What is it about?
Post-surgical ERM growth sometimes causes visual disturbance in eyes treated for RRD, and the visual loss or metamorphopsia might be persistent even after surgical removal of the ERM. This study shows that ILM peeling during the initial vitrectomy for RRD is very effective in preventing secondary ERM growth, with good visual prognosis.
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Perspectives
Prevention of post-surgical ERM growth is desirable for all patients undergoing vitrectomy to repair RRDs. Some previous literature has dealt with macula-off cases to discuss the advantage of ILM peeling; however, macula-on cases should also be considered for this procedure because visual prognosis is usually expected to be quite normal in those cases. Once a severe ERM occurs, persistent metamorphopsia may cause visual impairment even after the ERM is removed and visual acuity is recovered. To apply ILM peeling to both macula-on and -off cases, safety of the procedure in long follow-up is crucial. In this article, non-inferiority of visual acuities was confirmed at 6 months among cases treated with ILM peeling when compared to cases treated without ILM peeling. Further analyses among macula-on cases have also be done and published in Retinal Cases and Brief Reports (Akiyama K et al. Epub ahead of print 2018).
Dr. Kunihiko Akiyama
National Hospital Organization Tokyo Medical Center
Read the Original
This page is a summary of: Internal Limiting Membrane Peeling to Prevent Post-vitrectomy Epiretinal Membrane Development in Retinal Detachment, American Journal of Ophthalmology, November 2016, Elsevier,
DOI: 10.1016/j.ajo.2016.08.015.
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