Retinal thickness after vitrectomy and internal limiting membrane peeling for macular hole and epiretinal membrane

Purpose. To provide data on efficacy and safety of internal limiting membrane (ILM) removal in various pathologies of the vitreomacular interface. Material and methods. To perform the review, literature sources were searched through the PubMed and Scopus databases up to year 2021 using the keywords "internal limiting membrane peeling", "macular hole", "epiretinal membrane". A total of 38 articles relevant to the topic of the review were selected. Results. Numerous studies have confirmed the efficacy of internal limiting peeling in improving anatomical and functional outcomes of treatment of various pathologies. However, even a flawlessly performed peeling can cause both anatomical and functional effects on the retina. Various studies have demonstrated that the anatomical complications of ILM peeling did not correlate with the functional outcomes of surgery. Conclusion. Available evidence supports ILM peeling as an intervention that improves anatomical and functional results of treatment and reduces rate of reoperation. However, in order to evaluate the safety of this procedure, further studies with an assessment of the visual function with a long follow-up period are required. Key words: internal limiting membrane, peeling, macular hole, epiretinal membrane

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Evaluating the refraction results of patients who had combined phacoemulsifi cation-pars plana vitrectomy and internal limiting membrane peeling for idiopathic macular hole or idiopathic epiretinal membrane

Journal of Retina-Vitreous ◽

10.37845/ret.vit.2021.30.28 ◽

2021 ◽

Vol 30 (2) ◽

pp. 163

Author(s):

Hakan Baybora

Keyword(s):

Macular Hole ◽

Epiretinal Membrane ◽

Pars Plana Vitrectomy ◽

Internal Limiting Membrane ◽

Idiopathic Macular Hole ◽

Internal Limiting Membrane Peeling ◽

Idiopathic Epiretinal Membrane ◽

Membrane Peeling ◽

Pars Plana

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Eccentric Macular Hole after Pars Plana Vitrectomy for Epiretinal Membrane Without Internal Limiting Membrane Peeling: A Case Report

Ophthalmology and Therapy ◽

10.1007/s40123-017-0113-7 ◽

2017 ◽

Vol 6 (2) ◽

pp. 391-395

Author(s):

Christina Garnavou-Xirou ◽

Tina Xirou ◽

Stamatina Kabanarou ◽

Ilias Gkizis ◽

Stavros Velissaris ◽

...

Keyword(s):

Case Report ◽

Macular Hole ◽

Epiretinal Membrane ◽

Pars Plana Vitrectomy ◽

Internal Limiting Membrane ◽

Internal Limiting Membrane Peeling ◽

Membrane Peeling ◽

Pars Plana

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Long-term functional and anatomical evolution in surgically closed macular holes with internal limiting membrane peeling

European Journal of Ophthalmology ◽

10.1177/1120672119860778 ◽

2019 ◽

Vol 30 (5) ◽

pp. 1112-1119

Author(s):

Pauline Eymard ◽

Yannick Le Mer

Keyword(s):

Visual Acuity ◽

Macular Hole ◽

Retinal Thickness ◽

Internal Limiting Membrane ◽

Macular Thickness ◽

Full Thickness ◽

Internal Limiting Membrane Peeling ◽

Membrane Peeling ◽

Full Thickness Macular Hole

Introduction: The aim of this study was to describe the long-term evolution of macular retinal thickness and visual acuity in patients who present surgically closed full-thickness macular hole, operated by vitrectomy with internal limiting membrane peeling. Methods: A retrospective observational study of patients operated for full-thickness macular hole with closure of the hole and at least 6 months of post-operative follow-up was performed. All patients had pars plana vitrectomy, peeling of the internal limiting membrane, gas filling and positioning. Comparison of the early post-operative (in the first 5 months) visual acuity and spectral-domain optical coherence tomography-measured macular thickness with late post-operative data (between 6 months and 6 years) was performed. Foveal retinal thickness and temporal and nasal retinal thickness between 1 and 3 mm from the centre were recorded. Results: In total, 35 eyes of 34 patients were included, with an early post-operative measure realized at a mean of 1.8 months and a late measure done at a mean of 25.5 months (7–73 months). Foveal thickness stayed unchanged (282 vs 288 µm), nasal parafoveal thickness remained increased compared to normal and stayed constant (345 vs 345 µm) and temporal parafoveal macular thickness was decreased (313 vs 308 µm) ( p = 0.028). Best-corrected visual acuity was improved by the surgery and the gain increased over time. Conclusion: Internal limiting membrane peeling improves anatomical success of full-thickness macular hole, but this procedure is not without long-term scalable consequences on macular thickness on the temporal quadrant (thinning) as on the nasal quadrant (thickening).

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