•  
  •  
 

Corresponding Author

Mohammad Hassan Elsayed El-Baz

Document Type

Original Article

Abstract

Background: One of the main causes of eyesight loss in the world today is hegmatogenous retinal detachment (RRD). RRD has been found to occur in 7.98–18.2 persons per 100,000, with higher prevalence in older patients and males.

Aim of the Work: To compare the morphological and functional outcomes of internal limited membranes peeling and non-peeling in the context of pressure ulcer prevention in cases of primary radiation kidney disease.

Patients and Methods: This prospective interventional trial included 40 patients' eyes from 40 different with primary (RRD) proliferative vitreoretinopathy (PVR) less than grade c were brought to the Al-Azhar University ophthalmology outpatient clinic. Subsequently, they were organized to undergo pars plana vitrectomy accompanied by silicon oil tamponade. Group 1 consisted of twenty eyes that exhibited ILM peeling, but group 2 did not have any ILM peeling.

Results: At the conclusion of a six-month follow-up, the patients assigned to the ILM peel group exhibited no indications of endometrial stem cell (ERM) in relation to morphological and functional outcomes. However, a sizable portion of patients (20%) 4/20 who had a vitrectomy without ILM peeling experienced ERM six months after the procedure. Nevertheless, the final BCVA result did not differ significantly between both groups in spite of the ILM peel group not having ERM formation.

Conclusion: In order to decrease the necessity for a second vitrectomy after primary RRD surgery, ILM peeling during the procedure is crucial in minimizing the development of macular ERM.

Keywords

Rhegmatogenous Retinal Detachment; Peeling; non-Peeling; Internal Limiting Membrane

Subject Area

Ophthalmology

Download

Share

COinS