Research progress of pars plana vitrectomy with internal limiting membrane peeling for refractory macular edema

VernacularTitle:玻璃体切割手术联合内界膜剥除治疗难治性黄斑水肿的研究进展
Author: Yuyang MIAO ; Hua YAN
From: Chinese Journal of Ocular Fundus Diseases 2021;37(4):315-318
CountryChina
Language:Chinese
Abstract: The main treatment methods of macular edema (ME) are intravitreal injection of anti-vacular endothelial growth factor drugs, corticosteroids, retinal laser photocoagulation and pars plana vitrectomy (PPV). However, recurrent ME, epiretinal membrane formation and drug resistance have occurred to a part of patients, which is called refractory ME (RME). PPV with internal limiting membrane peeling (ILMP) has the potential of treating and relieving RME. PPV combined with ILMP can treat and relieve RME by removing the posterior vitreous cortex, or removing the epiretinal membrane or internal limiting membrane at the same time during surgery to relieve the traction between the vitreous body and the retina. However, due to the complex pathogenesis of ME, the therapeutic effects of PPV combined with ILMP on ME caused by different etiologies still need clinical studies to explore the best surgical methods for ME caused by different etiologies.