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http://hdl.handle.net/2445/171762
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DC Field | Value | Language |
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dc.contributor.author | Arias Barquet, Lluís | - |
dc.contributor.author | Padrón Pérez, Noel | - |
dc.contributor.author | Flores Moreno, Ignacio | - |
dc.contributor.author | Giralt, Lena | - |
dc.contributor.author | Cobos Martín, Estefanía | - |
dc.contributor.author | Lorenzo, Daniel | - |
dc.contributor.author | García Bru, Pere | - |
dc.contributor.author | Dias, Bruno | - |
dc.contributor.author | Caminal Mitjana, Josep Maria | - |
dc.date.accessioned | 2020-11-05T11:17:22Z | - |
dc.date.available | 2020-11-05T11:17:22Z | - |
dc.date.issued | 2020-07-01 | - |
dc.identifier.uri | http://hdl.handle.net/2445/171762 | - |
dc.description.abstract | Purpose: To determine whether internal limiting membrane peeling in primary rhegmatogenous retinal detachment prevents epiretinal membrane (ERM) development. Secondarily, we propose a classification system for postoperative ERMs. Methods: Retrospective, interventional, comparative case series. Consecutive eyes with primary rhegmatogenous retinal detachment (n = 140) treated by a single surgeon. The presence of postoperative ERMs was assessed with swept-source optical coherence tomography. Results: An ERM was detected in 26 eyes (46.4%) in the nonpeeling group and in one eye (1.8%) in the internal limiting membrane peeling group (P <= 0.001). The median visual acuity significantly improved in both groups (P <= 0.001). Inner retinal dimples were observed in 41.1% of eyes in the internal limiting membrane peeling group versus 0% in the nonpeeling group (P <= 0.001), and they were not correlated with visual acuity (r = 0.011;P= 0.941). Based on swept-source optical coherence tomography findings, we identified three different types of ERMs: 7 (26.9%) were classified as Type 1, 12 (46.1%) as Type 2, and 7 (26.9%) as Type 3. Superficial retinal plexus deformations observed on optical coherence tomography angiography and en face images were detected in 100% of Type 3 ERMs, 41.6% of Type 2, and 0% of Type 1 (chi(2)= 14.3;P= 0.001). Interestingly, all of the patients who presented these alterations also had metamorphopsia. Conclusion: Internal limiting membrane peeling in primary rhegmatogenous retinal detachment seems to prevent postoperative ERM development. Swept-source optical coherence tomography analysis is helpful to define and classify different types of ERMs and to establish the surgical indication for their removal. | - |
dc.format.extent | 12 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Lippincott Williams & Wilkins | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1097/IAE.0000000000002591 | - |
dc.relation.ispartof | Retina The Journal of Retinal and Vitreous Diseases, 2020, vol. 40, num. 7, p. 1286-1298 | - |
dc.relation.uri | https://doi.org/10.1097/IAE.0000000000002591 | - |
dc.rights | cc by-nc-nd (c) Arias Barquet et al., 2020 | - |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/es/ | - |
dc.source | Articles publicats en revistes (Ciències Clíniques) | - |
dc.subject.classification | Malalties de la retina | - |
dc.subject.classification | Despreniment de retina | - |
dc.subject.other | Retinal diseases | - |
dc.subject.other | Retinal detachment | - |
dc.title | Internal limiting membrane peeling versus nonpeeling to prevent epiretinal membrane development in primary rhegmatogenous retinal detachment: A swept-source optical coherence tomography study with a new postoperative classification system | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 695799 | - |
dc.date.updated | 2020-11-03T17:09:50Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 31313717 | - |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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File | Description | Size | Format | |
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AriasL.pdf | 1.03 MB | Adobe PDF | View/Open |
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