Internal Limiting Membrane Peeling as Prophylaxis of Epimacular Membrane Formation in Eyes Undergoing Vitrectomy for Rhegmatogenous Retinal Detachement

Česká verze

Authors: L. Hejsek; J. Dusová; A. Stepanov; P. Rozsíval
Published in the journal: Čes. a slov. Oftal., 70, 2014, No. 3, p. 98-101
Category: Původní práce

Tato práce byla přednesena jako přednáška na kongresu SOE 2013 v Kodani

Summary

Purpose:
Rhegmatogenous retinal detachment is a serious condition that can significantly impair visual function, even after a successful surgery. One of the complications that can significantly impair visual acuity in the postoperative period is a development of the epimacular membrane (ERM). The aim of this work is to monitor 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.

Methods:
Prospective study of 21 eyes, which underwent peeling of ILM during pars plana vitrectomy for rhegmatogenous retinal detachment (on detached macula). The ILM peeling was done without using decalin during this procedure. We tested best corrected visual acuity (BCVA) and followed fundus biomicroscopic findings. Proliferative vitreoretinopathy (PVR) was evaluated according to the recommendations of the Retina Society Terminology Committee. To exclude the development of ERM in the macula optical coherence tomography (OCT) was performed at the end of the 18-month follow-up period.

Results:
In total, the results of 21 eyes of 21 patients who underwent PPV for rhegmatogenous retinal detachment were evaluated. In all of them was during PPV performed ILM peeling on detached macula, these are followed prospectively. ILM peeling without using decalin was sufficient in all eyes. All eyes with ILM peeling did not develop ERM at the end of the follow-up period.

Conclusions:
ILM peeling during PPV for rhegmatogenous retinal detachment reduces the risk of developing secondary ERM.

Key words:
rhegmatogenous retinal detachement, epimacular membrane, peeling, internal limiting membrane, pars plana vitrectomy

Zdroje

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