Two hundred seventy eyes with premacular fibroplasia consecutively treated by pars plana vitrectomy and membrane peeling were reviewed. This study is among the largest series with long-term follow-up reported to date. Visual improvement of two or more lines was achieved in 43% of eyes at 6 to 12 months, in 54% at 1 to 2 years, in 60% at 2 to 3 years, and in 58% at 3 to 5 years. Overall, complications occurred in 34 eyes (13%). Cataract progression after vitrectomy was noted in 106 (57%) of phakic eyes at 3 to 5 years, and 43 of these eyes underwent subsequent cataract extraction. Mean time to best visual acuity after vitrectomy was slightly less than 1 year for all eyes unless they had cataract worsening with subsequent cataract extraction (1.9 years). Significant factors affecting visual outcome were: preoperative lens status, visual acuity before vitrectomy, duration of preoperative symptoms of distortion and/ or blurred vision, and the occurrence of intraoperative complications. © 1991, American Academy of Ophthalmology, Inc. All rights reserved.
CITATION STYLE
Pesin, S. R., Olk, R. J., Grand, M. G., Boniuk, I., Arribas, N. P., Thomas, M. A., … Burgess, D. (1991). Vitrectomy for Premacular Fibroplasia: Prognostic Factors, Long-term Follow-up, and Time Course of Visual Improvement. Ophthalmology, 98(7), 1109–1114. https://doi.org/10.1016/S0161-6420(91)32169-9
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