Retinal Detachment
Conditions
Keywords
Internal limiting membrane, multifocal electoretinogram (ERG), OCT-Angiography
Brief summary
Internal limiting membrane peeling is performed during vitrectomy for macular diseases such as macular holes, macular edema due to diabetic retinopathy and retinal vein occlusion. The incidence of epiretinal membrane formation after vitrectomy for rhegmatogenous detachment has been reported to range from 4.4% to 12.8%. In this study, the efficacy and safety of internal limiting membrane peeling will be studied in vitrectomy for rhegmatogenous retinal detachment and if it is essential to peel it in those cases or not.
Detailed description
interventional observational study comparing vitrectomy with versus without internal limiting membrane peeling in cases of rhegmatogenous retinal detachment.
Interventions
vitrectomy with and without ILM peeling
Sponsors
Study design
Eligibility
Inclusion criteria
* All eyes with recent macula-off rhegmatogenous retinal detachment (RRD).
Exclusion criteria
* Complicated cases with advanced proliferative vitreoretinopathy (PVR). * Patients with retinal vascular disorders and other macular disorders. * Combined tractional and rhegmatogenous detachment. * Previous retinal reattachment surgery or Intravitreal injections. * Glaucomatous patients. * Patients with corneal opacity which impairs good visualization.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| anatomical outcome | 6 months follow up | Rate of retinal reattachment using indirect ophthalmoscopy |
| epiretinal membrane | 6 months follow up | incidence rate of epiretinal membrane formation after surgery in % percent |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| functional outcome | 6 months follow up | visual functions using log Mar Best Corrected Visual Acuity (BCVA) |
| superficial capillary density | 6 months follow up | measurement of percent (%) of superficial and deep capillary density using Optical Coherance Tomography Angiography |
| multi-focal Electroretinogram | 6 months follow up | measurement of P1 amplitude |
Countries
Egypt