Carregant...
Fitxers
Tipus de document
ArticleVersió
Versió publicadaData de publicació
Llicència de publicació
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/171762
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
Títol de la revista
Director/Tutor
ISSN de la revista
Títol del volum
Recurs relacionat
Resum
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.
Matèries (anglès)
Citació
Citació
ARIAS BARQUET, Lluís, PADRÓN PÉREZ, Noel, FLORES MORENO, Ignacio, GIRALT, Lena, COBOS MARTÍN, Estefanía, LORENZO, Daniel, GARCÍA BRU, Pere, DIAS, Bruno, CAMINAL MITJANA, Josep maria. 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. _Retina The Journal of Retinal and Vitreous Diseases_. 2020. Vol. 40, núm. 7, pàgs. 1286-1298. [consulta: 21 de gener de 2026]. [Disponible a: https://hdl.handle.net/2445/171762]