Macular pucker removal with and without internal limiting membrane peeling: pilot study
| Autor: | Scott R. Sneed, Jack O. Sipperley, Pravin U. Dugel, Donald W. Park, Jennifer Garda, Allen B. Thach, Jennifer Blaisdell |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Pars plana
medicine.medical_specialty Visual acuity genetic structures medicine.medical_treatment Eye disease Visual Acuity Pilot Projects Vitrectomy Ilm peeling Basement Membrane Ophthalmology medicine Humans Aged Retrospective Studies business.industry Internal limiting membrane Epiretinal Membrane medicine.disease eye diseases Surgery body regions Treatment Outcome medicine.anatomical_structure sense organs Epiretinal membrane medicine.symptom business Retinopathy |
| Zdroj: | Ophthalmology. 110:62-64 |
| ISSN: | 0161-6420 |
| DOI: | 10.1016/s0161-6420(02)01440-9 |
| Popis: | Objective To investigate results of macular pucker surgery with and without internal limiting membrane (ILM) peeling. Design Retrospective noncomparative interventional case series. Participants Forty-four consecutive patients underwent pars plana vitrectomy to remove an idiopathic macular pucker by two surgeons from June 1999 to July 2000. Intervention During the vitrectomy, one surgeon removed only the macular epiretinal membrane (24 patients), whereas the other surgeon removed the macular epiretinal membrane and then performed an additional ILM peeling (20 patients). Main outcome measures Visual acuity and recurrence of macular pucker. Results Twenty-four (55%) patients underwent pars plana vitrectomy without ILM peeling, and 20 patients (45%) underwent pars plana vitrectomy with ILM peeling. Visual acuity improved or was unchanged in 79% of operated eyes without ILM peeling and 100% of operated eyes with ILM peeling ( P = 0.01). Visual acuity improved 5 or more lines in 25% of operated eyes without ILM peeling and 30% of operated eyes with ILM peeling. At the final visit, 21% of eyes without ILM peeling at the initial surgery showed postoperative recurrent macular pucker or persistent contraction to the ILM, whereas none of the eyes with ILM peeling had evidence of this. Conclusions This pilot study provides evidence that peeling of the ILM during macular pucker surgery may not have deleterious effects. |
| Databáze: | OpenAIRE |
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