ILM peel for macular oedema secondary to branch retinal vein occlusion

Session Details

Session Title: Free Paper Session 26: Vitreoretinal Surgery VI

Session Date/Time: Sunday 10/09/2017 | 10:00-11:30

Paper Time: 10:30

Venue: Room 116

First Author: : H.Khaqan PAKISTAN

Co Author(s): :    H. Kiyani                             

Abstract Details

Purpose:

To evaluate anatomic and functional outcomes in patients with macular edema in branch retinal vein occlusion treated with pars plana vitrectomy and internal limiting membrane peeling

Setting:

Study was conducted at Department of Ophthalmology, Post Graduate Medical Institute/Lahore General Hospital, Lahore from January 2011 to January 2016.

Methods:

A total of 55 eyes underwent PPV with ILM peeling and endo tamponade of air. Visual acuity, fluorescein angiography, optical coherence tomography were performed pre-operatively and postoperatively every 4 weeks for one year

Results:

In 46(83.6%) eyes the central macular thickness improved from 465 ± 91 micron meter at baseline to 295 ± 103 micron meter (P<0.003). In 9 (16.3%) eyes central macular thickness did not decrease. In 43 (78.1%) eyes BCVA improved (P<0.05) . In 37 (86%) eyes BCVA improved (mean 3.6 Snellen lines) while in 6 (13.9%) eye BCVA improved (2.4 Snellen lines). In 12 eyes (21.8%) BCVA did not improve. No statistically significant difference in visual acuity improvement in ischaemic or non-ischaemic BRVO (p>0.05).

Conclusions:

PPV with ILM peel is beneficial in resolution of macular edema secondary to BRVO and improves visual acuity in ischaemic and non-ischaemic BRVO

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