Role of Concomitant Internal Limiting Membrane (ILM) Peeling during Rhegmatogenous Retinal Detachment (RRD) Surgery in Preventing Postoperative Epiretinal Membrane (ERM) Formation

  • Asaad Mahmood Syed Layton Rehmatulla Benevolent Trust
  • Fawad Rizvi Syed LRBT Tertiary Eye Care hospital
  • Burhan Abdul Majid Khan LRBT Tertiary Eye Care hospital, POB Trust Eye Hospital
  • Tanweer Hasan Khan LRBT Tertiary Eye Care hospital
Keywords: Epiretinal Membrane, Internal Limiting Membrane, Optical coherence tomography, Vitrectomy

Abstract

Objective: To investigate the role of concomitant Internal Limiting Membrane (ILM) peeling during surgery for macula off Rhegmatogenous Retinal Detachment (RRD) in preventing postoperative Epiretinal Membrane (ERM) formation; and its effect on the visual acuity.

Methods: This was a prospective, quasi-experimental study conducted from August 2018 to July 2019 at LRBT Tertiary Eye Care hospital, Karachi. Fifty-six patients with macula off RRD were divided into groups A (with ILM peeling) and B (without ILM peeling) via non-probability convenience sampling. All patients underwent standard 3 ports pars plana vitrectomy with silicon oil tamponade. In Group-A, ILM was stained using 0.5% ICG. Patients were evaluated clinically and by spectral domain optical coherence tomography (SD-OCT), pre- and post-operatively. Main outcomes recorded were best corrected visual acuity (BCVA) and occurrence of ERM on SD-OCT.

Results: There were 26 patients in Group-A and 30 patients in Group-B. At six months’ follow-up, ERM had not developed in any case in Group-A compared to five patients (16.7%) in Group-B. There was no statistical difference in mean BCVA change from baseline.

Conclusion: ILM peeling during vitrectomy for RRD prevents the formation of macular ERM post-operatively. This may reduce the need of a second vitrectomy. However, visual outcomes were comparable to the non-ILM peeling vitrectomy.

doi: https://doi.org/10.12669/pjms.37.3.3576

How to cite this:
Mahmood SA, Rizvi SF, Khan BAM, Khan TH. Role of Concomitant Internal Limiting Membrane (ILM) Peeling During Rhegmatogenous Retinal Detachment (RRD) Surgery in Preventing Postoperative Epiretinal Membrane (ERM) Formation. Pak J Med Sci. 2021;37(3):651-656. doi: https://doi.org/10.12669/pjms.37.3.3576

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Fawad Rizvi Syed, LRBT Tertiary Eye Care hospital

Chief Consultant Ophthalmologist

Burhan Abdul Majid Khan, LRBT Tertiary Eye Care hospital, POB Trust Eye Hospital

Consultant Ophthalmologist

Tanweer Hasan Khan, LRBT Tertiary Eye Care hospital

Consultant Ophthalmologist

Published
2021-03-26
How to Cite
Syed, A., Syed, F., Khan, B., & Khan, T. (2021). Role of Concomitant Internal Limiting Membrane (ILM) Peeling during Rhegmatogenous Retinal Detachment (RRD) Surgery in Preventing Postoperative Epiretinal Membrane (ERM) Formation. Pakistan Journal of Medical Sciences, 37(3). https://doi.org/10.12669/pjms.37.3.3576
Section
Original Articles