To evaluate the role of small gauge PPV and ILM peeling in patients diagnosed with different type of CNV secondary to ARMD.

Patients & Method:

Nineteen eyes of 16 patients, with a mean age of 69.5±8.9 years, were retrospectively evaluated during a minimum of 24 months.


The mean baseline BCVA was 0.91 ± 0.12 logMAR, improved to 0.82 ± 0.19 logMAR after 12 months (p<0.01) and remained stable over 24 months (0.83 ± 0.22 logMAR, p<0.01). Nine (47.36%) and 9 patients (47.36%) were considered early and late responders, respectively. One patient did not show any response at all. Mean baseline CST was 531 ± 86 µm and decreased to 286 ± 28 µm at 12 months (p<0.001) and remained stable at 24 months (267 ± 14 µm, p<0.001). OCT and OCTA evaluation showed decrease of intraretinal and subretinal fluid with persistence of mature choroidal vessels. Baseline CST and MRT were not correlated with functional outcome. In univariate analysis baseline CST and MRT were not predictive for functional outcome. Recurrences were seen in 3 (15.78%) patients after one year of surgery. More frequent complication was the presence of paramacular retinal holes.


Our results reveal a significant anatomical improvement 24 months after primary PPV in most cases, without the need for additional therapy (such as intravitreal Anti-VEGF injections) in most cases.


Alejandro LAVAQUE, Carlos AGUERO, Natalia RAMON BRIM
Centro Especialidades Oftalmologicas
San Miguel de Tucumán
Email : alavaque@intramed.net
Cell Phone: +5493914496341
Work Phone: +5494916582222