Internal Limiting Membrane Flap in the Management of Retinal Detachment due to Paracentral Retinal Breaks
Purpose. To describe the technique and outcomes of using either inverted or free internal limiting membrane flap in the management of retinal detachment due to paracentral retinal breaks. Methods. This retrospective observational case series includes nine patients who received surgery for retinal de...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2019/4303056 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832549556281147392 |
|---|---|
| author | Yen-Chih Chen Chung-May Yang San-Ni Chen |
| author_facet | Yen-Chih Chen Chung-May Yang San-Ni Chen |
| author_sort | Yen-Chih Chen |
| collection | DOAJ |
| description | Purpose. To describe the technique and outcomes of using either inverted or free internal limiting membrane flap in the management of retinal detachment due to paracentral retinal breaks. Methods. This retrospective observational case series includes nine patients who received surgery for retinal detachment due to paracentral retinal breaks developed either from primary rhegmatogenous origin, or secondary iatrogenic retinal breaks after prior membrane peeling, or during surgery for tractional retinal detachment. Either inverted or free internal limiting membrane flaps were inserted in the identified breaks, followed by air fluid exchange and gas tamponade. Visual acuity and structural changes were evaluated. Results. Nine eyes were included. One had primary rhegmatogenous retinal detachment, one had highly myopic eye with peripapillary atrophic hole, three had secondary retinal detachment after membrane peeling for foveoschisis or macular pucker, one had recurrent retinal detachment due to proliferative vitreoretinopathy, one had combination of tractional and rhegmatogenous retinal detachment, and two had iatrogenic breaks during surgery. The retinal breaks of all eyes were sealed with retina attached postoperatively. Visual acuity in logarithm of minimal angle of resolution improved from 1.18 ± 0.55 preoperatively to 0.74 ± 0.47 postoperatively (p=0.04). Conclusion. Internal limiting membrane flap technique can be a surgical approach selectively for retinal detachment due to paracentral retinal breaks with difficulty for laser application. The retina can be attached successfully and achieve good visual outcome without major complication. This trial is registered with NCT03707015. |
| format | Article |
| id | doaj-art-03bdf490288b41daa461b01b69c1dd3b |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-03bdf490288b41daa461b01b69c1dd3b2025-02-03T06:10:53ZengWileyJournal of Ophthalmology2090-004X2090-00582019-01-01201910.1155/2019/43030564303056Internal Limiting Membrane Flap in the Management of Retinal Detachment due to Paracentral Retinal BreaksYen-Chih Chen0Chung-May Yang1San-Ni Chen2Department of Ophthalmology, Changhua Christian Hospital, Changhua, TaiwanSchool of Medicine, National Taiwan University, Taipei, TaiwanDepartment of Ophthalmology, Changhua Christian Hospital, Changhua, TaiwanPurpose. To describe the technique and outcomes of using either inverted or free internal limiting membrane flap in the management of retinal detachment due to paracentral retinal breaks. Methods. This retrospective observational case series includes nine patients who received surgery for retinal detachment due to paracentral retinal breaks developed either from primary rhegmatogenous origin, or secondary iatrogenic retinal breaks after prior membrane peeling, or during surgery for tractional retinal detachment. Either inverted or free internal limiting membrane flaps were inserted in the identified breaks, followed by air fluid exchange and gas tamponade. Visual acuity and structural changes were evaluated. Results. Nine eyes were included. One had primary rhegmatogenous retinal detachment, one had highly myopic eye with peripapillary atrophic hole, three had secondary retinal detachment after membrane peeling for foveoschisis or macular pucker, one had recurrent retinal detachment due to proliferative vitreoretinopathy, one had combination of tractional and rhegmatogenous retinal detachment, and two had iatrogenic breaks during surgery. The retinal breaks of all eyes were sealed with retina attached postoperatively. Visual acuity in logarithm of minimal angle of resolution improved from 1.18 ± 0.55 preoperatively to 0.74 ± 0.47 postoperatively (p=0.04). Conclusion. Internal limiting membrane flap technique can be a surgical approach selectively for retinal detachment due to paracentral retinal breaks with difficulty for laser application. The retina can be attached successfully and achieve good visual outcome without major complication. This trial is registered with NCT03707015.http://dx.doi.org/10.1155/2019/4303056 |
| spellingShingle | Yen-Chih Chen Chung-May Yang San-Ni Chen Internal Limiting Membrane Flap in the Management of Retinal Detachment due to Paracentral Retinal Breaks Journal of Ophthalmology |
| title | Internal Limiting Membrane Flap in the Management of Retinal Detachment due to Paracentral Retinal Breaks |
| title_full | Internal Limiting Membrane Flap in the Management of Retinal Detachment due to Paracentral Retinal Breaks |
| title_fullStr | Internal Limiting Membrane Flap in the Management of Retinal Detachment due to Paracentral Retinal Breaks |
| title_full_unstemmed | Internal Limiting Membrane Flap in the Management of Retinal Detachment due to Paracentral Retinal Breaks |
| title_short | Internal Limiting Membrane Flap in the Management of Retinal Detachment due to Paracentral Retinal Breaks |
| title_sort | internal limiting membrane flap in the management of retinal detachment due to paracentral retinal breaks |
| url | http://dx.doi.org/10.1155/2019/4303056 |
| work_keys_str_mv | AT yenchihchen internallimitingmembraneflapinthemanagementofretinaldetachmentduetoparacentralretinalbreaks AT chungmayyang internallimitingmembraneflapinthemanagementofretinaldetachmentduetoparacentralretinalbreaks AT sannichen internallimitingmembraneflapinthemanagementofretinaldetachmentduetoparacentralretinalbreaks |