Internal Limiting Membrane Peeling to Prevent Post-Vitrectomy Epiretinal Membrane Development in Retinal Detachment

Abstract Purpose To determine the efficacy of internal limiting membrane (ILM) peeling during vitrectomy for rhegmatogenous retinal detachment (RRD) regarding post-vitrectomy epiretinal membrane (ERM) development and visual outcomes. Design Retrospective, interventional, comparative case series. Met...

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Bibliographic Details
Published in:American journal of ophthalmology 2016-11, Vol.171, p.1-10
Main Authors: Akiyama, Kunihiko, Fujinami, Kaoru, Watanabe, Ken, Tsunoda, Kazushige, Noda, Toru
Format: Article
Language:English
Subjects:
Basement Membrane - surgery
Diabetes
Diabetic retinopathy
Epiretinal Membrane - diagnosis
Epiretinal Membrane - etiology
Epiretinal Membrane - prevention & control
Female
Follow-Up Studies
Hospitals
Humans
Male
Middle Aged
Ophthalmology
Patients
Postoperative Complications - diagnosis
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Retinal Detachment - diagnosis
Retinal Detachment - surgery
Retrospective Studies
Surgery
Tomography, Optical Coherence
Treatment Outcome
Visual Acuity
Vitrectomy - adverse effects
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Summary:Abstract Purpose To determine the efficacy of internal limiting membrane (ILM) peeling during vitrectomy for rhegmatogenous retinal detachment (RRD) regarding post-vitrectomy epiretinal membrane (ERM) development and visual outcomes. Design Retrospective, interventional, comparative case series. Methods Setting : Institutional. Study Population : A-hundred-and-two consecutive eyes with RRD treated with vitrectomy and followed for at least 6 months. ILM was peeled without using dye such as indocyanine green (ICG). Observational Procedures : Patients were divided into two groups based on postoperative ERM development: Group 1, 81 eyes without ERM formation; Group 2, 21 eyes with ERM development. Patients also were divided into two subgroups: those with and without ILM peeling (58 and 44 eyes, respectively). Statistical analyses were performed between the two groups with/without ERM formation and between the two subgroups with/without ILM peeling for five preoperative factors including foveal involvement of the RRD, four intraoperative factors including ILM peeling, baseline best-corrected visual acuity (BCVA), and final BCVA. Main Outcome Measures : An association of ILM peeling with ERM prevention and the influence of ILM peeling on visual outcomes. Results ILM peeling was significantly ( P
ISSN:0002-9394
1879-1891
DOI:10.1016/j.ajo.2016.08.015