The study is on 150 patients with a follow-up of at least one year. The aim of the study is to show the interest / advantage of ILM Peeling in RVO considering functional recovery, and to compare these results to other existing techniques. The study shows significantly the superiority of ILM Peeling in the quality of functional results, confirmed by the stabilization of the OCT measured macular thickness, but mostly, as opposed to other techniques, the long lasting quality of the results.
The aim of the surgery is to reduce and stabilize the macular oedema. The surgery has to be atraumatic and complete, with a big rhexis including the whole macular area, to the optic center in nasal, the vascular arcades and the temporal vascular raphe.
An uncomplete/only partial removal, particularly in temporal, will induce bad post-operative results, that are the origin of the often heard criticism about the technique
The use of cryo-gas vitrectomy with two open doors helped by the per-op slit lamp allows the overall treatment of retinal detachment while lowering the usual complications of vitrectomy.
Whatever the technique used during vitrectomy, physical law will determine the quality and the safety of the PPV. In fact, to perform a complete vitrectomy, some principles are mandatory:
• We have to control the flow rate of the cutting system.
• In order to decrease the gradient of pressure and this way the dangerous movements of the retina, the occlusion during the closure of the vitrectomy probe needs to be as short as possible.
• The main factor for a complete and secure PPV is to work in an iso-flow-rate condition. That means an equal infusion flow-rate and aspiration flow-rate whatever the viscosity of the endocular liquid, vitreous gel or BSS, is.
CABINET DU DOCTEUR Jean-Paul AMAR
29 bd de la Ferrage
06400 – CANNES
(+33) 04 93 38 31 84
(+33) 04 93 68 44 90
URGENCES CHIRURGICALES :(+33) 06 12 43 91 93
Maladies de l’oeil, basse vision, DMLA, dégénérescence maculaire, glaucome, cataracte, macula, membrane, trou maculaire, thrombose