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Ophthalmic Surg Lasers Imaging Retina. 2014 May-Jun;45(3):218-21. doi: 10.3928/23258160-20140411-01. Epub 2014 Apr 28.

Clinical-pathologic correlation: vitrectomy with epiretinal and internal limiting membrane peel.

Abstract

BACKGROUND AND OBJECTIVE:

To correlate clinical and pathologic findings in vitreoretinal surgeries with epiretinal membrane (ERM) and internal limiting membrane (ILM) peels.

PATIENTS AND METHODS:

A retrospective review of the clinical and pathologic reports for 698 vitrectomy specimens involving ERM and/or ILM peels from 2008 to 2012.

RESULTS:

Labeling with clear operative clinical diagnoses--ERM, ILM or both--was available for 520 of 698 cases; 492 cases had a corresponding pathology result. Combined ERM-ILM specimens were the dominant clinical and pathologic diagnosis. Over 43% had differing operative and pathologic diagnoses, with 79.6% of cases labeled as ERMs, 75.0% of cases labeled as ILMs, and 22.1% cases labeled as ERM-ILM demonstrating incongruous specimens on pathology.

CONCLUSION:

It can be difficult to determine the nature of membranes pre- or intraoperatively. Combined ERM-ILM specimens may be more common than previously recognized, implying that the two membranes are not always distinct and surgically separable.

Copyright 2014, SLACK Incorporated.

PMID:
24766198
[PubMed - in process]
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