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SPECIAL ARTICLE Double Peeling During Vitrectomy for Macular Pucker The Charles L. Schepens Lecture Stanley Chang, MD; Emily M. Gregory-Roberts, MBBS; Sungpyo Park, MD, PhD; Ketan Laud, MD; Scott D. Smith, MD, MPH; Quan V. Hoang, MD, PhD piretinal membranes are commonly encountered in retinal practice, and they result in decreased vision. The present work addresses whether peeling of the internal limiting membrane is necessary during vitrectomy for macular pucker. We performed a retro- E spective analysis to investigate the effects of “single peeling,” in which only the epireti- nal membrane was peeled, and “double peeling,” in which the internal limiting membrane was also stained and peeled. Although significantly more patients in the single-peeling group had an epiretinal membrane remaining in the central fovea postoperatively, visual acuity was not found to differ between the 2 groups in the short term. Patients who had an epiretinal membrane for more than 18 months had significantly worse visual acuity outcomes. Unexpectedly, there was a greater proportional decrease in central macular thickness in the single-peeling group than in the double peeling group, a finding that deserves further study. JAMA Ophthalmol. 2013;131(4):525-530 I would like to thank the American Acad- emy of Ophthalmology, the
JAMA Ophthalmology – American Medical Association
Published: Apr 1, 2013
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