| Effects of Internal Limiting Membrane Peeling in Combined Hamartoma of Retina and Retinal Pigment Epithelium. |
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Ji Hyun Park, Jung Min Park |
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Department of Ophthalmology, Maryknoll Medical Center, Busan, Korea. pjm1438@hanmail.net |
| 망막과 망막색소상피의 복합과오종에 동반된 망막전막 수술 시 내경계막 제거의 효과 |
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박지현⋅박정민 |
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메리놀병원 안과 |
Correspondence:
Jung Min Park,
Email: pjm1438@hanmail.net
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Received: 27 April 2017 • Revised: 16 October 2017 • Accepted: 1 January 2018 |
| Abstract |
PURPOSE
To evaluate the effects of peeling the internal limiting membrane (ILM) of an epiretinal membrane (ERM) for surgical treatment of combined hamartoma of the retina and retinal pigment epithelium (RPE). METHODS: We retrospectively reviewed the records of 11 patients (11 eyes) with ERM of combined hamartoma of the retina + RPE and 22 patients (22 eyes) with idiopathic ERM who treated with pars plana vitrectomy and removal of the ERM. The patients were divided into four groups: involving eyes with (5 eyes) or without (6 eyes) ILM peeling in combined hamartoma of the retina + RPE group and eyes with (10 eyes) or without (12 eyes) ILM peeling in the idiopathic ERM group. Anatomical outcomes, functional outcomes, complications and recurrences were compared between eyes with and without ILM peeling. RESULTS: Central retinal thickness (CRT) and subfoveal choroidal thickness (SFCT) decreased and postoperative best-corrected visual acuity (BCVA) improved regardless of ILM peeling in all groups. There were no statistically significant differences in CRT, SFCT and BCVA between without and with ILM peeling in ERM of combined hamartoma of the retina + RPE and idiopathic ERM groups. There were no complications and recurrences in any group. CONCLUSIONS: The additional ILM peeling did not affect the postoperative results. |
| Key Words:
Central retinal thickness;Combined hamartoma of the retina and retinal pigment epithelium;Epiretinal membrane;Internal limiting membrane peeling;Subfoveal choroidal thickness |
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