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Tommaso Micelli Ferrari, Luisa Micelli Ferrari, Massimo Lorusso, Marco Leozappa, Saba Ciani; Pars plana vitrectomy with or without internal limiting membrane peeling for the repair of primary rhegmatogenous retinal detachment.. Invest. Ophthalmol. Vis. Sci. 2014;55(13):1169.
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To compare anatomical, functional outcomes and complications of 23-gauge (G) pars plana vitrectomy (PPV) with or without internal limiting membrane(ILM) peeling for the management of primary rhegmatogenous retinal detachment (RRD)
Twenty-four eyes from 24 patients with a minimum follow-up of 6 months were retrospectively evaluated. 14 patients underwent standard 23-G vitrectomy (group A) and 10 patients underwent 23-G PPV with ilm peeling (group B). All patients underwent laser or cryo retinopexy. SF6 20%, C3F8 15% or silicon oil were used as an internal tamponade.
The mean follow-up interval was 6.87(± 2.62) and 6.98 (± 2.55) months in group A and B respectively.). Post-operative hypotony was observed in no case. No redetachment occurred in both groups. All retinas were attached at final follow-up. Logarithm of the minimum angle of resolution visual acuity significantly improved from 2,15 to 0,77 in group A and from 2,16 to 0,93 in the group B(P = 0,002;0,005).
PPV with or without ilm peeling yields similar single operation anatomical success rates for the repair of uncomplicated primary RRDs. Both groups presented similar functional and anatomical outcomes.
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