THE EFFICIENCY OF PEELING OF THE INNER LIMITING MEMBRANE ON THE BACK- GROUND OF A SILICONE OIL TAMPONADE IN RHEGMATOGENOUS RETINAL DETACHMENT
The study included 80 patients (80 eyes) with sub- and total retinal detachment and proliferative vitreoretinopathy of stage C, who underwent endovitreal intervention. The patients were divided into 2 groups: group 1 (40 patients, 40 eyes) underwent endovitreal intervention with ILM peeling, group 2 (40 patients, 40 eyes) underwent endovitreal intervention without ILM peeling. Surgical treatment of all patients consisted of the following stages: 25G three-port vitrectomy, VPM removal (first group), elk, endovitreal tamponade. In the first group, the internal border membrane was stained with Membrane Blue Dual dye followed by introduction of perfluoroorganic PFOS compound. The ILM was removed by endovitreal tweezers. Then progressive replacement of PFOS/air and peripheral endolaser coagulation were carried out. In the second group, the removal of ILM was not performed. The operation was completed with silicone oil introduction in both groups. The follow-up period was 12 months. In both groups, at the postoperative period, in all cases, complete retina adhesion was achieved. Visual acuity increased in the first group to 0.5±0.08, in the second group to 0.3±0.05. In the first group the photoreceptor zones restoration and epiretinal membrane absence were observed. In the second group 16 patients had epiretinal fibrosis (40%), 20 patients had cystic macular edema (50%). The results obtained show that surgical treatment of retinal regmatogenous detachment with removal of ILM has beneficial effect on restoration of the normal retina structure and prevents epiretinal fibrosis formation and macular edema.