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Proliferación Epiretinal Incorporación sin Limitación Interna Peeling de la Membrana para el Agujero Lamellar Macular
Ginevra G Adamo1,2, Marco Pellegrini1,2, Pietro M Talli2
1Department of Translational Medicine, University of Ferrara, Ferrara, Italy.
Retina (Philadelphia, Pa.)
|February 10, 2026
Resumen
La proliferación epirretiniana (EP) incrustación sin membrana limitante interna (ILM) pelado con éxito cerrado agujeros maculares lamelares (LMHs) en todos los casos. Esta técnica mejoró la visión y el grosor de la retina, ofreciendo un tratamiento prometedor para los LMH con EP.
Área de la Ciencia:
- Oftalmología Oftalmología.
- Cirugía de la retina cirugía de la retina.
- Enfermedades maculares Las enfermedades maculares.
Sus antecedentes:
- Los agujeros maculares lamelares (LMH) con proliferación epiretinal (EP) presentan desafíos quirúrgicos únicos.
- El peeling de la membrana limitante interna (ILM) es un paso común en la cirugía de agujero macular, pero su necesidad en LMH con EP se debate.
Objetivo del estudio:
- Evaluar los resultados anatómicos y funcionales de una nueva técnica para el tratamiento de LMH con EP.
- Esta técnica consiste en incrustar el EP sin pelar el ILM.
Principales métodos:
- Una serie de casos de intervención retrospectiva de 15 pacientes con LMH y EP idiopáticos.
- La vitrectomía Pars plana se realizó utilizando la técnica de incrustación de EP sin peeling de ILM.
- Se utilizó un tampón de gas de hexafluoruro de azufre, y se aconsejó a los pacientes que evitaran la posición boca abajo.
Principales resultados:
- Se logró el cierre del 100% de LMH con un seguimiento promedio de 12 meses.
- Se observaron mejoras significativas en la agudeza visual mejor corregida (BCVA) y el grosor de la retina central (CRT) en el postoperatorio.
- Se observaron altas tasas de restauración de la zona elipsoide (50%) y de la membrana limitante externa (100%), sin complicaciones importantes.
Conclusiones:
- La incrustación de proliferación epirretinal (EP) sin peeling de ILM es un enfoque quirúrgico eficaz para los HLM con EP.
- La técnica produce resultados anatómicos y funcionales favorables, apoyando una fisiopatología no traccional para estas lesiones.
Palabras clave:
La zona de la elipsoide es la zona de la elipsoide.Técnica de incrustación Técnica de incrustación.Proliferación Epiretinal Proliferación de la epirretina La proliferación de la epiretina es la proliferación de la epiretina.ILM Peeling ILM Peeling El peeling de la ILM es el peeling de la ILM y el peeling es el peeling de la ILM.Agujero macular lamelar agujero macular.La cirugía macular es una cirugía macular.
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