J Korean Ophthalmol Soc > Volume 49(4); 2008 > Article
Journal of the Korean Ophthalmological Society 2008;49(4):595-600.
DOI: https://doi.org/10.3341/jkos.2008.49.4.595    Published online April 15, 2008.
Efficacy of Routine Internal Limiting Membrane Removal During Vitrectomy in Proliferative Diabetic Retinopathy.
Young Jae Choi, Sung Woo Kim, In Kyoung Oh, Jaeryung Oh, Kuhl Huh
Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. dumky@unitel.co.kr
증식당뇨망막병증 환자에서 유리체절제술시 일상적인 내경계막제거술의 효과
최영재ㆍ김성우ㆍ오인경ㆍ오재령ㆍ허 걸
Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea
Abstract
PURPOSE
To evaluate the efficacy of internal limiting membrane (ILM) removal during vitrectomy in proliferative diabetic retinopathy (PDR) patients. METHODS: Seventy-four eyes of 74 PDR patients who underwent vitrectomy were enrolled. All patients had been followed for at least one year. Thirty-three patients who underwent vitrectomy without ILM peeling from January 2004 to February 2005 were assigned to Group A and 41 patients who underwent vitrectomy with ILM peeling from March 2005 to October 2005 were assigned to Group B. Visual acuity (LogMAR), central macular thickness measured by optical coherent tomography (OCT), and presence or absence of macular edema were compared between the two groups at six months and one year after surgery. RESULTS: Postoperative mean best corrective visual acuity (BCVA; LogMAR) were improved significantly in both groups at six months and one year after surgery. However, the overall amount of improvement in vision was not different between the two groups. The mean central forveal thickness in Group B was significantly thinner than in Group A at six months and one year after surgery. There was no difference between the two groups in macular edema incidence at that time. There were no serious complications in Group B by one year after surgery. CONCLUSIONS: There was no difference in visual acuity between the Group A and Group B However, the central forveal thickness measured by OCT was thinner in the ILM peeling group, and there were no serious complications in ILM peeling group. Routine ILM peeling during vitrectomy in PDR will help to maintain the structural stability of the macula postoperatively.
Key Words: Diabetic macular edema;ILM peeling;Vitrectomy


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