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  5. FP0197 : Role of internal limiting membrane peeling in vitrectomy for diabetic traction retinal detachment

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Chief & Presenting Author: Dr.Shefali

Co Author(s): Dr.Vinod Kumar

Abstract

This prospective randomized study was conducted to assess changes in macular architecture using optical coherence tomography (OCT) and best-corrected visual acuity (BCVA) after ILM peeling compared to pars plana vitrectomy (PPV) in patients with diabetic TRD involving or threatening macula.
40 patients were randomised in 2 groups. In first group, 20 patients underwent ILM peeling with PPV and in second group patients underwent PPV.
Result-The cohort that underwent ILM peeling demonstrated notable differences in macular architecture as assessed via OCT, particularly in terms of central macular thickness and incidence of epiretinal membrane (ERM) formation. Additionally, significant statistical differences was observed in BCVA.
We concluded that in group with ILM peeling there is reduced incidence of ERM formation and macular edema, along with improvement in visual acuity at the 3-month follow-up. These findings highlight the advantages of ILM peeling in the management of diabetic TRD.