Functional and structural outcomes of ILM peeling in uncomplicated macula-off RRD using microperimetry & en-face OCT

Autor: Hassan Aly Mortada, Mohamed A. Eissa, Mohamed M Khafagy, Mohamad Amr Salah Eddin Abdelhakim, Tamer A. Macky
Rok vydání: 2018
Předmět:
Male
0301 basic medicine
Fovea Centralis
Visual acuity
genetic structures
medicine.medical_treatment
Visual Acuity
Vitrectomy
Basement Membrane
chemistry.chemical_compound
0302 clinical medicine
Postoperative Period
Prospective Studies
Prospective cohort study
Retinal detachment
Middle Aged
Sensory Systems
Treatment Outcome
medicine.anatomical_structure
Female
Epiretinal membrane
medicine.symptom
Tomography
Optical Coherence
Adult
medicine.medical_specialty
Adolescent
Young Adult
03 medical and health sciences
Cellular and Molecular Neuroscience
Ophthalmology
medicine
Humans
Aged
business.industry
Retinal Detachment
Fovea centralis
Retinal
medicine.disease
eye diseases
030104 developmental biology
chemistry
030221 ophthalmology & optometry
Visual Field Tests
sense organs
Visual Fields
business
Microperimetry
Follow-Up Studies
Zdroj: Graefe's Archive for Clinical and Experimental Ophthalmology. 256:249-257
ISSN: 1435-702X
0721-832X
DOI: 10.1007/s00417-017-3875-7
Popis: To investigate functional and structural outcomes of internal limiting membrane (ILM) peeling during primary vitrectomy for uncomplicated macula-off rhegmatogenous retinal detachment (RRD). In this prospective interventional randomized comparative study, 43 eyes (43 patients) were randomly divided into group A (20), and group B (23), with and without ILM peeling respectively. Patients were evaluated clinically, and by spectral-domain optical coherence tomography (SD-OCT) and microperimetry (MP) following silicone oil removal. Main outcome measures were functional—MP (mean and foveal retinal sensitivity; MRS, FRS) and best-corrected visual acuity (BCVA)—and anatomical—en-face image analysis (retinal dimples), and SD-OCT changes [epiretinal membrane (ERM), subretinal fluid (SRF), ellipsoid zone disruption, central subfoveal thickness (CSFT), and foveal contour]. All eyes achieved complete postoperative attachment with mean BCVA 1.0 ± 0.4 logMAR (6/60) in group A, and 0.4 ± 0.4 logMAR (6/15) in group B (p
Databáze: OpenAIRE
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