Surgical management of premacular fibroplasia
L. S. Poliner, R. J. Olk, M. G. Grand, R. F. Escoffery, E. Okun and I. Boniuk
Department of Ophthalmology, Washington University School of Medicine, St Louis, MO.
The results of pars plana vitrectomy and membrane peeling for premacular
fibroplasia (PMF) were reviewed retrospectively for 88 eyes of 86 patients.
Premacular fibroplasia was idiopathic in 61 eyes (69%) and postdetachment
in 27 eyes (31%). All patients had a minimum follow-up of 12 months. Visual
symptoms of blurring and metamorphopsia were reduced in 75 (85%) study eyes
at the end of the follow-up period. Poor visual outcome was significantly
related to preoperative cystoid macular edema and prolonged duration of
visual blurring. Posterior retinal breaks occurred in three eyes (5%) with
idiopathic PMF and five eyes (19%) with postdetachment PMF. Cataract
progression was demonstrated in 35 eyes (48%) at 12 months of follow-up and
49 eyes (68%) at 24 months of follow-up, reflecting an incidence of
cataract formation that has not been previously reported (to our knowledge)
after limited vitrectomy and membrane peeling for PMF.
