Purpose: to assess the visual result after primary vitrectomy with internal limiting membrane peeling for macula off retinal detachment. Patients and methods: this was a prospective comparative uncontrolled case series. The study included 30 eyes with rhegmatogenous retinal detachment with macula off, the case were classified into two groups; group A 15 eyes subjected to primary vitrectomy without internal limiting membrane peeling and group B eyes subjected to primary vitrectomy with internal limiting membrane peeling. Assessment of best corrected visual acuity 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). Conclusion: primary vitrectomy with ILM peeling showed no superiority in visual results over primary vitrectomy without LIM peeling for macula off retinal detachment.
Scott JD. Surgery for Retinal and Vitreous Disease. 1998, Publisher: Butterworth-Heinemann.
Pocklinghorne PJ and Craig JP. Analysis of Symptoms associated with rhegmatogenous retinal detachments. Clinical and Experimental Ophthalmology, 1994. 32: 603-606.
Michael Colucciello. Rhegmatogenous Retinal Detachment. ISSN – 0091-3847, April 2009, No. 2, Volume 37.
Corcóstegui B, Adán A, García-Arumí J, Mateo C, Nieto I. Cirugía vitreoretiniana, indicaciones y técnicas. Madrid. Tecnimedia (Ed) 1999; 47-48.
Smiddy WE, Michels RG, Green WR. Lens and peripheral etinal relationships during vitrectomy. Retina 1991; 11(2): 199-203.
Guyer D, Yannuzzi L, Chang S, Shields J, Green R. Retina- Vitreous. Macula. Saunders Company 1999; 1312-13.
De Juan E Jr, Landers MB III. New technique for visualization infusion cannula during vitreous surgery. Am J Ophthalmol 1984;97:657.
Fabian, ID & Moisseiev J. Sutureless vitrectomy: evolution and current practices. British Journal of Ophthalmology.Vol. 95, No. 3, (March 2011), pp.( 318-324).
Machemer R., & Hickingbotham D. The three-port microcannular system for closed vitrectomy. Am J Ophthalmol, Vol. 100, (October 1985), pp. (590-592).
De Juan E. Jr & Hickingbotham, D. Refinements in microinstrumentation for vitreous surgery. Am J Ophthalmol, Vol.109, No. 2, (Feb 1990), pp. (218-20).
Peyman, GA. A miniaturized vitrectomy system for vitreous and retinal biopsy. Can J Ophthalmol, Vol. 25, No. 6, (Oct 1990), pp. (285-6).
Martínez-castillo V, Boixadera A, Boixadera L, et al. Epiretinal Membrane after Pars Plana Vitrectomy for Primary Psudophakic and Aphakic Rhegmatogenous Retinal Detachment, Incidence and outcomes. Retina, 32: 1350-1355; 2012.
Dominik O, Maciej B, Siawomir C, et al. Internal Limiting Membrane Peeling as Prophylaxis of Macular Pucker Formation in Eyes Undergoing Retinectomy for Severe Proliferative Vitreo Retinopathy. Retina, 32: 226-231; 2012.
Nam KY, Kim JY. Effect of Internal Limiting Membrane Peeling on the Development of Epiretinal Membrane after Pars Plana Vitrectomy for Primary Rhegmatogenous Retinal Detachment. Retina, 35: 880-885;2015.
Aras C, Arici C, Akar S, et al. Peeling of Internal Limiting Membrane During Vitrectomy for Complicated Retinal Detachment Prevents Epimacular Membrane Formation. Graefes Arch Clin Exp Ophthalmol, 247: 619-623; 2009.
Abd_ Elateef, M., Mousa, M., Mourtada, H., & Ahmed, E. (2017). Assessment of visual acuity after primary vitrectomy with internal limiting membrane peeling for macula off retinal detachment. Sohag Medical Journal, 21(2), 33-38. doi: 10.21608/smj.2017.34984
MLA
Mohamed Anber Abd_ Elateef; Mohammad Hussein Mousa; Hassan Ali Mourtada; Eslam Awny Ahmed. "Assessment of visual acuity after primary vitrectomy with internal limiting membrane peeling for macula off retinal detachment". Sohag Medical Journal, 21, 2, 2017, 33-38. doi: 10.21608/smj.2017.34984
HARVARD
Abd_ Elateef, M., Mousa, M., Mourtada, H., Ahmed, E. (2017). 'Assessment of visual acuity after primary vitrectomy with internal limiting membrane peeling for macula off retinal detachment', Sohag Medical Journal, 21(2), pp. 33-38. doi: 10.21608/smj.2017.34984
VANCOUVER
Abd_ Elateef, M., Mousa, M., Mourtada, H., Ahmed, E. Assessment of visual acuity after primary vitrectomy with internal limiting membrane peeling for macula off retinal detachment. Sohag Medical Journal, 2017; 21(2): 33-38. doi: 10.21608/smj.2017.34984