Abstract
Purpose: :
To evaluate the effect of internal limiting membrane (ILM) peeling in surgical management of idiopathic macular epiretinal membrane(ERM).
Methods: :
We retrospectively reviewed the records of 36 patients(36 eyes)with idiopathic macular ERM who underwent pars plana vitrectomy with removal of ERM. The patients were devided into two groups as eyes with(18 eyes) or without(18 eyes) ILM peeling. Best corrected visual acuity(BCVA), recurrence of ERM, persistence of retinal wrinkling, complications and improvement of visual quility were compared between two groups.
Results: :
Recurrence of ERM and persistence of retinal wrinkling were much decreased in a group with ILM peeling than in a group without ILM peeling. But there were no statiatical difference between the two groups in the improvement of BCVA and visual quility and the complications postoperatively.
Conclusions: :
ILM peelng in surgical management of idiopathic macular ERM dose not affect the postoperative result in visual acuity and complications except persistence of retinal wrinkling and recurrence.
Keywords: macula/fovea • vitreoretinal surgery • retina