-Original-

Changes in the Ganglion Cell Complex after Inner Limiting Membrane Peeling for Epiretinal Membrane in Glaucoma Patients

Yusuke Umemoto, Tsutomu Igarashi, Kenji Nakamoto, Takeshi Arima, Maika Kobayashi, Yutaro Tobita and Hiroshi Takahashi

Department of Ophthalmology, Nippon Medical School, Tokyo, Japan

Background: Epiretinal membrane (ERM) is a disease that affects the vitreoretinal interface and causes metamorphopsia, anorthopia, and decreased visual acuity. In this study, ERM patients who underwent internal limiting membrane (ILM) peeling were classified as those with glaucoma (Group G) and a control group (Group C). Changes in ganglion cell complex (GCC) thickness were compared between these groups to investigate whether such changes had an effect on progression of glaucoma from structural change.
Methods: This was a retrospective, observational study that included 27 eyes of 27 patients. Group C included 22 eyes, and Group G included 5 eyes. Patients underwent ILM peeling, and cataract surgery was combined with vitrectomy for 16 phakic eyes; 2 phakic eyes and 9 aphakic eyes were treated only with vitrectomy. GCC thickness was measured preoperatively and at 2 weeks and 1, 3, and 6 months postoperatively, and these values and the rates of thinning were compared between the two groups.
Results: The mean age of patients was 66.7±12.8 years (range 30-84 years). There was no significant difference between groups in the thickness of the GCC or its rate of thinning after ILM peeling.
Conclusions: The present results suggest that this procedure does not cause structural exacerbation of glaucoma in glaucoma patients. Although further studies of the functional effects of ILM peeling are required, the present results suggest that there is no significant difference between the two groups.

J Nippon Med Sch 2021; 88: 97-102

Keywords
glaucoma, internal limiting membrane, peeling, ganglion cell complex, epiretinal membrane

Correspondence to
Tsutomu Igarashi, Department of Ophthalmology, Nippon Medical School, Sendagi, Bunkyo-ku, Tokyo 113-8602, Japan
tutomu@nms.ac.jp

Received, December 13, 2019
Accepted, February 26, 2020