Assessment of visual acuity after primary vitrectomy with internal limiting membrane peeling for macula off retinal detachment

Document Type : Original Article

Authors

1 Department of ophthalmology, Sohag faculty of medicine, Sohag University, Sohag

2 Department of ophthalmology, Kasr El Ainy faculty of medicine, Cairo University, Cairo

Abstract

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.

Keywords


  1. Naumann G: Pathologie des Auges. 2nd ed. Berlin: Springer; 1997.
  2. Kanski JJ. Clinical Ophthalmology, A Systematic Approach 5th Edition 2003. Pub: Butterworth Heinemann.
  3.   Scott JD. Surgery for Retinal and Vitreous Disease. 1998, Publisher: Butterworth-Heinemann.
  4.   Pocklinghorne PJ and Craig JP. Analysis of Symptoms associated with rhegmatogenous retinal detachments. Clinical and Experimental Ophthalmology, 1994. 32: 603-606.
  5. Michael Colucciello. Rhegmatogenous Retinal Detachment. ISSN – 0091-3847, April 2009, No. 2, Volume 37.
  6. Corcóstegui B, Adán A, García-Arumí J, Mateo C, Nieto I. Cirugía vitreoretiniana, indicaciones y técnicas. Madrid. Tecnimedia (Ed) 1999; 47-48.
  7. Smiddy WE, Michels RG, Green WR. Lens and peripheral etinal relationships during vitrectomy. Retina 1991; 11(2): 199-203.
  8. Guyer D, Yannuzzi L, Chang S, Shields J, Green R. Retina- Vitreous. Macula. Saunders Company 1999; 1312-13.
  9. De Juan E Jr, Landers MB III. New technique for visualization infusion cannula during vitreous surgery. Am J Ophthalmol 1984;97:657.
  10. Fabian, ID & Moisseiev J. Sutureless vitrectomy: evolution and current practices. British Journal of Ophthalmology.Vol. 95, No. 3, (March 2011), pp.( 318-324).
  11. Machemer R., & Hickingbotham D. The three-port microcannular system for closed vitrectomy. Am J Ophthalmol, Vol. 100, (October 1985), pp. (590-592).
  12. De Juan E. Jr & Hickingbotham, D. Refinements in microinstrumentation for vitreous surgery. Am J Ophthalmol, Vol.109, No. 2, (Feb 1990), pp. (218-20).
  13. Peyman, GA. A miniaturized vitrectomy system for vitreous and retinal biopsy. Can J Ophthalmol, Vol. 25, No. 6, (Oct 1990), pp. (285-6).
  14. Abrams GW, Gentile RC. Vitrectomy. In: Guyer DR, Yannuzzi LA, Chang S, Shields JA, Green WR, (Eds). Retina-Vitreous- Macula, 1st edition. Philadelphia, Pennsylvania: WB Saunders; 1999;1298-1319.
  15. 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.
  16. 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.
  17. 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.                
  18. 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.