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

Author

Listed:
  • Shumpei Obata
  • Masashi Kakinoki
  • Osamu Sawada
  • Yoshitsugu Saishin
  • Yusuke Ichiyama
  • Masahito Ohji
  • on behalf of the Japan Retina Vitreous Society Registry Committee

Abstract

Purpose: To investigate the effects of internal limiting membrane (ILM) peeling on visual acuity (VA) after rhegmatogenous retinal detachment (RRD) surgery. Methods: 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. Results: 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

Suggested Citation

  • Shumpei Obata & Masashi Kakinoki & Osamu Sawada & Yoshitsugu Saishin & Yusuke Ichiyama & Masahito Ohji & on behalf of the Japan Retina Vitreous Society Registry Committee, 2021. "Effect of internal limiting membrane peeling on postoperative visual acuity in macula-off rhegmatogenous retinal detachment," PLOS ONE, Public Library of Science, vol. 16(8), pages 1-10, August.
    • Handle: RePEc:plo:pone00:0255827
    DOI: 10.1371/journal.pone.0255827
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