Dominik Odrobina, Zofia Michalewska, Janusz Michalewski, Jerzy Nawrocki (Lodz, Poland)

Objectives:

SOCT allows detailed imaging of retinal microstructure in patients after vitrectomy with ILM peeling and silicone oil tamponade for retinal detachment with PVR.

Methods:

Nineteen (19) patients after vitrectomy with ILM peeling for PVR retinal detachment were included in this study. All patients were interviewed and an ophthalmologic examination performed preoperatively and examinations and SOCT’s postoperatively. Fifteen (15) months after silicone oil removal, all patients were examined with SOCT.

Results:

SOCT allows detailed imaging of retinal microstructure with photoreceptor defects, cystoid macular edema, subretinal fluid, RNFL defects and ERM formation.) These findings help us understand why patients after successful surgical repair of detached retina suffer from lowered visual acuity. In our opinion, microstructural changes in the retina correlated with decreased visual acuity. These findings helped us to understand the role played by ILM and the benefits of its removal during vitrectomy for retinal detachment with PVR.

Take home message:

The results obtained in SOCT showed no macular pucker in any of the eyes (0%), and CME in 9 eyes (47%) These results confirm that ILM peeling is a safe procedure and should be performed during vitrectomy for retinal detachment in most patients.