TY - JOUR
T1 - Internal limiting membrane peeling–Dependent retinal structural changes after vitrectomy in rhegmatogenous retinal detachment
AU - Hisatomi, Toshio
AU - Tachibana, Takashi
AU - Notomi, Shoji
AU - Koyanagi, Yoshito
AU - Murakami, Yusuke
AU - Takeda, Atsunobu
AU - Ikeda, Yasuhiro
AU - Yoshida, Shigeo
AU - Enaida, Hiroshi
AU - Murata, Toshinori
AU - Sakamoto, Taiji
AU - Sonoda, Koh Hei
AU - Ishibashi, Tatsuro
N1 - Publisher Copyright:
Copyright © by Ophthalmin Communication Society, Inc.
PY - 2018/3/1
Y1 - 2018/3/1
N2 - Purpose: To examine retinal changes after vitrectomy with internal limiting membrane (ILM) peeling, we used 3-dimensional optical coherence tomography (3D-OCT) in rhegmatogenous retinal detachment cases. Methods: The 68 eyes from 67 patients with rhegmatogenous retinal detachment were studied, including 35 detached macula cases (51%) and 33 attached macula cases. Internal limiting membrane peeling was performed with fine forceps after brilliant blue G staining. The 3D-OCT images were obtained with volume-rendering technologies from cross-sectional OCT images. Results: The 3D-OCT detected 45 eyes (66%) with ILM peeling-dependent retinal changes, including dissociated optic nerve fiber layer appearance, dimple sign, temporal macular thinning, ILM peeling area thinning, or forceps-related retinal thinning. The ILM peeled area was detectable in only 9 eyes with 3D-OCT, whereas it was undetectable in other 59 eyes. The dissociated optic nerve fiber layer appearance was detected in 8 of the total cases (12%), and dimple signs were observed in 14 cases (21%). Forceps-related thinning was also noted in eight cases (24%) of attached macula cases and in four cases (11%) of detached macula cases. No postoperative macular pucker was noted in the observational period. Conclusion: The 3D-OCT clearly revealed spatial and time-dependent retinal changes after ILM peeling. The changes occurred in 2 months and remained thereafter.
AB - Purpose: To examine retinal changes after vitrectomy with internal limiting membrane (ILM) peeling, we used 3-dimensional optical coherence tomography (3D-OCT) in rhegmatogenous retinal detachment cases. Methods: The 68 eyes from 67 patients with rhegmatogenous retinal detachment were studied, including 35 detached macula cases (51%) and 33 attached macula cases. Internal limiting membrane peeling was performed with fine forceps after brilliant blue G staining. The 3D-OCT images were obtained with volume-rendering technologies from cross-sectional OCT images. Results: The 3D-OCT detected 45 eyes (66%) with ILM peeling-dependent retinal changes, including dissociated optic nerve fiber layer appearance, dimple sign, temporal macular thinning, ILM peeling area thinning, or forceps-related retinal thinning. The ILM peeled area was detectable in only 9 eyes with 3D-OCT, whereas it was undetectable in other 59 eyes. The dissociated optic nerve fiber layer appearance was detected in 8 of the total cases (12%), and dimple signs were observed in 14 cases (21%). Forceps-related thinning was also noted in eight cases (24%) of attached macula cases and in four cases (11%) of detached macula cases. No postoperative macular pucker was noted in the observational period. Conclusion: The 3D-OCT clearly revealed spatial and time-dependent retinal changes after ILM peeling. The changes occurred in 2 months and remained thereafter.
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U2 - 10.1097/IAE.0000000000001558
DO - 10.1097/IAE.0000000000001558
M3 - Article
C2 - 28234805
AN - SCOPUS:85013842427
SN - 0275-004X
VL - 38
SP - 471
EP - 479
JO - Retina
JF - Retina
IS - 3
ER -