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163069

INTERNAL LIMITING MEMBRANE PEELING VERSUS NO PEELING IN PRIMARY VITRECTOMY FOR MACULA OFF RHEGMATOGENOUS RETINAL DETACHMENT: A COMPARATIVE STUDY

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Last updated: 05 Jan 2025

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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 30 eyes with rhegmatogenous retinal detachment with macula off
subjected to primary vitrectomy, and classified into 2 groups, Group A cases subjected to primary
vitrectomy without internal limiting membrane peeling and group B cases subjected to primary
vitrectomy, with internal limiting membrane peeling, Assessment of best corrected visual acuity
and 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 < br />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 procedureshowever, the
epiretinal membrane formation was absent in group B with ILM peeling in comparison to group A.

DOI

10.21608/ejco.2018.163069

Keywords

Epiretinal membrane, vitrectomy, internal limiting membrane, rhegmatogenous retinal detachment

Authors

First Name

Awny,

Last Name

I.

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Affiliation

Ophthalmology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

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Orcid

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First Name

Anbar,

Last Name

M.

MiddleName

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Affiliation

Ophthalmology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

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Orcid

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First Name

Mousa,

Last Name

M.

MiddleName

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Affiliation

Ophthalmology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Email

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City

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Orcid

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First Name

Mourtada,

Last Name

H.

MiddleName

-

Affiliation

Ophthalmology dept., Kasr El Ainy Faculty of Medicine, Cairo Univ., Cairo, Egypt

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Volume

1

Article Issue

1

Related Issue

23736

Issue Date

2018-06-01

Receive Date

2017-02-01

Publish Date

2018-06-01

Page Start

37

Page End

42

Print ISSN

2537-0502

Online ISSN

2537-0944

Article File

EJCO_Volume 1_Issue 1_Pages 37-42.pdf

PDF . 288.2kB

Link

https://ejco.journals.ekb.eg/article_163069.html

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https://ejco.journals.ekb.eg/service?article_code=163069

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6

Type

Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Type Code

1,824

Publication Type

Journal

Publication Title

Egyptian Journal of Clinical Ophthalmology

Publication Link

https://ejco.journals.ekb.eg/

MainTitle

INTERNAL LIMITING MEMBRANE PEELING VERSUS NO PEELING IN PRIMARY VITRECTOMY FOR MACULA OFF RHEGMATOGENOUS RETINAL DETACHMENT: A COMPARATIVE STUDY

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Article

Created At

23 Jan 2023