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Primary vitrectomy for uncomplicated rhegmatogenous retinal detachment with and without internal limiting membrane peeling : Comparative study / Mohamed Gaber Ahmed ; Supervised Hassan Aly Mortada , Tamer Ahmed Macky , Mohamed Amr Salah Eddin

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Mohamed Gaber Ahmed , 2017Description: 105 P. : facsimiles ; 25cmOther title:
  • دراسة مقارنة بين نتائج استئصال الجسم الزجاجى مع / و بدون تقشير الغشاء الداخلى المبطن للشبكية لحالات الانفصال الشبكى القطعى [Added title page title]
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Dissertation note: Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Ophthalmology Summary: Purpose: To evaluate the anatomical and functional benefits of internal limiting membrane (ILM) peeling during primary vitrectomy for patients with rhegmatogenous retinal detachment (RRD). Patients and methods: This is a prospective randomized comparative interventional study conducted on patients with RRD at Kasr Alainy hospital. Eyes with uncomplicated RRD undergoing primary vitrectomy were divided into 2 groups: Group A: 20 eyes with ILM peeling, and Group B: 23 eyes without ILM peeling.The primary outcome measures were the optical coherence tomography (OCT) morphological changes including: incidence of epimacular membranes (EMMs), vitreoretinal interface changes, intra-retinal/subretinal fluid (SRF), central subfield foveal thickness (CSFT) and the status of the ellipsoid zone. The secondary outcome measure was postoperative best corrected visual acuity (BCVA). Results: The Study was conducted during the time interval from Jan 2015 to Jan 2017. All patients achieved complete postoperative reattachment with mean BCVA was 1.0±0.4 logMAR (6/60) in group A, and 0.4±0.4 logMAR (6/15) in group B, which was statistically significant (p<0.001). Mean visual gain was 0.8±0.5 logMAR in group A, and 1.5±0.5 logMAR in group B, which was statistically significant (p<0.001). EMM did not develop in the ILM peeling group in any of the cases, while it developed in 17.4% in the non-ILM peeling group, which was statistically insignificant. Correlating RD duration to postoperative BCVA and to change in BCVA was statistically significant in group A
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Item type Current library Home library Call number Copy number Status Date due Barcode
Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.24.Ph.D.2017.Mo.P (Browse shelf(Opens below)) Not for loan 01010110073947000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.24.Ph.D.2017.Mo.P (Browse shelf(Opens below)) 73947.CD Not for loan 01020110073947000

Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Ophthalmology

Purpose: To evaluate the anatomical and functional benefits of internal limiting membrane (ILM) peeling during primary vitrectomy for patients with rhegmatogenous retinal detachment (RRD). Patients and methods: This is a prospective randomized comparative interventional study conducted on patients with RRD at Kasr Alainy hospital. Eyes with uncomplicated RRD undergoing primary vitrectomy were divided into 2 groups: Group A: 20 eyes with ILM peeling, and Group B: 23 eyes without ILM peeling.The primary outcome measures were the optical coherence tomography (OCT) morphological changes including: incidence of epimacular membranes (EMMs), vitreoretinal interface changes, intra-retinal/subretinal fluid (SRF), central subfield foveal thickness (CSFT) and the status of the ellipsoid zone. The secondary outcome measure was postoperative best corrected visual acuity (BCVA). Results: The Study was conducted during the time interval from Jan 2015 to Jan 2017. All patients achieved complete postoperative reattachment with mean BCVA was 1.0±0.4 logMAR (6/60) in group A, and 0.4±0.4 logMAR (6/15) in group B, which was statistically significant (p<0.001). Mean visual gain was 0.8±0.5 logMAR in group A, and 1.5±0.5 logMAR in group B, which was statistically significant (p<0.001). EMM did not develop in the ILM peeling group in any of the cases, while it developed in 17.4% in the non-ILM peeling group, which was statistically insignificant. Correlating RD duration to postoperative BCVA and to change in BCVA was statistically significant in group A

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