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Graefe's Archive for Clinical and Experimental Ophthalmology

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01-10-2020 | Retinal Detachment | Retinal Disorders

Anatomical and functional results of ILM peeling vs. non-peeling in macula-off rhegmatogenous retinal detachment

Authors: Keissy Sousa, Gil Calvão-Santos, Jorge Costa, Luís Ferreira, Luís Mendonça, Rita Gentil, Nuno Lourenço Gomes

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 10/2020

Abstract

Purpose

To compare anatomical and functional results between internal limiting membrane (ILM) peeling and non-ILM peeling in macula-off rhegmatogenous retinal detachment (RRD).

Methods

We completed a retrospective cohort study of patients who underwent pars plana vitrectomy (PPV) due to macula-off RRD. ILM peeling (P) versus non-ILM peeling (NP) groups were compared regarding best-corrected visual acuity (BCVA), anatomical success, endotamponade, concomitant scleral band placement and BCVA gain for epiretinal membranes (ERM) resubjected to PPV. Statistical significance was considered when p < 0.05.

Results

PPV was conducted in 352 patients, among which 43.5% (n = 153) were in the P group and 55.6% (n = 196) were in the NP group. Both groups had significant BCVA improvement during the study period (p < 0.001), but with no significant difference between them. Anatomical success was similar between P (84.2%) and NP (87.2%) groups. No difference was found with regard to endotamponade (p = 0.07) or concomitant scleral band placement (p = 0.43). The NP group developed subsequent ERM more frequently (p = 0.004), but BCVA gains for eyes requiring repeat PPV for ERM were not found (p = 0.14).

Conclusions

Although ERM formation and greater anatomical success are reasons to support the use of ILM peeling in RRD, we did not observe any anatomical or functional difference regarding ILM peeling or functional gain with secondary ERM peeling.

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Title: Anatomical and functional results of ILM peeling vs. non-peeling in macula-off rhegmatogenous retinal detachment
Authors: Keissy Sousa
Gil Calvão-Santos
Jorge Costa
Luís Ferreira
Luís Mendonça
Rita Gentil
Nuno Lourenço Gomes
Publication date: 01-10-2020
Publisher: Springer Berlin Heidelberg
Keywords: Retinal Detachment
Vitrectomy
Peeling
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 10/2020
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-020-04775-9

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Anatomical and functional results of ILM peeling vs. non-peeling in macula-off rhegmatogenous retinal detachment

Abstract

Purpose

Methods

Results

Conclusions

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