POSTOPERATIVE COMPLICATIONS OF VITRECTOMY FOR ERM
Published 2026 - 30th ESCRS Winter Meeting
Reference: PO027 | Type: Free Paper | DOI: 10.82333/t5yz-a749
Authors: Mihail Derevlev* 1 , Sanna Leinonen 2 , Tiina Helasjoki 2 , Sirpa Loukovaara 3
1Tampere University,Tampere,Finland, 2Tampere University Hospital,Tays Eye Centre,Tampere,Finland, 3Department of Ophthalmology,Unit of Vitreoretinal Surgery, University of Helsinki and Helsinki University Hospital,Helsinki,Finland
Purpose
After a vitrectomy for epiretinal membrane (ERM) peeling there are at least one to three controls to screen for postoperative intraocular pressure (IOP) elevation, inflammation, cystoid macular oedema (CME), and retinal detachment (RD). The purpose of this study was to determine the rate and risks for each postoperative complication and in a single-center in a population of 0.5 M inhibitants.
Setting
From January 2014 to December 2024 at Tays Eye Centre, Tampere University Hospital, Tampere, Finland
Methods
Longitudinal retrospective register study in which patients had no history of uveitis and underwent a vitrectomy with an indication of macular epiretinal membrane and recorded postoperative visits for at least 3 months postoperatively.
Results
Twenty-two patients (9%) had an increased level of postoperative inflammation >5 cells /1mm2 slit during the 3-month follow-up. A combined cataract surgery, an extensive endolaser treatment, and greater macular volume were associated with this level of inflammation. 40 patients were measured with postoperative IOP elevation >21mmHg, which was associated with a previous diagnosis of glaucoma, elevated preoperative IOP and use of gas injection during surgery. CME was diagnosed in 28 patients, and it was associated with higher grade postoperative inflammation but not with a combined cataract surgery. No cases of endophthalmitis or retinal detachment were detected.
Conclusion
Patients undergoing a ERM peeling vitrectomy with a combined cataract surgery should be treated and followed up more actively because they are more prone to higher grade postoperative inflammation. Glaucoma patients are prone to postoperative intraocular pressure elevation, which requires special attention in this patient group.