Does internal limiting membrane peeling in macular hole surgery improve reading vision?
OBJECTIVE
To document the effect of internal limiting membrane (ILM) peeling in macular hole closure and reading vision.


METHODS
Fifty-four patients with idiopathic and traumatic macular hole underwent standard vitreous surgery and received either ILM peeling (n=25) or no ILM peeling (n=29). The hole closure, and Snellen acuity (distant and near) were recorded 12 weeks after surgery and statistically analysed.


RESULTS
The macular hole closure rate was 96% (24 of 25) and 72.4% (21 of 29) with and without ILM peeling respectively (P = 0.028). Distant vision improvement of two or more lines was recorded in 64% (16 of 25) and 51.7% (15 of 29) eyes (P = 0.417) with and without ILM peeling respectively. Near vision improvement of two or more lines was seen in 68% (17 of 25) and 41.2% (12 of 29) eyes (P = 0.048) with and without ILM peeling respectively.


CONCLUSIONS
ILM peeling in macular hole surgery improves the macular hole closure rate and reading vision.
Smt Kanuri Santhamma Retina Vitreous Center, L V Prasad Eye Institute, Hyderabad, India. tpd@lvpei.org
Taraprasad
T
Das
Subhabrata
S
Parida
Ajit B
AB
Majji
D000293:Adolescent; D000328:Adult; D000368:Aged; D001485:Basement Membrane / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D005260:Female; D005466:Fluorocarbons / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D016684:Prone Position; D011932:Reading; D012167:Retinal Perforations / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D012827:Silicone Oils / Q000008:administration & dosage; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology*; D014821:Vitrectomy / Q000379:methods
D005466:Fluorocarbons; D012827:Silicone Oils; C042852:perflutren