Abstract
To compare the surgical performance of internal limiting membrane (ILM) peeling in idiopathic macular hole using a digitally assisted vitreoretinal system (DAVS) and an analog microscope (AM). Patients were operated on using an AM (Group A) and a DAVS (Group B). The data analyzed included surgical time required to complete ILM peeling, number of attempts to create ILM flap and complete ILM peeling, and intraoperative complications. Each group included 20 patients. The average surgical time for ILM peeling in groups A and B was 123.05 seconds ± 42.23 seconds and 142.35 seconds ± 31.49 seconds, respectively (P = .109). The mean number of surgical attempts to create the ILM flap was 1.05 ± 0.22 and 1.70 ± 1.22 respectively (P = .008). The mean number of surgical attempts to complete ILM peeling was 22.85 ± 9.95 and 27.20 ± 7.16, respectively (P = .121). Retinal touch occurred in one and three patients, respectively (P = .534). DAVS provides similar surgical performance to AM; however, the creation of ILM flap is difficult with DAVS compared to AM. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:941-945.].
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