EFFECT OF INTERNAL LIMITING MEMBRANE PEELING ON THE DEVELOPMENT OF EPIRETINAL MEMBRANE AFTER PARS PLANA VITRECTOMY FOR PRIMARY RHEGMATOGENOUS RETINAL DETACHMENT

Purpose: Pars plana vitrectomy with internal limiting membrane peeling for idiopathic epiretinal membrane has shown varying results. More data are needed on the factors associated with visual outcome. Methods: We extracted baseline clinical characteristics, optical coherence tomography (OCT) characteristics and 3-month postoperative best-corrected visual acuity (BCVA). Linear regression analysis was used to evaluate whether baseline and OCT characteristics are associated with BCVA at 3 months as well as BCVA difference. Results: Out of 82 operated eyes, 66 (80%) had a 3-month follow-up, and 47 (71%) showed a 3-month postoperative improvement. Preoperative BCVA was an independent determinant of postoperative BCVA (r = 0.31; p < 0.01) and BCVA difference (r = 0.68; p < 0.01). Other baseline and OCT characteristics showed no independent associations with postoperative outcome. Conclusion: Better preoperative BCVA predicts better postoperative BCVA. Other baseline and OCT characteristics are not associated with visual outcome 3 months after surgery.

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Efficacy and safety of pars plana vitrectomy combined with internal limiting membrane peeling for macular hollow retinal detachment

Minerva Medica ◽

10.23736/s0026-4806.20.06841-x ◽

2020 ◽

Author(s):

Jinwei Ren ◽

Min Liu ◽

Linlin Wang ◽

Mingtao Zhao

Keyword(s):

Retinal Detachment ◽

Pars Plana Vitrectomy ◽

Internal Limiting Membrane ◽

Efficacy And Safety ◽

Internal Limiting Membrane Peeling ◽

Membrane Peeling ◽

Pars Plana

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Effects of internal limiting membrane peeling during vitrectomy for macula-off primary rhegmatogenous retinal detachment

European Journal of Ophthalmology ◽

10.1177/1120672117750055 ◽

2018 ◽

Vol 28 (6) ◽

pp. 706-713 ◽

Cited By ~ 2

Author(s):

María José Blanco-Teijeiro ◽

Manuel Bande Rodriguez ◽

Raquel Mansilla Cuñarro ◽

Laura Paniagua Fernández ◽

Francisco Ruiz-Oliva Ruiz ◽

...

Keyword(s):

Retinal Detachment ◽

Epiretinal Membrane ◽

Rhegmatogenous Retinal Detachment ◽

Internal Limiting Membrane ◽

Postoperative Recovery ◽

Membrane Formation ◽

Internal Limiting Membrane Peeling ◽

Membrane Peeling ◽

Visual Outcomes ◽

Retinal Breaks

Purpose: To determine the effectiveness of internal limiting membrane peeling during vitrectomy for macula-off primary rhegmatogenous retinal detachment in the prevention of postoperative epiretinal membrane formation and achievement of good visual outcomes and to identify preoperative and intraoperative risk factors for epiretinal membrane formation. Methods: We retrospectively analyzed data from 62 eyes of 62 consecutive patients with macula-off primary rhegmatogenous retinal detachment who underwent vitrectomy with (n = 30) or without (n = 32) internal limiting membrane peeling between January 2014 and March 2016 and were followed up for at least 12 months. The effects of internal limiting membrane peeling on visual outcomes and postoperative recovery of the macular structure were determined. We subsequently divided patients into an epiretinal membrane group and a non-epiretinal membrane group and assessed the effects of various preoperative and intraoperative factors on postoperative epiretinal membrane formation. Results: Postoperative epiretinal membrane developed in 10 patients in the no internal limiting membrane peeling group and three patients in the internal limiting membrane peeling group. Postoperative visual acuity significantly improved in both groups. Epiretinal membrane formation was found to be correlated with a higher number of retinal breaks. Conclusion: Our results suggest that internal limiting membrane peeling during macula-off primary rhegmatogenous retinal detachment surgery can reduce the occurrence of postoperative epiretinal membrane, is safe, and results in favorable visual outcomes.

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