Regular articleMacular pucker removal with and without internal limiting membrane peeling: pilot study
Section snippets
Patients and methods
We performed a retrospective chart review (from two surgeons) of all patients who underwent pars plana vitrectomy for idiopathic macular puckers from June 1999 to July 2000. Institutional review board approval was not required for this retrospective series. Only eyes with idiopathic macular puckers were reviewed. Eyes with a history of retinal detachment, retinal vascular occlusion, uveitis, vitreous hemorrhage, trauma, and ocular tumors were excluded. Forty-four consecutive cases from these
Results
All 44 consecutive patients undergoing pars plana vitrectomy to remove idiopathic macular pucker had a postsurgical follow-up of 3 months’ or longer duration. The mean postsurgical follow-up for operated eyes without ILM peeling was 392 days, and the mean follow-up for eyes with ILM peeling was 384 days. The mean age for both groups was 69 years old.
Twenty-four (55%) patients underwent pars plana vitrectomy surgery without ILM peeling, and 20 patients (45%) underwent pars plana vitrectomy with
Discussion
Forty-four consecutive eyes with idiopathic macular pucker underwent pars plana vitrectomy. Twenty-four had removal of the macular pucker only, and 20 had removal of the macular pucker with an additional macular ILM. One surgeon did not intentionally remove the ILM for his 24 consecutive cases, and the other surgeon always removed the ILM for his 20 consecutive cases.
In this study, none of the eyes that had the additional ILM peeling developed recurrent macular puckers at the final visit,
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Functional and anatomic changes between early postoperative recovery and long-term follow-up after combined epiretinal and internal limiting membrane peeling
2023, Canadian Journal of OphthalmologyCitation Excerpt :However, we found that surgical removal of ERM plus ILM peeling is a procedure that induces changes in the underlying retinal layers over a long follow-up of about 1 year. Although PPV with ERM peeling has been the primary treatment for symptomatic ERMs with decreased acuity for decades, there is no consensus on whether or not ILM peeling improves the outcomes except that it reduces the recurrence rate.5,7-9 Our results showed a progressive reduction in the thickness of the different retinal layers in patients with at least 5 years of follow-up with no apparent deleterious effect on visual acuity.
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