| Popis: |
BackgroundTo analyze the anatomical and functional outcomes of ILM peeling and to compare those with patients who did not perform ILM peeling in tractional retinal detachment with diabetic retinopathy.MethodsThe study was designed retrospectively. It was planned to include all consecutive eyes with TRD that had macular involvement and successful repair using 23-gauge(G) pars plana vitrectomy (PPV) between 2019 and 2021 and were followed in the retina for at least 12 months. A total of 163 eyes were evaluated. Forty-seven eyes with TRD (24 without ILM peeling and the rest with ILM peeling applied) were eligible to be part of the study.ResultsIn the first month of the postoperative period, the mean BCVA(LogMAR) of eyes with ILM peeling (1.08±0.63) were significantly better than eyes with ILM non-peeling (1.69±0.75, p=0.003). Similarly, there was a statistically significant result at 9- and 12-months p=0.012 p=0.047, respectively. The mean preoperative CMT was 494.96±90.67 while 362± 85.77 in postoperative 1 month and 300.74± 86.23 in 12 months in study group.(for each, p=0.000) Although the mean CMT was thinner in the ILM peeling group than in the ILM non-peeling group during the follow-up, this difference was not statistically significant(p>0.05).ConclusionsEpiretinal membrane formation and macular edema were observed less frequently in the ILM peeling group during the 30-month follow-up. In addition, rapid improvement was achieved in terms of visual acuity in the eyes with ILM peeling. |
