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Jung Min Park, Shin Yeop Oh, Soo Jung Lee; The Effect of Internal Limiting Membrane Peeling in Epiretinal Membrane Including Pseudolamellar Macular Hole. Invest. Ophthalmol. Vis. Sci. 2013;54(15):5764. doi: https://doi.org/.
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© ARVO (1962-2015); The Authors (2016-present)
To report the effect and visual improvement of internal limiting membrane(ILM) peeling, and epiretinal membrane(ERM) peeling in symptomatic epiretinal membrane with pseudolamellar macular hole.
Twenty seven eyes in 26 consecutive patients with ERM including pseudolamellar macular hole underwent a vitrectomy, ERM peeling, intravitreal gas tamponade and maintain a face-down position for 7 days. ILM peeling was performed only thirteen eyes in 13 patients. The patients were divided into two groups: eyes with(14 eyes) or without(13 eyes) ILM peeling and the follow-up period was 12 months or more in all cases. The postoperative anatomic results by Optical Coherence Tomography(OCT) and improvement of best corrected visual acuity(BCVA) were retrospectively compared in two groups.
Anatomic closure after the surgery was achieved in 11 eyes(78.6%) of the non ILM peeling group and in 12 eyes(92.3%) of the ILM peeling group(p=0.596). The BCVA improved from 0.41±0.31(logMAR) to 0.33±0.21 in non ILM peeling group(p=0.479) and from 0.46±0.41(logMAR) to 0.28±0.25 in ILM peeling group(p=0.001).
The additional ILM peeling is an effective technique in BCVA improvement of ERM with pseudolamellar macular hole. Vitrectomy, ERM peeling, Gas tamponade and ILM peeling were significant for anatomic and functional success in the ERM with pseudolamellar macular hole.
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