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Macular epiretinal membrane peeling treatment outcomes in young children.
[coats disease]
The
purpose
of
this
study
was
to
describe
macular
epiretinal
membrane
(
ERM
)
peeling
treatment
outcomes
in
young
children
.
The
medical
records
of
all
vitrectomies
from
1998
through
2010
were
retrospectively
reviewed
.
Patients
who
were
selected
were
16
years
or
younger
and
had
primarily
macular
or
posterior
pole
disease
secondary
to
an
ERM
.
Patients
with
retinopathy
of
prematurity
,
Coats
disease
,
Norrie
disease
,
and
incontinentia
pigmenti
were
excluded
.
Fourteen
patients
underwent
vitrectomy
with
ERM
peeling
,
and
their
preoperative
and
postoperative
visual
acuities
were
compared
.
The
mean
age
at
surgery
was
8
years
,
with
an
average
follow-up
of
4
.
2
years
(
range
,
6
months
to
11
years
)
.
The
average
presenting
visual
acuity
was
20
/
258
.
Average
postoperative
visual
acuity
was
20
/
100
,
with
improvement
in
12
patients
(
86
%
)
and
no
change
of
visual
acuity
in
2
patients
(
14
%
)
.
Pediatric
ERMs
respond
well
to
vitrectomy
and
membrane
peel
with
a
low
likelihood
of
recurrence
.
Other
associated
pathology
,
such
as
familial
exudative
retinopathy
and
combined
hamartomas
of
the
retina
and
retinal
pigment
epithelium
,
was
associated
with
complications
,
such
as
delayed
-onset
rhegmatogenous
retinal
detachment
from
peripheral
traction
and
recurrence
of
ERM
in
7
%
of
patients
.
Diseases
Validation
Diseases presenting
"combined hamartomas of the retina and retinal pigment epithelium"
symptom
coats disease
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