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Double Peeling During Vitrectomy for Macular Pucker

Double Peeling During Vitrectomy for Macular Pucker 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6165
eISSN
2168-6173
DOI
10.1001/jamaophthalmol.2013.2176
pmid
23579603
Publisher site
See Article on Publisher Site

Abstract

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

Journal

JAMA OphthalmologyAmerican Medical Association

Published: Apr 1, 2013

References

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