title: Outcomes of microincision vitrectomy surgery with internal limiting membrane peeling for macular edema secondary to branch retinal vein occlusion.
abstract: OBJECTIVE
  To evaluate the anatomic and functional effect of microincision vitrectomy surgery (MIVS) with internal limiting membrane (ILM) peeling for macular edema secondary to branch retinal vein occlusion (BRVO).
  
  
  METHODS
  The medical records of 101 eyes of 101 patients who had undergone MIVS with ILM peeling for macular edema secondary to BRVO were studied. Patients were classified into ischemic and non-ischemic BRVO based on angiograph. The best-corrected visual acuity (BCVA) and central foveal thickness (CFT), determined by spectral domain optical coherence tomography, were evaluated at baseline and at 1, 3, 6, and 12 months postoperatively.
  
  
  RESULTS
  Preoperative mean logarithm of the minimum angle of resolution (logMAR) BCVA ± standard deviation (SD) was 0.52±0.43 and mean CFT ± SD was 489.4±224.9 μm. Postoperative mean BCVA ± SD values were 0.41±0.35, 0.35±0.41, 0.29±0.36, and 0.25±0.41, and mean CFT values were 370.1±148.9, 327.5±157.5, 310.9±154.9, and 274.4±135.3 μm at 1, 3, 6, 12 months, respectively. The mean BCVA was significantly improved at 3, 6, and 12 months postoperatively (all P<0.05), and the mean CFT was significantly decreased at all postoperative follow-up time points (all P<0.05). At the 12-month postoperative evaluation, BCVA had improved by 0.2 logMAR units in 50 eyes (60.0%) with ischemic BRVO and in nine eyes (50.0%) with non-ischemic BRVO. Six eyes (6.0%) experienced recurrence or persistence of macular edema at 12 months postoperatively.
  
  
  CONCLUSIONS
  MIVS with ILM peeling for macular edema secondary to BRVO is effective in improving visual acuity and foveal morphology with low recurrence of macular edema.
authors.affiliation: Department of Opthalmology, Toranomon Hospital, Tokyo, Japan.
authors.forename: Shimpei
authors.initials: S
authors.lastname: Sato
authors.affiliation: Department of Ophthalmology, Yokohama City University Medical Center, Yokohama, Japan.
authors.forename: Maiko
authors.initials: M
authors.lastname: Inoue
authors.affiliation: Department of Ophthalmology, Yokohama City University Medical Center, Yokohama, Japan.
authors.forename: Shin
authors.initials: S
authors.lastname: Yamane
authors.affiliation: Department of Ophthalmology, Yokohama City University Medical Center, Yokohama, Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Arakawa
authors.affiliation: Department of Opthalmology, Toranomon Hospital, Tokyo, Japan.
authors.forename: Mikiro
authors.initials: M
authors.lastname: Mori
authors.affiliation: Department of Ophthalmology, Yokohama City University Medical Center, Yokohama, Japan.
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Kadonosono
keywords: BRVO; CFT; ILM; MIVS; central foveal thickness