Internal limiting membrane peeling versus nonpeeling to prevent epiretinal membrane development in primary rhegmatogenous retinal detachment: A swept-source optical coherence tomography study with a new postoperative classification system

Purpose: To determine whether internal limiting membrane peeling in primary rhegmatogenous retinal detachment prevents epiretinal membrane (ERM) development. Secondarily, we propose a classification system for postoperative ERMs. Methods: Retrospective, interventional, comparative case series. Conse...

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Autores: Arias Barquet, Lluís, Padrón Pérez, Noel, Flores Moreno, Ignacio, Giralt, Lena, Cobos Martín, Estefanía, Lorenzo Parra, Daniel, García Bru, Pere, Dias, Bruno, Caminal Mitjana, Josep Maria
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/171762
Acceso en línea:https://hdl.handle.net/2445/171762
Access Level:acceso abierto
Palabra clave:Malalties de la retina
Despreniment de retina
Retinal diseases
Retinal detachment
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spelling Internal limiting membrane peeling versus nonpeeling to prevent epiretinal membrane development in primary rhegmatogenous retinal detachment: A swept-source optical coherence tomography study with a new postoperative classification systemArias Barquet, LluísPadrón Pérez, NoelFlores Moreno, IgnacioGiralt, LenaCobos Martín, EstefaníaLorenzo Parra, DanielGarcía Bru, PereDias, BrunoCaminal Mitjana, Josep MariaMalalties de la retinaDespreniment de retinaRetinal diseasesRetinal detachmentPurpose: To determine whether internal limiting membrane peeling in primary rhegmatogenous retinal detachment prevents epiretinal membrane (ERM) development. Secondarily, we propose a classification system for postoperative ERMs. Methods: Retrospective, interventional, comparative case series. Consecutive eyes with primary rhegmatogenous retinal detachment (n = 140) treated by a single surgeon. The presence of postoperative ERMs was assessed with swept-source optical coherence tomography. Results: An ERM was detected in 26 eyes (46.4%) in the nonpeeling group and in one eye (1.8%) in the internal limiting membrane peeling group (P <= 0.001). The median visual acuity significantly improved in both groups (P <= 0.001). Inner retinal dimples were observed in 41.1% of eyes in the internal limiting membrane peeling group versus 0% in the nonpeeling group (P <= 0.001), and they were not correlated with visual acuity (r = 0.011;P= 0.941). Based on swept-source optical coherence tomography findings, we identified three different types of ERMs: 7 (26.9%) were classified as Type 1, 12 (46.1%) as Type 2, and 7 (26.9%) as Type 3. Superficial retinal plexus deformations observed on optical coherence tomography angiography and en face images were detected in 100% of Type 3 ERMs, 41.6% of Type 2, and 0% of Type 1 (chi(2)= 14.3;P= 0.001). Interestingly, all of the patients who presented these alterations also had metamorphopsia. Conclusion: Internal limiting membrane peeling in primary rhegmatogenous retinal detachment seems to prevent postoperative ERM development. Swept-source optical coherence tomography analysis is helpful to define and classify different types of ERMs and to establish the surgical indication for their removal.Lippincott Williams & Wilkins2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/171762Articles publicats en revistes (Ciències Clíniques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1097/IAE.0000000000002591Retina The Journal of Retinal and Vitreous Diseases, 2020, vol. 40, num. 7, p. 1286-1298https://doi.org/10.1097/IAE.0000000000002591cc by-nc-nd (c) Arias Barquet et al., 2020http://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1717622026-05-27T06:46:51Z
dc.title.none.fl_str_mv Internal limiting membrane peeling versus nonpeeling to prevent epiretinal membrane development in primary rhegmatogenous retinal detachment: A swept-source optical coherence tomography study with a new postoperative classification system
title Internal limiting membrane peeling versus nonpeeling to prevent epiretinal membrane development in primary rhegmatogenous retinal detachment: A swept-source optical coherence tomography study with a new postoperative classification system
spellingShingle Internal limiting membrane peeling versus nonpeeling to prevent epiretinal membrane development in primary rhegmatogenous retinal detachment: A swept-source optical coherence tomography study with a new postoperative classification system
Arias Barquet, Lluís
Malalties de la retina
Despreniment de retina
