title: [Anatomical and functional results of pars plana vitrectomy with the internal limiting membrane removal in patients with rhegmatogenous retinal detachment].
abstract: OBJECTIVE
  To evaluate the benefits of the internal limiting membrane removal in patients with rhegmatogenous retinal detachment who underwent pars plana vitrectomy.
  
  
  METHODS
  The first study group (B) consisted of 26 patients who underwent vitrectomy with the internal limiting membrane peeling. The second control group (K) consisted of 15 patients, in whom vitrectomy was performed without he internal limiting membrane peeling. Macular detachment was confirmed preoperatively in all patients. Ophthalmic examination was performed 6 months after surgery. This included the best corrected visual acuity for distance and near, M-Charts, fundus examination and spectral domain--optical coherent tomography.
  
  
  RESULTS
  The results were statistically analyzed using the Shapiro-Wilk test and the Ch2 test of homogeneity. In the study group (B), the mean postoperative best corrected visual acuity for distance was 0.46, while in the control group (K) it was 0.35 (p = 0.35). The best corrected visual acuity for near in group B was 0.83 and 1.01 (p = 0.63) in group K. Central retinal thickness in group B was 268.64 μm, while in group K it was 335.07 μm (p = 0.20). The statistical analysis revealed significant differences between the two groups regarding the prevalence of defects in the ellipsoidal layer (p = 0.004). They were found to occur more frequently in group K (64.29%) than in group B (20.00%). The prevalence of epiretinal membrane was higher in group K (28.57%) than in group B (3.85%) (p = 0.02).
  
  
  CONCLUSIONS
  The internal limiting membrane peeling reduces the risk of secondary epiretinal membrane, restores the ellipsoidal layer integrity and does not affect the visual acuity for distance and near.
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Pietraś-Trzpiel
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Brzozowska
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Oleszczuk
authors.forename: Anselm
authors.initials: A
authors.lastname: Jünemann
authors.forename: Cesare
authors.initials: C
authors.lastname: Forlini
authors.forename: Robert
authors.initials: R
authors.lastname: Rejdak
mesh_terms: D001485:Basement Membrane / Q000473:pathology / Q000601:surgery*; D019773:Epiretinal Membrane / Q000209:etiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012163:Retinal Detachment / Q000473:pathology / Q000601:surgery*; D041623:Tomography, Optical Coherence / Q000379:methods; D014792:Visual Acuity; D014821:Vitrectomy / Q000009:adverse effects* / Q000379:methods