Effect of Macular Internal Limiting Membrane Peeling on Single Surgery Success Rates of Vitrectomy for Uncomplicated, Primary Macula-Off Retinal Detachment.

Autor:	Martens RK; Department of Ophthalmology and Visual Sciences, University of Alberta, Edmonton, AB, Canada., Chen C; Department of Ophthalmology and Visual Sciences, University of Alberta, Edmonton, AB, Canada., Ehmann DS; Department of Ophthalmology and Visual Sciences, University of Alberta, Edmonton, AB, Canada., Greve M; Department of Ophthalmology and Visual Sciences, University of Alberta, Edmonton, AB, Canada., Seamone ME; Department of Ophthalmology and Visual Sciences, University of Alberta, Edmonton, AB, Canada.
Jazyk:	angličtina
Zdroj:	Journal of vitreoretinal diseases [J Vitreoretin Dis] 2023 Mar 10; Vol. 7 (3), pp. 193-198. Date of Electronic Publication: 2023 Mar 10 (Print Publication: 2023).
DOI:	10.1177/24741264231155352
Abstrakt:	Purpose: To determine the anatomic and visual outcomes of pars plana vitrectomy for uncomplicated, primary macula-off rhegmatogenous retinal detachment (RRD) with and without internal limiting membrane (ILM) peeling. Methods: This retrospective chart review comprised 129 patients with uncomplicated, primary macula-off RRD presenting between January 1, 2016, and May 31, 2021. Thirty-six patients (27.9%) had ILM peeling and 93 (72.0%) did not. The primary outcome was the rate of recurrent RRD. Secondary outcomes included preoperative and postoperative best-corrected visual acuity (BCVA), epiretinal membrane (ERM) formation, and macular thickness. Results: No significant difference was found in the risk for recurrent RRD between patients who had ILM peeling and those who did not (2.8% [1/36] and 5.4% [5/93], respectively) ( P = 1.00). The final postoperative BCVA was better in eyes that did not have ILM peeling ( P < .001). No ERM occurred in the group with ILM peeling, whereas ERM occurred in 27 patients (29.0%) who did not have ILM peeling. The temporal macular retina was thinner in eyes in which ILM peeling was performed. Conclusions: The risk for recurrent RRD was not statistically lower in eyes having ILM peeling of the macula in uncomplicated, primary macula-off RRD. Despite a reduction in postoperative ERM formation, eyes having macular ILM peeling had worse postoperative VA. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2023.)
Databáze:	MEDLINE
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