方法：选取2010-01/2012-12在我院治疗特发黄斑视网膜前膜患者30例30眼，采用23-G玻璃体切割系统，行玻璃体切割、剥膜及气体填充。对患者行2～13mo的术后随访观察，进行疗效评价与分析。

结果：23-G微创玻璃体切割术治疗特发黄斑视网膜前膜30例30眼，1眼黄斑前膜复发，29眼黄斑视网膜前膜消失，视力较术前有不同程度的提高，视物变形消失或减轻，OCT提示黄斑前膜消失。

结论：23-G微创玻璃体切割术是治疗黄斑视网膜前膜的一种安全有效的方法，在患者的视功能未造成严重的损害前，在早期进行手术治疗，可以提高患者的视觉质量和生活质量。

METHODS: Totally 30 eyes of 30 cases of idiopathic macular epiretinal membrane were performed vitrectomy, membrane peeling and gas tamponade with 23-G minimally invasive vitrectomy from January 2010 to December 2012 years in our hospital. The follow-up time was 2 to 13 months. The operation effect was analyzed.

RESULTS: Thirty cases(30 eyes)of idiopathic macular epiretinal membrane were performed 23G-minimally invasive vitrectomy, 1 eye with macular epiretinal membrane reoccurred, 29 eyes macular epiretinal membrane disappeared, vision had different degrees of improvement than preoperative, metamorphopsia was disappeared or reduced, the macular epiretinal membrane was disappeared showed by OCT.

CONCLUSION: 23-G minimally invasive vitrectomy is a safe and effective method for the treatment of macular epiretinal membrane. It can improve the visual quality and the quality of life in patients prior to serious damage of visual function, and should be performed early.