Comparison of Individual Retinal Layer Thicknesses after Epiretinal Membrane Surgery with or without Internal Limiting Membrane Peeling
Purpose. To compare changes in the retinal layer thickness and visual outcomes in patients undergoing epiretinal membrane (ERM) surgery with or without internal limiting membrane (ILM) peeling. Methods. Seventy-six eyes of 76 patients who underwent ERM surgery from January 2013 to March 2015 at the...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2018/1256781 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849397334279979008 |
|---|---|
| author | Chul Hee Lee Min Woo Lee Eun Young Choi Suk Ho Byeon Sung Soo Kim Hyoung Jun Koh Sung Chul Lee Min Kim |
| author_facet | Chul Hee Lee Min Woo Lee Eun Young Choi Suk Ho Byeon Sung Soo Kim Hyoung Jun Koh Sung Chul Lee Min Kim |
| author_sort | Chul Hee Lee |
| collection | DOAJ |
| description | Purpose. To compare changes in the retinal layer thickness and visual outcomes in patients undergoing epiretinal membrane (ERM) surgery with or without internal limiting membrane (ILM) peeling. Methods. Seventy-six eyes of 76 patients who underwent ERM surgery from January 2013 to March 2015 at the Department of Ophthalmology, Yonsei University College of Medicine, Seoul, South Korea, were analyzed. While ERM removal with ILM peeling was performed in ILM peeling (P) group (n=39), ILM peeling was not performed in non-ILM peeling (NP) group (n=37). Retinal layer segmentation was performed using optical coherence tomography images. Individual retinal layer thicknesses before and at 6 months after ERM surgery were compared. The postoperative best-corrected visual acuity (BCVA) was also compared. Results. In the P group, the thicknesses of retinal nerve fiber layer (RNFL), ganglion cell layer (GCL), and inner plexiform layer (IPL) were significantly reduced. In the NP group, significant decreases in the RNFL, GCL, IPL, inner nuclear layer, and outer plexiform layer were observed. The P group manifested a greater mean postoperative GCL (35.56 ± 1.53 µm vs 29.86 ± 2.16 µm; p=0.033) and less loss of GCL (−10.26 ± 1.91 µm vs −19.86 ± 2.74 µm; p=0.004) compared to the NP group. No statistically significant differences were observed when comparing the changes in BCVA. Conclusions. This study demonstrates that ILM peeling for ERM surgery may result in better preservation of GCL compared to no ILM peeling. |
| format | Article |
| id | doaj-art-ae4d45a6a26649daa7d8982b43f72ee0 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-ae4d45a6a26649daa7d8982b43f72ee02025-08-20T03:39:04ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/12567811256781Comparison of Individual Retinal Layer Thicknesses after Epiretinal Membrane Surgery with or without Internal Limiting Membrane PeelingChul Hee Lee0Min Woo Lee1Eun Young Choi2Suk Ho Byeon3Sung Soo Kim4Hyoung Jun Koh5Sung Chul Lee6Min Kim7Department of Ophthalmology, Institute of Vision Research, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of KoreaDepartment of Ophthalmology, Institute of Vision Research, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of KoreaDepartment of Ophthalmology, Institute of Vision Research, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of KoreaDepartment of Ophthalmology, Institute of Vision Research, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of KoreaDepartment of Ophthalmology, Institute of Vision Research, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of KoreaDepartment of Ophthalmology, Institute of Vision Research, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of KoreaDepartment of Ophthalmology, Institute of Vision Research, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of KoreaDepartment of Ophthalmology, Institute of Vision Research, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of KoreaPurpose. To compare changes in the retinal layer thickness and visual outcomes in patients undergoing epiretinal membrane (ERM) surgery with or without internal limiting membrane (ILM) peeling. Methods. Seventy-six eyes of 76 patients who underwent ERM surgery from January 2013 to March 2015 at the Department of Ophthalmology, Yonsei University College of Medicine, Seoul, South Korea, were analyzed. While ERM removal with ILM peeling was performed in ILM peeling (P) group (n=39), ILM peeling was not performed in non-ILM peeling (NP) group (n=37). Retinal layer segmentation was performed using optical coherence tomography images. Individual retinal layer thicknesses before and at 6 months after ERM surgery were compared. The postoperative best-corrected visual acuity (BCVA) was also compared. Results. In the P group, the thicknesses of retinal nerve fiber layer (RNFL), ganglion cell layer (GCL), and inner plexiform layer (IPL) were significantly reduced. In the NP group, significant decreases in the RNFL, GCL, IPL, inner nuclear layer, and outer plexiform layer were observed. The P group manifested a greater mean postoperative GCL (35.56 ± 1.53 µm vs 29.86 ± 2.16 µm; p=0.033) and less loss of GCL (−10.26 ± 1.91 µm vs −19.86 ± 2.74 µm; p=0.004) compared to the NP group. No statistically significant differences were observed when comparing the changes in BCVA. Conclusions. This study demonstrates that ILM peeling for ERM surgery may result in better preservation of GCL compared to no ILM peeling.http://dx.doi.org/10.1155/2018/1256781 |
| spellingShingle | Chul Hee Lee Min Woo Lee Eun Young Choi Suk Ho Byeon Sung Soo Kim Hyoung Jun Koh Sung Chul Lee Min Kim Comparison of Individual Retinal Layer Thicknesses after Epiretinal Membrane Surgery with or without Internal Limiting Membrane Peeling Journal of Ophthalmology |
| title | Comparison of Individual Retinal Layer Thicknesses after Epiretinal Membrane Surgery with or without Internal Limiting Membrane Peeling |
| title_full | Comparison of Individual Retinal Layer Thicknesses after Epiretinal Membrane Surgery with or without Internal Limiting Membrane Peeling |
| title_fullStr | Comparison of Individual Retinal Layer Thicknesses after Epiretinal Membrane Surgery with or without Internal Limiting Membrane Peeling |
| title_full_unstemmed | Comparison of Individual Retinal Layer Thicknesses after Epiretinal Membrane Surgery with or without Internal Limiting Membrane Peeling |
| title_short | Comparison of Individual Retinal Layer Thicknesses after Epiretinal Membrane Surgery with or without Internal Limiting Membrane Peeling |
| title_sort | comparison of individual retinal layer thicknesses after epiretinal membrane surgery with or without internal limiting membrane peeling |
| url | http://dx.doi.org/10.1155/2018/1256781 |
| work_keys_str_mv | AT chulheelee comparisonofindividualretinallayerthicknessesafterepiretinalmembranesurgerywithorwithoutinternallimitingmembranepeeling AT minwoolee comparisonofindividualretinallayerthicknessesafterepiretinalmembranesurgerywithorwithoutinternallimitingmembranepeeling AT eunyoungchoi comparisonofindividualretinallayerthicknessesafterepiretinalmembranesurgerywithorwithoutinternallimitingmembranepeeling AT sukhobyeon comparisonofindividualretinallayerthicknessesafterepiretinalmembranesurgerywithorwithoutinternallimitingmembranepeeling AT sungsookim comparisonofindividualretinallayerthicknessesafterepiretinalmembranesurgerywithorwithoutinternallimitingmembranepeeling AT hyoungjunkoh comparisonofindividualretinallayerthicknessesafterepiretinalmembranesurgerywithorwithoutinternallimitingmembranepeeling AT sungchullee comparisonofindividualretinallayerthicknessesafterepiretinalmembranesurgerywithorwithoutinternallimitingmembranepeeling AT minkim comparisonofindividualretinallayerthicknessesafterepiretinalmembranesurgerywithorwithoutinternallimitingmembranepeeling |