Internal Limiting Membrane peeling as Prophylaxis of Epimacular Membrane Formation in Eyes Undergoing Vitrectomy for Rhegmatogenous Retinal Detachment
Abstract
Internal limiting membrane peeling as prophylaxis of epimacular membrane formation in eyes undergoing vitrectomy for rhegmatogenous retina detachment Monitoring the effect of peeling of the internal limiting membrane (ILM) in the macula at the anatomical and functional results in the postoperative period, especially with regard to the development of ERM. In total, the results of 205 eyes of 205 patients who underwent PPV for rhegmatogenous retinal detachment were evaluated.
In 21 of them was during PPV performed ILM peeling on detached macula. In 9 of 21 (43%) eyes (4.4% of all detachments) there was a coincidence of idiopathic macular hole (IMH) and in the remaining 12 eyes was the peeling done due to intraoperative findings on the surface of the macula ("coarsening" or "shrinking" of ILM).
PVR finding in the subset with peeling was statistically significantly worse than in the subgroup without ILM peeling (Pearson Chi-square test 0.019). IMD was closed in 8 of 9 cases.
All eyes with ILM peeling did not develop ERM at the end of the follow-up period.