http://www.evrs.eu/medias/2010/congress/Proliferative-Diabetic-Retinopathy.flv

Dominik Odrobina, Sławomir Cisiecki, Krzysztof Dzięgielewski, Zbigniew Pikulski, Janusz Michalewski, Zofia Michalewska, Jerzy Nawrocki (Lodz, Poland)

Advantages:

To analyze the effect of internal limiting membrane (ILM) peeling on the anatomical and functional outcomes in patients undergoing vitrectomy for proliferative diabetic retinopathy with vitreous hemorrhage. We also analyzed retinal morphology in the macula in these eyes with SOCT.

Methods:

Consecutive and retrospective series of 60 eyes of 60 patients were included in the study. All eyes underwent vitrectomy for proliferative diabetic retinopathy with vitreous hemorrhage.  In Group A (30 eyes) the ILM was also peeled; in Group B (30 eyes) the ILM was left intact.

Effectiveness / Safety:

We compared anatomical and functional results in Group A with those in Group B. No case of macular pucker was observed in Group A where the ILM was peeled.

Take home message:

ILM peeling in the macula area used in the treatment of proliferative diabetic retinopathy with vitreous hemorrhage makes it possible to remove all the epiretinal membranes which we cannot see prior to vitrectomy and; as a result all the tractions and the elimination one of the causes of diabetic macular edema. ILM peeling may also be a useful prophylaxis for macular pucker.