DR. PURVA VALVEKAR

DR. (MRS.) MADHURI UMAKANT VALVEKAR

Abstract

Purpose: To determine whether ILM peeling during PPV for rheg RD reduces the incidence of ERM formation.

Methods: Retrospective study, of RD patients undergoing PPV with or without ILM peeling were analyzed. All cases with at least 1-year of follow-up were included. Vision, intraoperative complications, occurrence of ERM, and OCT characteristics were noted.

Results: Out of 159 eyes recruited, ILM peeling was done in 78 eyes (49%). Overall occurrence of ERM was 20%. Seven eyes (9%) in ILM peeling group & 25 eyes in non-ILM peeling group (31%) showed ERM (P = 0.001). Postop vision was significantly better ILM peeling eyes (0.48 ± 0.4) vs. non peeling eyes 0.77 ± 0.6) [P =0.003]. In multivariable models adjusting for type of tamponade, ILM peeling reduced the likelihood of ERM formation by 75% (P = 0.01).

Conclusion: ILM during PPV for rheg RD significantly reduces ERM formation in the postoperative

period and is associated with better visual and anatomical outcomes.