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Peeling of internal limiting membrane for macular edema secondary to central retinal vein occlusion Mariko Furukawa 1 , Kazuyuki Kumagai 2 , Nobuchika Ogino 2 , Yumiko Yoshida 1 1Dept of Ophthalmol,Kammi-iida First General Hosp 2Shinjo Ophtalmol Inst pp.2275-2279
Published Date 2004/12/15
DOI https://doi.org/10.11477/mf.1410100869
  • Abstract
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 Purpose:To evaluate the effect of peeling of internal limiting membrane(ILM)in vitrectomy for macular edema secondary to central retinal vein occlusion. Cases and Method:Consecutive series of 78 eyes in 78 patients was reviewed. They comprised 45 eyes operated within 3months of onset(early cases)and 33 eyes operated later(persistent cases). ILM peeling was performed in 37 eyes and not in 41 eyes. Findings:In 45 early cases,macular edema subsided after an average of 6.0months in 23 eyes that received ILM peeling and 4.6months in the other 22 eyes. The difference was not significant(p=0.31). In 33 persistent cases,macular edema subsided after an average of 3.9months in 14 eyes that received ILM peeling and 7.9months in the other 22 eyes. The difference was not significant(p=0.41). In early cases,logMAR visual acuity improved by 0.32 in eyes that received ILM peeling and by 0.19 that did not. In persistent cases,it improved by 0.29 in eyes that received ILM peeling and by 0.21 that did not. The difference was not significant(p=0.60). ILM peeling was not a significant factor in the absorption of macular edema or postoperative visual acuity by multiple regression analysis. Conclusion:ILM peeling does not significantly improve the outcome of vitrectomy for macular edema.


Copyright © 2004, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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