Effect of internal limiting membrane peeling on postoperative visual acuity in macula-off rhegmatogenous retinal detachment.

<h4>Purpose</h4>To investigate the effects of internal limiting membrane (ILM) peeling on visual acuity (VA) after rhegmatogenous retinal detachment (RRD) surgery.<h4>Methods</h4>This retrospective analysis examined the medical records of patients with RRD who underwent vitre...

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Autores principales:	Shumpei Obata, Masashi Kakinoki, Osamu Sawada, Yoshitsugu Saishin, Yusuke Ichiyama, Masahito Ohji, Japan Retina Vitreous Society Registry Committee
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/92edacd86b8e4652b9ac342847e017ee
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spelling	oai:doaj.org-article:92edacd86b8e4652b9ac342847e017ee2021-12-02T20:18:38ZEffect of internal limiting membrane peeling on postoperative visual acuity in macula-off rhegmatogenous retinal detachment.1932-620310.1371/journal.pone.0255827https://doaj.org/article/92edacd86b8e4652b9ac342847e017ee2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255827https://doaj.org/toc/1932-6203<h4>Purpose</h4>To investigate the effects of internal limiting membrane (ILM) peeling on visual acuity (VA) after rhegmatogenous retinal detachment (RRD) surgery.<h4>Methods</h4>This retrospective analysis examined the medical records of patients with RRD who underwent vitrectomy at 26 institutions. To detect prognostic factors of VA at 6 months postoperatively (post-VA), multivariate linear regression was performed with post-VA as the objective variable; ILM peeling, sex, age, preoperative VA (pre-VA), intraocular pressure, axial length, duration of RRD, and cataract surgery served as explanatory variables. Recurrence of RRD and epiretinal membrane formation within 6 months postoperatively were compared between groups of patients with and without ILM peeling, among patients with macula-on and macula-off RRD.<h4>Results</h4>The inclusion criteria were met by 523 eyes with a macula-on RRD and 364 eyes with a macula-off RRD. ILM peeling was performed in 85 eyes with a macula-on RRD and 57 eyes with a macula-off RRD. In eyes with a macula-on RRD, ILM peeling did not affect post-VA (p = 0.72). Vitrectomy without cataract surgery and poor pre-VA were significantly associated with poor post-VA (p = 0.01 and p < 0.001, respectively). In eyes with a macula-off RRD, ILM peeling, long duration of RRD, and poor pre-VA were significantly associated with poor post-VA (p = 0.037, p = 0.007, and p < 0.001, respectively). Recurrence of RRD and epiretinal membrane formation were similar between groups of patients with and without ILM peeling, among patients with macula-on and macula-off RRD. Retina sensitivity was not evaluated by microperimetry.<h4>Conclusion</h4>ILM peeling did not affect post-VA in eyes with a macula-on RRD, whereas post-VA was worse in eyes with ILM peeling than in eyes without peeling, among eyes with a macula-off RRD.Shumpei ObataMasashi KakinokiOsamu SawadaYoshitsugu SaishinYusuke IchiyamaMasahito OhjiJapan Retina Vitreous Society Registry CommitteePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255827 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Shumpei Obata Masashi Kakinoki Osamu Sawada Yoshitsugu Saishin Yusuke Ichiyama Masahito Ohji Japan Retina Vitreous Society Registry Committee Effect of internal limiting membrane peeling on postoperative visual acuity in macula-off rhegmatogenous retinal detachment.
description	<h4>Purpose</h4>To investigate the effects of internal limiting membrane (ILM) peeling on visual acuity (VA) after rhegmatogenous retinal detachment (RRD) surgery.<h4>Methods</h4>This retrospective analysis examined the medical records of patients with RRD who underwent vitrectomy at 26 institutions. To detect prognostic factors of VA at 6 months postoperatively (post-VA), multivariate linear regression was performed with post-VA as the objective variable; ILM peeling, sex, age, preoperative VA (pre-VA), intraocular pressure, axial length, duration of RRD, and cataract surgery served as explanatory variables. Recurrence of RRD and epiretinal membrane formation within 6 months postoperatively were compared between groups of patients with and without ILM peeling, among patients with macula-on and macula-off RRD.<h4>Results</h4>The inclusion criteria were met by 523 eyes with a macula-on RRD and 364 eyes with a macula-off RRD. ILM peeling was performed in 85 eyes with a macula-on RRD and 57 eyes with a macula-off RRD. In eyes with a macula-on RRD, ILM peeling did not affect post-VA (p = 0.72). Vitrectomy without cataract surgery and poor pre-VA were significantly associated with poor post-VA (p = 0.01 and p < 0.001, respectively). In eyes with a macula-off RRD, ILM peeling, long duration of RRD, and poor pre-VA were significantly associated with poor post-VA (p = 0.037, p = 0.007, and p < 0.001, respectively). Recurrence of RRD and epiretinal membrane formation were similar between groups of patients with and without ILM peeling, among patients with macula-on and macula-off RRD. Retina sensitivity was not evaluated by microperimetry.<h4>Conclusion</h4>ILM peeling did not affect post-VA in eyes with a macula-on RRD, whereas post-VA was worse in eyes with ILM peeling than in eyes without peeling, among eyes with a macula-off RRD.
format	article
author	Shumpei Obata Masashi Kakinoki Osamu Sawada Yoshitsugu Saishin Yusuke Ichiyama Masahito Ohji Japan Retina Vitreous Society Registry Committee
author_facet	Shumpei Obata Masashi Kakinoki Osamu Sawada Yoshitsugu Saishin Yusuke Ichiyama Masahito Ohji Japan Retina Vitreous Society Registry Committee
author_sort	Shumpei Obata
title	Effect of internal limiting membrane peeling on postoperative visual acuity in macula-off rhegmatogenous retinal detachment.
title_short	Effect of internal limiting membrane peeling on postoperative visual acuity in macula-off rhegmatogenous retinal detachment.
title_full	Effect of internal limiting membrane peeling on postoperative visual acuity in macula-off rhegmatogenous retinal detachment.
title_fullStr	Effect of internal limiting membrane peeling on postoperative visual acuity in macula-off rhegmatogenous retinal detachment.
title_full_unstemmed	Effect of internal limiting membrane peeling on postoperative visual acuity in macula-off rhegmatogenous retinal detachment.
title_sort	effect of internal limiting membrane peeling on postoperative visual acuity in macula-off rhegmatogenous retinal detachment.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/92edacd86b8e4652b9ac342847e017ee
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Effect of internal limiting membrane peeling on postoperative visual acuity in macula-off rhegmatogenous retinal detachment.

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