Internal limiting membrane peeling Vs no peeling in primary vitrectomy for macula off retinal detachment: A comparative study
Ahmed, E., Abd_ Elateef, M., Mousa, M., Moratada, H. (2017). Internal limiting membrane peeling Vs no peeling in primary vitrectomy for macula off retinal detachment: A comparative study. EKB Journal Management System, 21(2), 39-44. doi: 10.21608/smj.2017.39247
Eslam Awny Ahmed; Mohamed Anber Abd_ Elateef; Mohammad Hussein Mousa; Hassan Moratada. "Internal limiting membrane peeling Vs no peeling in primary vitrectomy for macula off retinal detachment: A comparative study". EKB Journal Management System, 21, 2, 2017, 39-44. doi: 10.21608/smj.2017.39247
Ahmed, E., Abd_ Elateef, M., Mousa, M., Moratada, H. (2017). 'Internal limiting membrane peeling Vs no peeling in primary vitrectomy for macula off retinal detachment: A comparative study', EKB Journal Management System, 21(2), pp. 39-44. doi: 10.21608/smj.2017.39247
Ahmed, E., Abd_ Elateef, M., Mousa, M., Moratada, H. Internal limiting membrane peeling Vs no peeling in primary vitrectomy for macula off retinal detachment: A comparative study. EKB Journal Management System, 2017; 21(2): 39-44. doi: 10.21608/smj.2017.39247

Internal limiting membrane peeling Vs no peeling in primary vitrectomy for macula off retinal detachment: A comparative study

Sohag Medical Journal
Article 5, Volume 21, Issue 2, July 2017, Page 39-44  XML PDF (61.62 K)
Document Type: Original Article
DOI: 10.21608/smj.2017.39247
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Authors
Eslam Awny Ahmed; Mohamed Anber Abd_ Elateef; Mohammad Hussein Mousa; Hassan Moratada
Department of ophthalmology, Sohag faculty of medicine, Sohag University, Sohag
Abstract
Purpose:To compare the visual outcome and the rate of epiretinal membrane formation after primary vitrectomy with internal limiting membrane peeling Vs no peeling for patient with macula off retinal detachment.
Patients and methods: This was a Prospective comparative uncontrolled case series.  The study enrolled 30eyeswith rhegmatogenousretinaldetachmentwith macula off subjected to primaryvitrectomy   , and classifiedinto 2 groups, Group A cases subjectedtoprimaryvitrectomywithoutinternallimiting membrane peeling and group B casessubjectedto primaryvitrectomy,   with internal limiting membrane peeling, Assessment of best corrected visual acuityand rate of epiretinal membrane formation after removal of silicone oil had been done.
Results:This study included 30 eyes of 30 patients, 16 (53.33 %) were males and 14 (46.67 %) were females, the mean age of studied patients was (43.37 ± 10.40) years old. There was no statistically significant difference in mean logMAR BCVA after silicone oil removal (1.18 ± 0.29 for group A versus 0.99 ± 0.38 for group B; P = 0.12).OCT done for all cases after silicone oil removal after 6 months and show that; epiretinal membrane with cystoid macular edema is formed in 5 cases in group A while ERM is not formed in any cases in group B (P = 0.04) , IS / OS line is interrupted in 6 cases in group A and in 3 cases (P = 0.43) as regarding foveal contour; it is lost in 5 cases and preserved in 10 cases in group A while in group B the foveal contour is preserved in 13 cases ,lost in 1 case and flat in 1 case (P = 0.06) , while comparing the mean of the central foveal thickness shows no statistically significant difference 295.73±129.46 for group A versus 237.6±47.60 for group B; P = 0.66.
Conclusion:There was no statistically significant difference in mean visual acuity after silicone oil removal in both procedures.however, the epiretinal membrane formation was absent in group B with ILM peeling in comparison to group A.
Keywords
Epiretinal membrane; vitrectomy; internal limiting membrane; rhegmatogenous retinal detachment
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