Comparison of Rate of Epiretinal Membrane Formation Following Pars Plana Vitrectomy with and without Internal Limiting Membrane Peeling in Advanced Diabetic Eye Disease: ERM Formation Following PPV and Internal Limiting Membrane Peeling

Maham Javed; Huma Kayani; Najam Iqbal Ahmed; Abdul Rauf; Khurram Chauhan; Sohaib Afzal; Usman Mahmood

doi:10.54393/pjhs.v6i12.3559

Authors

Maham Javed Department of Ophthalmology, Sir Ganga Ram Hospital, Fatima Jinnah Medical University, Lahore, Pakistan
Huma Kayani Department of Ophthalmology, Sir Ganga Ram Hospital, Fatima Jinnah Medical University, Lahore, Pakistan
Najam Iqbal Ahmed Department of Ophthalmology, Sir Ganga Ram Hospital, Fatima Jinnah Medical University, Lahore, Pakistan
Abdul Rauf Department of Ophthalmology, Sir Ganga Ram Hospital, Fatima Jinnah Medical University, Lahore, Pakistan
Khurram Chauhan Department of Ophthalmology, Sir Ganga Ram Hospital, Fatima Jinnah Medical University, Lahore, Pakistan
Sohaib Afzal Department of Ophthalmology, Sir Ganga Ram Hospital, Fatima Jinnah Medical University, Lahore, Pakistan
Usman Mahmood Department of Ophthalmology, Moorfields Eye Hospital Centre, Abu Dhabi, United Arab Emirates

DOI:

https://doi.org/10.54393/pjhs.v6i12.3559

Keywords:

Pars Plana Vitrectomy, Internal Limiting Membrane Peeling, Diabetic Eye Disease, Epiretinal Membrane

Abstract

Pars plana vitrectomy (PPV) is the standard surgery used to treat the advanced cases of diabetic eye disease, though secondary epiretinal membrane (ERM) formation is a common adverse effect of surgery. Objectives: To compare the ERM formation and visual results after PPV in the ILM peel and non-ILM peel groups. Methods: A quasi-experimental study was done in the Department of Ophthalmology and comprised 70 patients with tractional retinal detachment that was at risk of affecting the macula. They have been well assessed ophthalmologically and divided into PPV treated with ILM peeling (Group A) and those treated with no ILM peeling (Group B). Clinical examination, OCT, and visual acuity were done as follow-ups at 2 months, 6 months, and 1 year, and analyzed in SPSS version 20.0 (p≤0.05). Results: Clinical ERM was found in 3 of the patients (8.6%) at 6 months of age in Group A and none in Group B (p=0.23). ERM was identified in 11% in Group A at 6 months and 14% at 1 year, with no ERM identified in Group B (p=0.114). The visual acuity in the non-ILM peel group was significantly higher than the ILM peel group at all the follow-ups (p<0.05). Conclusions: ILM peeling in PPV can decrease secondary ERM and is linked to a better visual outcome after surgery in diabetic eye disease in advanced diabetic patients.

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