First Author: E.Infantes Molina SPAIN
Co Author(s): M. Dominguez Fernandez A. Arias Palomero A. Nunez Sanchez M. Pradas Gonzalez M. De Frutos Leon F. Gonzalez del Valle
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To report the outcomes of vitrectomy with internal limiting membrane peeling for retinal detachment and coexisting macular hole.
Ophthalmology department of La Mancha Centro Hospital, Spain
Retrospective interventional case series. Nineteen consecutive patients (19 eyes) with retinal detachment and a coexisting macular hole were enrolled from 2008 to April 2016. All patients underwent vitrectomy with scleral buckling, posterior hyaloid dissection, with or without endolaser and gas or silicone oil tamponade. The main outcome measures were change in best-corrected visual acuity, retinal reattachment, macular hole closure, and type of macular hole closure.
The mean age was 68.4 years. The retinal reattachment rate was 80%, macular hole closed in 19 eyes (100%). Seven patients underwent phacoemulsification at the time of vitrectomy. Mean the minimum angle of resolution best-corrected visual acuity improved to 0.34 at 6 months, 0.37 to one year, and 0.43 to second year postop. There was no need for a second surgery for epirretinal membrane in any of the patients when internal limiting membrane peeling was performed in the retinal detachment surgery.
The anatomical and visual outcomes of vitrectomy with internal limiting membrane peeling in retinal detachment and macular hole were optimum. Internal limiting membrane peeling in retinal detachment seems to reduce the incidence of secondary epirretinal membrane formation.