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.