Retinal diseases
Retinal detachment
title_short Internal limiting membrane peeling versus nonpeeling to prevent epiretinal membrane development in primary rhegmatogenous retinal detachment: A swept-source optical coherence tomography study with a new postoperative classification system
title_full Internal limiting membrane peeling versus nonpeeling to prevent epiretinal membrane development in primary rhegmatogenous retinal detachment: A swept-source optical coherence tomography study with a new postoperative classification system
title_fullStr Internal limiting membrane peeling versus nonpeeling to prevent epiretinal membrane development in primary rhegmatogenous retinal detachment: A swept-source optical coherence tomography study with a new postoperative classification system
title_full_unstemmed Internal limiting membrane peeling versus nonpeeling to prevent epiretinal membrane development in primary rhegmatogenous retinal detachment: A swept-source optical coherence tomography study with a new postoperative classification system
title_sort Internal limiting membrane peeling versus nonpeeling to prevent epiretinal membrane development in primary rhegmatogenous retinal detachment: A swept-source optical coherence tomography study with a new postoperative classification system
dc.creator.none.fl_str_mv Arias Barquet, Lluís
Padrón Pérez, Noel
Flores Moreno, Ignacio
Giralt, Lena
Cobos Martín, Estefanía
Lorenzo Parra, Daniel
García Bru, Pere
Dias, Bruno
Caminal Mitjana, Josep Maria
author Arias Barquet, Lluís
author_facet Arias Barquet, Lluís
Padrón Pérez, Noel
Flores Moreno, Ignacio
Giralt, Lena
Cobos Martín, Estefanía
Lorenzo Parra, Daniel
García Bru, Pere
Dias, Bruno
Caminal Mitjana, Josep Maria
author_role author
author2 Padrón Pérez, Noel
Flores Moreno, Ignacio
Giralt, Lena
Cobos Martín, Estefanía
Lorenzo Parra, Daniel
García Bru, Pere
Dias, Bruno
Caminal Mitjana, Josep Maria
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Malalties de la retina
Despreniment de retina
Retinal diseases
Retinal detachment
topic Malalties de la retina
Despreniment de retina
Retinal diseases
Retinal detachment
description Purpose: To determine whether internal limiting membrane peeling in primary rhegmatogenous retinal detachment prevents epiretinal membrane (ERM) development. Secondarily, we propose a classification system for postoperative ERMs. Methods: Retrospective, interventional, comparative case series. Consecutive eyes with primary rhegmatogenous retinal detachment (n = 140) treated by a single surgeon. The presence of postoperative ERMs was assessed with swept-source optical coherence tomography. Results: An ERM was detected in 26 eyes (46.4%) in the nonpeeling group and in one eye (1.8%) in the internal limiting membrane peeling group (P <= 0.001). The median visual acuity significantly improved in both groups (P <= 0.001). Inner retinal dimples were observed in 41.1% of eyes in the internal limiting membrane peeling group versus 0% in the nonpeeling group (P <= 0.001), and they were not correlated with visual acuity (r = 0.011;P= 0.941). Based on swept-source optical coherence tomography findings, we identified three different types of ERMs: 7 (26.9%) were classified as Type 1, 12 (46.1%) as Type 2, and 7 (26.9%) as Type 3. Superficial retinal plexus deformations observed on optical coherence tomography angiography and en face images were detected in 100% of Type 3 ERMs, 41.6% of Type 2, and 0% of Type 1 (chi(2)= 14.3;P= 0.001). Interestingly, all of the patients who presented these alterations also had metamorphopsia. Conclusion: Internal limiting membrane peeling in primary rhegmatogenous retinal detachment seems to prevent postoperative ERM development. Swept-source optical coherence tomography analysis is helpful to define and classify different types of ERMs and to establish the surgical indication for their removal.
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/171762
url https://hdl.handle.net/2445/171762
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1097/IAE.0000000000002591
Retina The Journal of Retinal and Vitreous Diseases, 2020, vol. 40, num. 7, p. 1286-1298
https://doi.org/10.1097/IAE.0000000000002591
dc.rights.none.fl_str_mv cc by-nc-nd (c) Arias Barquet et al., 2020
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by-nc-nd (c) Arias Barquet et al., 2020
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Lippincott Williams & Wilkins
publisher.none.fl_str_mv Lippincott Williams & Wilkins
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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