Hussain Ahmad Khaqan, Kashif Jahangir, Hasnain Muhammad Baksh, Hafiz Ateeq-ur Rehman, Raheela Naz.
Internal Limiting Membrane Peeling in Rhegmatogenous Retinal Detachment Associated Macular Holes.
Al-Shifa J Ophthalmol Jan ;16(2):63-7.

Purpose: To evaluate anatomical and visual outcomes in patients with retinal detachment associated macular hole with pars plana vitrectomy (PPV) and internal limiting membrane (ILM) peeling. Methods: Thirty-seven eyes presented with rhegmatogenous retinal detachment associated macular hole and underwent pars plana vitrectomy (PPV) combined with internal limiting membrane (ILM) peeling and perfluropropane (C3F8) internal tamponade. The anatomical outcomes were assessed by the fundus photographs and optical coherence tomography (OCT). The preoperative and postoperative best-corrected visual acuities (BCVAs) were compared as the functional outcome. Results: This study included 33 females and 4 males with mean age of presentation at 55+-06 years. Macular hole was closed and retina was flat in 35(94.5%) eyes. In 02(5.4%) eyes retina was attached but unclosed hole was found during the follow up period. The surgery significantly improved the best corrected visual acuity (BCVA) in all 37 patients (mean 2 Snellen lines) at 3 and 6 months and at the last visit after surgery. Conclusions: Pars plana vitrectomy (PPV) combined with internal limiting membrane (ILM) peeling has high success rate both in closure of macular hole and visual acuity improvement in retinal detachment associated macular hole.

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