摘要
Abstract
Rhegmatogenous retinal detachment(RRD)is a vision-threatening ocular emergency with the potential risk of blindness.Pars plana vitrectomy(PPV)is the treatment of choice for RRD,especially for complex retinal detachments such as posterior pole retinal tears,grade B or higher proliferative vitreoretinopathy,and concomitant choroidal detachment.Although most patients achieve good anatomical restoration after surgery,some patients may still experience postoperative symptoms such as distorted vision,abnormal color perception,and lack of improvement in corrected visual acuity.Epiretinal membranes(ERM),as one of the most common complications after RRD,occur in 4％to 13％of cases,which not only affect the recovery of patients' postoperative vision,but also are frequently associated with visual distortion.In severe cases,a second surgical intervention may be required.In recent years,internal limiting membrane peeling(ILMP)has been introduced as an adjunctive procedure in the treatment of RRD,to facilitate retinal reorientation,reduce postoperative complications,and improve patients' postoperative visual quality and quality of life.However,previous studies on the effects of combined intraoperative ILMP on retinal anatomy and visual function recovery are limited.Therefore,this article reviews the mechanism,clinical application,challenges and research progress of ILMP in RRD,providing a reference for surgical decision making,disease assessment,and prognosis evaluation.关键词
孔源性视网膜脱离/玻璃体切除术/内界膜剥除术Key words
rhegmatogenous retinal detachment/pars plana vitrectomy/internal limiting membrane peeling
