PMID- 29621507
OWN - NLM
STAT- MEDLINE
DCOM- 20190627
LR  - 20190627
IS  - 1879-1891 (Electronic)
IS  - 0002-9394 (Linking)
VI  - 191
DP  - 2018 Jul
TI  - Internal Limiting Membrane Peeling in Macula-off Retinal Detachment Complicated 
      by Grade B Proliferative Vitreoretinopathy.
PG  - 1-6
LID - S0002-9394(18)30152-1 [pii]
LID - 10.1016/j.ajo.2018.03.037 [doi]
AB  - PURPOSE: To investigate the clinical benefit of internal limiting membrane (ILM) 
      peeling as a surgical adjunct in the repair of primary retinal detachment (RD) 
      complicated by grade B proliferative vitreoretinopathy (PVR). DESIGN: 
      Retrospective, interventional, comparative case series. METHODS: Setting, study 
      population, observationalprocedures and Main outcome measures. SETTING: 
      Institutional. STUDY POPULATION: Seventy-five consecutive patients who underwent 
      vitrectomy for primary macula-off RD complicated by grade B PVR. OBSERVATIONAL 
      PROCEDURES: Patients were divided into an ILM peeling (Group P) and a no ILM 
      peeling group (Group NP). MAIN OUTCOME MEASURES: Anatomic success rate, 
      best-corrected visual acuity, and spectral-domain optical coherence tomography 
      (SD-OCT) characteristics were collected at 1 and 6 months. RESULTS: In all, 37 
      eyes with ILM peeling were included in Group P and 38 eyes without ILM peeling 
      were included in Group NP. The anatomic success rate after single surgery was 
      higher in Group P (89%) than in Group NP (66%, P = .03). Mean final visual acuity 
      was 0.41 +/- 0.40 logMAR in Group P vs 0.43 +/- 0.22 logMAR in Group NP (P = .82). We 
      found no epiretinal membrane (ERM) formation in Group P, whereas 5 cases of ERM 
      (20%) were detected in Group NP (P = .012). The 2 groups did not differ in terms 
      of cystoid macular edema occurrence, macular thickness, or photoreceptor damage. 
      CONCLUSIONS: ILM peeling during vitrectomy in macula-off RD complicated by grade 
      B PVR reduces the need for a second surgery for redetachment or macular pucker.
CI  - Copyright (c) 2018 Elsevier Inc. All rights reserved.
FAU - Foveau, Pauline
AU  - Foveau P
AD  - Department of Ophthalmology, University Hospital, Nancy, France.
FAU - Leroy, Bertrand
AU  - Leroy B
AD  - Department of Ophthalmology, University Hospital, Nancy, France.
FAU - Berrod, Jean-Paul
AU  - Berrod JP
AD  - Department of Ophthalmology, University Hospital, Nancy, France. Electronic 
      address: jp.berrod@chru-nancy.fr.
FAU - Conart, Jean-Baptiste
AU  - Conart JB
AD  - Department of Ophthalmology, University Hospital, Nancy, France.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Observational Study
DEP - 20180403
PL  - United States
TA  - Am J Ophthalmol
JT  - American journal of ophthalmology
JID - 0370500
SB  - IM
CIN - Am J Ophthalmol. 2018 Nov;195:244-245. PMID: 30177217
CIN - Am J Ophthalmol. 2018 Nov;195:244. PMID: 30190076
CIN - Am J Ophthalmol. 2018 Dec;196:212-213. PMID: 30274783
CIN - Am J Ophthalmol. 2018 Dec;196:213. PMID: 30286942
MH  - Aged
MH  - Basement Membrane/*surgery
MH  - Endotamponade/methods
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Macula Lutea/pathology/*surgery
MH  - Male
MH  - Middle Aged
MH  - Retinal Detachment/complications/diagnosis/*surgery
MH  - Retrospective Studies
MH  - Tomography, Optical Coherence
MH  - Treatment Outcome
MH  - *Visual Acuity
MH  - Vitrectomy/*methods
MH  - Vitreoretinopathy, Proliferative/diagnosis/etiology/*surgery
EDAT- 2018/04/06 06:00
MHDA- 2019/06/30 06:00
CRDT- 2018/04/06 06:00
PHST- 2017/12/03 00:00 [received]
PHST- 2018/03/17 00:00 [revised]
PHST- 2018/03/22 00:00 [accepted]
PHST- 2018/04/06 06:00 [pubmed]
PHST- 2019/06/30 06:00 [medline]
PHST- 2018/04/06 06:00 [entrez]
AID - S0002-9394(18)30152-1 [pii]
AID - 10.1016/j.ajo.2018.03.037 [doi]
PST - ppublish
SO  - Am J Ophthalmol. 2018 Jul;191:1-6. doi: 10.1016/j.ajo.2018.03.037. Epub 2018 Apr 
      3.