PMID- 25009817 OWN - NLM STAT- MEDLINE DCOM- 20150212 LR - 20211021 IS - 2314-6141 (Electronic) IS - 2314-6133 (Print) VI - 2014 DP - 2014 TI - Microincision vitrectomy surgery in vitreomacular traction syndrome of retinitis pigmentosa patients. PG - 537081 LID - 10.1155/2014/537081 [doi] LID - 537081 AB - PURPOSE: To investigate long-term retinal changes after microincision pars plana vitrectomy surgery (MIVS) and internal limiting membrane (ILM) peeling outcome in retinitis pigmentosa (RP) patients affected by vitreomacular traction syndrome (VMT) with higher vitreous surface adhesion or coexisting epiretinal membrane (ERM). METHODS: Eight RP patients suffering from VMT were evaluated by means of best corrected visual acuity (BCVA), anterior and posterior binocular examination, spectral-domain optical coherence tomography (SD-OCT), MP-1 microperimetry (MP-1), and full-field electroretinogram (ERG), before MIVS and ILM peeling and during the 36-month follow-up. Patients were hospitalized for two days after the surgery. Surgical procedure was performed following this schedule: surgical removal of crystalline lens (MICS), MIVS with 23-gauge sutureless system trocars, core vitreous body removal, and balanced-sterile-salin-solution- (BSS-) air-gas (SF6) exchange. RESULTS: All patients presented visual acuity (VA) increase after MIVS. None of the patients developed ocular hypertension or vitreomacular adhesions during the 3-year follow-up. MP-1 bivariate contour ellipse area (BCEA) was reduced in its dimensions and improved in all patients demonstrating a better fixation. CONCLUSIONS: MIVS could be the gold standard therapy in RP patients with VMT and higher vitreous surface adhesion or coexisting ERM if medical therapy is not applicable or not effective. FAU - Vingolo, Enzo Maria AU - Vingolo EM AD - Department of Ophthalmology, Polo Pontino, A. Fiorini Hospital, Via Firenze, 04019 Terracina, Italy ; Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy. FAU - Gerace, Emanuele AU - Gerace E AD - Department of Ophthalmology, Polo Pontino, A. Fiorini Hospital, Via Firenze, 04019 Terracina, Italy ; Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy. FAU - Valente, Stefano AU - Valente S AD - Department of Ophthalmology, Polo Pontino, A. Fiorini Hospital, Via Firenze, 04019 Terracina, Italy ; Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy. FAU - Spadea, Leopoldo AU - Spadea L AD - Department of Ophthalmology, Polo Pontino, A. Fiorini Hospital, Via Firenze, 04019 Terracina, Italy ; Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy. FAU - Nebbioso, Marcella AU - Nebbioso M AD - Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy ; Department of Sense Organs, Centre of Ocular Electrophysiology, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161 Rome, Italy. LA - eng PT - Clinical Trial PT - Journal Article DEP - 20140609 PL - United States TA - Biomed Res Int JT - BioMed research international JID - 101600173 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Middle Aged MH - *Recovery of Function MH - *Retinitis Pigmentosa/pathology/physiopathology/surgery MH - Syndrome MH - *Vitrectomy MH - *Vitreous Body/pathology/physiopathology PMC - PMC4070290 EDAT- 2014/07/11 06:00 MHDA- 2015/02/13 06:00 PMCR- 2014/06/09 CRDT- 2014/07/11 06:00 PHST- 2014/02/24 00:00 [received] PHST- 2014/04/22 00:00 [revised] PHST- 2014/05/22 00:00 [accepted] PHST- 2014/07/11 06:00 [entrez] PHST- 2014/07/11 06:00 [pubmed] PHST- 2015/02/13 06:00 [medline] PHST- 2014/06/09 00:00 [pmc-release] AID - 10.1155/2014/537081 [doi] PST - ppublish SO - Biomed Res Int. 2014;2014:537081. doi: 10.1155/2014/537081. Epub 2014 Jun 9.