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The effect of internal limiting membrane peeling in surgical treatment of combined hamartoma and epiretinal membrane
Author(s) -
Park J.M.,
Soo Jung L.,
Ji Hyun P.,
Myung In Y.
Publication year - 2017
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2017.0f060
Subject(s) - vitrectomy , epiretinal membrane , retinal pigment epithelium , medicine , pars plana , retina , hamartoma , ophthalmology , retinal , visual acuity , retinal detachment , inner limiting membrane , internal limiting membrane , macular hole , pathology , biology , neuroscience
Purpose This study was designed to evaluate the effect of internal limiting membrane ( ILM ) peeling in the surgical management of combined hamartoma of the retina and retinal pigment epithelium and epiretinal membrane ( ERM ). Methods The records of 11 patients (11 eyes) with ERM of combined hamartoma of the retina and retinal pigment epithelium, 22 patients (22 eyes) with ERM who had undergone pars plana vitrectomy with removal of the ERM were retrospectively reviewed. The patients were divided into four groups: eyes without (6 eyes) or with (5 eyes) ILM peeling in ERM of combined hamartoma of the retina and retinal pigment epithelium and eyes without (12 eyes) or with (10 eyes) ILM peeling in ERM . Anatomical outcomes, functional outcomes, complications and recurrences were compared between the eyes without and with ILM peeling. Anatomical outcome included the central retinal thickness and subfoveal choroidal thickness from optical coherence tomography ( OCT ). Functional outcomes included the change in best‐corrected visual acuity ( BCVA ). Results Central retinal thickness and subfoveal choroidal thickness decreased and postoperative BCVA improved in without and with ILM peeling in ERM of combined hamartoma and ERM . But there were no statistically significant differences in central retinal thickness, subfoveal choroidal thickness, BCVA between without and with ILM peeling in ERM of combined hamartoma and ERM . There was no complicated and recurred case in four groups. Conclusions The additional ILM peeling in patients with ERM of combined hamartoma of the retina and retinal pigment epithelium, ERM doesn't affect the postoperative results in central retinal thickness, subfoveal choroidal thickness and visual acuity.