First Author: A.T.Yazici TURKEY
Co Author(s): A. Ozkaya S. Erbildim K. Yuksel Z. Alkin C. Alagoz 0 0 0 0 0 0 0 0 0
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To compare functional and anatomical results of epiretinal membrane (ERM) surgery with or without internal limiting membrane(ILM) peeling procedure during Pars Plana Vitrectomy in diabetic patients.
Beyoglu Eye Training and Research Hospital, Istanbul, Turkey.
Retrospective, comparative study.. Patients who underwent undergoing 23 Gauge vitrectomy for diabetic epiretinal membrane between March 2010 and January 2012 were divided into either Group 1, ERM peeling only (26 patients) group or Group 2, ERM plus ILM peeling group (18 patients). Best corrected visual acuity (BCVA), fundus examination and Spectral domain OCT were conducted preoperatively and at 1, 3, 6, 9 and 12 months postoperatively. Primary outcomes were functional and anatomical outcomes of the surgery, secondary outcomes was the morphology of the fovea after surgery and the rate of recurrence.
Group 1 consisted of 26 patients, and group 2 consisted of 18 patients. The mean preoperative BCVA was 0.16±0.03 LogMAR in Group 1, and 0.19±0.04 logMAR in Group 2, respectively. Visual acuity improved in groups at month 12 (p<0.05, p=0.05). Central macular thickness (CMT) were reduced in both groups at month 12 (Group 1, p<0. 05, Group 2, p<0. 05). There was not significant difference between the two groups in regards of change in BCVA and CMT (p>0.05, p>0.05). The recuurence rate was higher in group 1 (p<0.05).
The anatomical and functional results were similar between the two groups. Internal limiting membrane removal during diabetic ERM surgery may minimize the recurrence of ERM formation without adverse visual and anatomical outcomes.