The Effect of Internal Limiting Membrane Peeling on Anatomical and Visual Outcomes in Patients with Macula-Off Retinal Detachment
Year: 2025
Type: article
Abstract: Objectives: This study aimed to evaluate the anatomical and visual outcomes of internal limiting membrane (ILM) peeling in patients with macula-involving ("macula-off") retinal detachment treated with silicone oil endotamponade. Materials and Methods:The study included 19 eyes of 19 patients (Group 1, ILM peeled) and 33 eyes of 32 patients (Group 2, ILM not peeled) who underwent surgery for macula-off retinal detachment at Ege University Department of Ophthalmology.All patients underwent detailed ophthalmological examination and macular optical coherence tomography preoperatively, at postoperative 1 month, and 1 month after silicone removal.Results: The mean age was 60.47±9.9years in Group 1 and 57.56±10.63 years in Group 2. The average follow-up duration was 9.13±5.29 months.Preoperative visual acuity was 1.6±1.3logarithm of the minimum angle of resolution (logMAR) in Group 1 and 1.1±0.8logMAR in Group 2. At postoperative 1 month, visual acuity was 0.8±0.7 logMAR in Group 1 and 0.7±0.7 logMAR in Group 2 (p=0.1).At 1 month postoperatively, epiretinal membrane (ERM) development was not observed in Group 1, while 9 eyes in Group 2 developed ERM.Visual acuity after silicone removal was similar in both groups (p=0.2).Central foveal thickness (µm) and macular volumes (mm 3 ) were comparable in both groups (p>0.05).
Source: Turkish Journal of Ophthalmology
Authors: Deniz Bağcı, Cumali Değirmenci, Filiz Afrashi
Institution: Ege University
Language: English
Topic: Retinal and Macular Surgery
Subfield: Radiology, Nuclear Medicine and Imaging
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4409781860