Negative impact of internal limiting membrane peeling in vitreous hemorrhage secondary to retinal vein occlusion with macular ischemia

Shiraki, Akihiko; Shiraki, Nobuhiko; Maruyama, Kazuichi et al.

Graefe's Archive for Clinical and Experimental Ophthalmology, 2024, 263(2), 369-377

Number of Access:662（2025-08-16 03:18 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/98391

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Title
Negative impact of internal limiting membrane peeling in vitreous hemorrhage secondary to retinal vein occlusion with macular ischemia
Creator
CreatorName
Shiraki, Akihiko
CreatorName
Shiraki, Nobuhiko
NRID
1000010433244 1000010433244
ORCID
0000-0001-6283-5466 0000-0001-6283-5466
researchmap permalink
read0104870 read0104870
Scopus Author ID
7402479419 7402479419
CreatorName
Maruyama, Kazuichi
CreatorName
wakabayashi, Taku
NRID
1000060633047 1000060633047
researchmap permalink
susumu.sakimoto susumu.sakimoto
Scopus Author ID
14628024700 14628024700
CreatorName
Sakimoto, Susumu
ORCID
0000-0002-7241-4726 0000-0002-7241-4726
researchmap permalink
tm0402 tm0402
CreatorName
Maeno, Takatoshi
NRID
1000040244610 1000040244610
ORCID
0000-0001-9069-3610 0000-0001-9069-3610
researchmap permalink
read0131487 read0131487
Scopus Author ID
57211973404 57211973404
CreatorName
Nishida, Kohji
Subject
Internal Limiting Membrane Peeling
Macular Ischemia
Retinal Vein Occlusion
Vitreous Hemorrhage
Description
The version of record of this article, first published in Graefe's Archive for Clinical and Experimental Ophthalmology, is available online at Publisher’s website: https://doi.org/10.1007/s00417-024-06645-0.
Abstract
Purpose: To investigate the effect of internal limiting membrane (ILM) peeling on visual outcomes and postoperative epiretinal membrane (ERM) after pars plana vitrectomy (PPV) for vitreous hemorrhage (VH) associated with retinal vein occlusion (RVO) with various degrees of macular ischemia. Methods: We compared the outcomes of eyes that underwent vitrectomy with and without ILM peeling from 2012 to 2021 with a minimum follow-up of 6 months. Results: 112 charts were analyzed, and 51 eyes met the inclusion criteria. There were 19 eyes with ILM peeling and 32 eyes with non-ILM peeling. Baseline characteristics did not differ significantly. The mean postoperative visual acuity significantly improved at 6 months compared with the mean preoperative visual acuity (P < 0.001). Visual improvement was significantly greater in the non-ILM peeling group(P < 0.05). Without ischemia within the arcade, there was no significant difference in the visual improvement. In patients with ischemia, the visual improvement in the ILM peeling group was significantly worse than that in the non-ILM peeling group. The incidence of postoperative ERM was significantly higher in the non-ILM peeling; however, there was no significant change in postoperative vision due to the presence of ERM. Conclusions: Vitrectomy either with or without ILM peeling results in visual improvement in patients with VH associated with RVO; however, it should be uniformly avoiding ILM peeling in cases with pre-existing macular ischemia, as it may significantly lead to a deterioration in visual outcomes.
Publisher
Springer Science and Business Media Deutschland GmbH
Source Title
Graefe's Archive for Clinical and Experimental Ophthalmology
Volume (Issue)
263(2)
Page
369-377
Date of Issued
2024-10-11
Language
English
Handle URL
https://hdl.handle.net/11094/98391
PISSN
0721832X
eISSN
1435702X
Relation.isIdenticalTo
DOI (Publisher Version)
https://doi.org/10.1007/s00417-024-06645-0
Access Rights
open access
CopyRight
This article is licensed under a Creative Commons Attribution 4.0 International License.
oaire:version
Version of Record
Category
学術雑誌論文 Journal Article