Internal limiting membrane peeling in macular edema due to retinitis pigmentosa

Conclusion: In patients with RP cases, vitrectomy with ILM peeling may be helpful in the treatment of macular edema and may improve the visual acuity to some degree.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: To present surgical outcomes of two patients with retinitis pigmentosa (RP) who underwent internal limiting membrane (ILM) peeling surgery due to macular edema .

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Key Findings & Data:In both cases preoperative visual acuities were worse than 0.1 (Snellen lines).

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Conclusion & Impact:Conclusion: In patients with RP cases, vitrectomy with ILM peeling may be helpful in the treatment of macular edema and may improve the visual acuity to some degree.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Ergen · Maküler ödem · sistoid

Abstract

Objective: To present surgical outcomes of two patients with retinitis pigmentosa (RP) who underwent internal limiting membrane (ILM) peeling surgery due to macular edema . Case Report: Two patients who had macular edema due to retinitis pigmentosa underwent pars plana vitrectomy and ILM peeling surgery with indocyanine green (ICG) staining. In both cases preoperative visual acuities were worse than 0.1 (Snellen lines). Clinically, there was thickening of ILM and macular edema in both cases. Pars plana vitrectomy and ILM peeling with ICG staining and sulfur hexafluoride gas (SF6) injection were performed. In one case, ILM could not be peeled off completely because of retinal pigment atrophy. In both cases, macular edema resolved and visual acuity improved, postoperatively. Conclusion: In patients with RP cases, vitrectomy with ILM peeling may be helpful in the treatment of macular edema and may improve the visual acuity to some degree.

Özet

Amaç: Retinitis pigmentosaya bağlı maküla ödemi nedeniyle iç limitan membran soyulması yapılan iki olguda cerrahi teknik ve sonuçların tartışılması. Olgu Sunumu: Retinitis pigmentosaya bağlı makula ödemi olan iki olguya pars plana vitrektomi ve indosiyanin yeşili (İSY) boyası yardımı ile iç limitan membran (İLM) soyulması cerrahisi yapıldı. Her iki olguda başlangıç görme keskinliği Snellen eşeli ile 0.1 düzeyinin altında idi. Cerrahi öncesi her iki olguda da makülanın ödemli olduğu ve İLM dokusunun kalınlaştığı görüldü. Her iki olguya pars plana vitrektomi, İLM soyulması ve intravitreal sülfür hexaflorid (SF6) verilmesi cerrahisi yapıldı. Bir olguda retina pigment epitel atrofisi yüzünden İLM soyulması kısmen yapılabildi. Her iki vakada görme keskinliğinde az miktarda artış ve maküla ödeminde iyileşme gözlendi. Sonuç: Retinitis pigmentosaya bağlı makula ödemi olgularında vitrektomi ve İLM soyulması cerrahisi, ödemin iyileşmesinde ve görme keskinliğini artışında yararlı bir yöntemdir.

Keywords

Ergen Maküler ödem sistoid Erkek Retinitis pigmentosa Oftalmolojik cerrahi işlemler Vitrektomi Tedavi sonucu Adolescent Macular Edema Cystoid Male Retinitis Pigmentosa Ophthalmologic Surgical Procedures Vitrectomy Treatment Outcome

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Cite This Article

KARACA, A., KOÇAK, N., ÇELİK, L., ERDURMUŞ, M., ÖNER, F. H., KAYNAK, S. (2006). Internal limiting membrane peeling in macular edema due to retinitis pigmentosa. Retina-Vitreus, Cilt: 14 - Sayı: 1, 71–74. https://ajindex.com/articles/307939

References (15)

Fetkenhour CL, Choromokos E, Weinstein J, et al.: Cystoid macular edema in retinitis pigmentosa. Trans Am Acad Ophthalmol Otolaryngol 1977;83:515-521
Fishman GA, Maggiano JM, Fishman M.: Foveal lesions seen in retinitis pigmentosa. Arch Ophthalmol 1977;95:1993-1996
Newsome DA.: Retinal fluorescein leakage in retinitis pigmentosa. Am J Ophthalmol 1986,101:354-360
Forte R, Pannarale L, Jannacone A, et al.: Cystoid macular edema in retinitis pigmentosa: clinical and functional evaluation of patients treated with deflazacort. Invest Ophthalmol Vis Sci 1994;35:1958
Newsome DA, Blacharski PA.: Grid photocoagulation for macular edema in patients with retinitis pigmentosa. Am J Ophthalmol 1987;103:161-166
Fishman GA, Gilbert LD, Fiscella RG, et al.: Acetazolamide for treatment of chronic macular edema in retinitis pigmentosa. Arch Ophthalmol 1989;107:1445-1452
Greenstein VC, Holopigian K, Siderides E, et al.: The effects of acetazolamide on visual function in retinitis pigmentosa. Invest Ophthalmol Vis Sci 1993;34:269-273
Cox SN, Hay E, Bird AC.: Treatment of chronic macular edema with acetazolamide. Arch Ophthalmol 1988;106:1190-1195
Fishman GA, Glenn AM, Gilbert LD.: Rebound of macular edema with continued use of methazolamide in patients with retinitis pigmentosa. Arch Ophthalmol 1993; 111:1640-1646
Lewis H, Abrams GW, Blumenkranz MS, Campo RV.: Vitrectomy for diabetic macular traction and edema associated with posterior hyaloidal traction. Ophthalmology 1992;99:753-759
Tachi N, Ogino N.: Vitrectomy for diffuse macular edema in cases of diabetic retinopathy. Am J Ophthalmol 1996;122:258-260
Gandorfer A, Messmer EM, Ulbig MW, et al.: Resolution of diabetic macular edema after surgical removal of the posterior hyaloid and the inner limiting membrane. Retina 2000;20:126-133
Mieler WF, Will BR, Lewis H, et al.: Vitrectomy in the management of peripheral uveitis. Ophthalmology 1998;98:859-864
Heckenlively JR, Jordan BL, Aptsiauri N.: Association of antiretinal antibodies and cystoid macular edema in patients with retinitis pigmentosa. Am J Ophthalmol 1999;127:565-573
Garcia-Arumi J, Martinez V, Sararols L, et al.: Vitreoretinal surgery for cystoid macular edema associated with retinitis pigmentosa. Ophthalmology. 2003;110:1164-1169.