Evaluation of primary internal limiting membrane peeling in cases with rhegmatogenous retinal detachment

Autor: Mohamed Esmail Abdullah, Hossam Eldeen Mohammad Moharram, Ahmed Shawkat Abdelhalim, Khaled Mohamed Mourad, Mohamed Farouk Abdelkader
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: International Journal of Retina and Vitreous, Vol 6, Iss 1, Pp 1-8 (2020)
Druh dokumentu: article
ISSN: 2056-9920
DOI: 10.1186/s40942-020-00213-4
Popis: Abstract Background Epiretinal membranes (ERMs) have been reported after pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment (RRD). Peeling of the internal limiting membrane (ILM) can prevent post-PPV ERM formation but has a potential negative impact on macular structure and function. Purpose To investigate the anatomical and functional outcomes of ILM peeling during PPV for primary RRD. Methods This was a prospective nonrandomized study that included 60 eyes of 60 patients with a primary macula-off RRD and less than grade C proliferative vitreoretinopathy (PVR). Eyes were allocated into 2 groups; Group A underwent PPV without ILM peeling and Group B had ILM peeling. At postoperative month 6, all patients underwent retinal imaging using spectral domain optical coherence tomography (OCT) and OCT angiography and macular function was assessed using multifocal electroretinogram (mfERG). Baseline characteristics and postoperative anatomical and visual outcomes were recorded and statistically analyzed. Results We enrolled 30 eyes of 30 patients in each group. In Group A, mean age was 44.6 years, while the mean age of Group B patients was 49.9 years. Postoperative LogMAR visual acuity was significantly better in Group A than in Group B (p
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