInternal limiting membraneen_HK
dc.subjectMacular puckeren_HK
dc.subjectVitrectomyen_HK
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshChilden_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshLens, Crystalline - Pathologyen_US
dc.subject.meshMacula Lutea - Surgeryen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshOphthalmology - Instrumentation - Methodsen_US
dc.subject.meshPostoperative Complicationsen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshRetinal Diseases - Surgeryen_US
dc.subject.meshSuction - Instrumentation - Methodsen_US
dc.subject.meshTreatment Outcomeen_US
dc.subject.meshVisual Acuityen_US
dc.title'En bloc' dissection of epimacular membranes using aspiration delaminationen_HK
dc.typeArticleen_HK
dc.identifier.emailWong, D: shdwong@hku.hken_HK
dc.identifier.authorityWong, D=rp00516en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid8763303-
dc.identifier.scopuseid_2-s2.0-0029981597en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0029981597&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume10en_HK
dc.identifier.issue1en_HK
dc.identifier.spage47en_HK
dc.identifier.epage52en_HK
dc.identifier.isiWOS:A1996TY26900007-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridKanawati, C=6602559011en_HK
dc.identifier.scopusauthoridWong, D=7401536078en_HK
dc.identifier.scopusauthoridHiscott, P=7006368693en_HK
dc.identifier.scopusauthoridSheridan, C=7004974390en_HK
dc.identifier.scopusauthoridMcGalliard, J=7003380072en_HK

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