Aspirantskiy Vestnik PovolzhiyaAspirantskiy Vestnik Povolzhiya2072-23542410-3764Samara State Medical University2407910.17816/2072-2354.2017.0.5-6.112-115Research ArticlePEELING OF THE INTERNAL LIMITING MEMBRANE IN SURGERY ON RHEGMATOGENOUS RETINAL DETACHMENT (PRELIMINARY RESULTS)ZAKHAROVV Dinfo@mntk.ruSHKVORCHENKOD Oshkvor@mail.ruKAKUNINAS Asvetlan-al@mail.ruNORMANK Snorman2011@yandex.ruFOZILOVAF Fd.farzona_786@mail.ruThe S. Fyodorov Eye Microsurgery Federal State Institution15092017175-611211511032020Copyright © 2017, ZAKHAROV V.D., SHKVORCHENKO D.O., KAKUNINA S.A., NORMAN K.S., FOZILOVA F.F.2017The aim of our study was to compare the effectiveness of the results of surgical treatment of rhegmatogenous retinal detachment after endovitreal intervention in groups of patients who had undergone of ILM removal and those who had not been administered such a procedure. Of 20 patients, 10 patients underwent endovitreal intervention with removal of the ILM (the first group) and in 10 patients ILM was preserved (second group). In all cases the operation was completed with tamponade of vitreal cavity with the sude of silicone oil. All patients were examined preoperatively and were followed up at the interval of 1, 3, and 6 months after the operation. In the early postoperative period complete adherence of the retina was observe in all cases, but in the second group recurrence of retinal detachment was revealed in 1 case (10%) 4 months after removal of silicone oil. Optical coherence tomography (OCT) failed to reveal epiretinal fibrosis, and cystic macular edema in patients of the first group. However, in patients of the second group OCT demonstrated epiretinal fibrosis (30%) and cystoid macular edema (70%) 6 months later. Taking into consideration all the data we can conclude that ILM removal in the surgical treatment of patients with retinal detachment is an effective method and can be recommended.epiretinal fibrosisrhegmatogenous retinal detachmentinternal limiting membranecystic macular edemaoptical coherence tomographyэпиретинальный фиброзрегматогенная отслойка сетчаткивнутренняя пограничная мембранакистозный макулярный отекоптическая когерентная томография[Захаров В.Д. Витреоретинальная хирургия. - М., 2003. - 173 с.][Либман Е.С., Шахова Е.В. Слепота и инвалидность по зрению у населения России / В сб. тезисов докладов VIII съезда офтальмологов России. - М., 2005. - С. 78-79.][Aras C., Arici C., Akar S. et al. Peeling of internal limiting membrane during vitrectomy for complicated retinal detachment prevents epimacular membrane formation // Graefes Arch. Clin. Exp. Ophthalmol. - 2009. - Vol. 247. - P.619-623.][Bartz-Schmidt U. New developments in retinal detachment surgery // Ophthalmology. - 2008. - № 105. - P. 27-36.][Minarcik J.R., von Fricken M.A. Vitreal retinectomy: indocyanine green - assisted internal limiting membrane peeling as a surgical adjunct in a repair of recurrent rhegmatogenous retinal detachment due to PVR // Clinical Ophthalmology. - 2012. - Vol. 6. - P. 631-636.][Mitry D. Rhegmatogenous retinal detachment in Scotland: research design and methodology // BMC ophthalmol. - 2009. - Vol. 24. - P. 2-9.][Nam K.Y., Kim J.Y. Effect of internal limiting membrane peeling on the development of epiretinal membrane after pars plana vitrectomy for primary rhegmatogenous retinal detachment. Retina. - 2015. - V. 35 (5). - P. 880-885.][Odrobina D.C., Michalewska Z., Michalewski J. et al. High-speed, high-resolution spectral optical coherence tomography in patients after vitrectomy with internal limiting membrane peeling for proliferative vitreoretinopathy retinal detachment // Retina. - 2010. - V. 30(6). - P. 881-886.][Oliveira L.B., Reis P.A.C. Silicone oil tamponade in 23-gauge transconjunctival sutureless vitrectomy // Retina. - 2007. -Vol. 27. - № 8. - P. 1054-1058.]