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Anatomical and functional results of ILM peeling vs non-peeling in macula-off rhegmatogenous retinal detachment

Graefe's Archive for Clinical and Experimental Ophthalmology Jun 05, 2020

Sousa K, Calvão-Santos G, Costa J, et al. - In this retrospective cohort study, researchers sought to compare anatomical and functional results between internal limiting membrane (ILM) peeling and non-ILM peeling in macula-off rhegmatogenous retinal detachment (RRD). The sample consisted of patients who had pars plana vitrectomy (PPV) due to macula-off RRD. ILM peeling (P) vs non-ILM peeling (NP) groups were contrasted regarding best-corrected visual acuity (BCVA), anatomical success, endotamponade, concomitant scleral band placement and BCVA gain for epiretinal membranes (ERM) resubjected to PPV. Although the formation of ERM and increased anatomical success are reasons to support the use of ILM peeling in RRD, there was no anatomical or functional difference between ILM peeling and secondary ERM peeling.

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