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Graefe's Archive for Clinical and Experimental Ophthalmology

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01.04.2020 | Retinal Disorders

Tailored internal limiting membrane flap technique for primary macular hole

verfasst von: Jia-Horung Hung, Yu-Harn Horng, Hui-Chen Chu, Meng-Syuan Li, Shwu-Jiuan Sheu

Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology | Ausgabe 4/2020

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Abstract

Purpose

To investigate the outcomes of primary full-thickness macular hole (MH) after surgical intervention with tailored internal limiting membrane (ILM) flap technique.

Methods

Patients were reviewed for their clinical characteristics and surgical outcomes. The technique included incomplete circular peeling of the perifoveal ILM which was then trimmed according to the size of the MH. Fluid-gas exchange was done without further manipulation.

Results

Nineteen eyes of 19 patients were included. The patients were in average 61 years old (range 41–83) and had an average follow-up period of 11.0 months. At baseline visit, minimal linear diameter of the MH was 311.6 μm (range 80–768). After a single surgery, the MH closed in all cases with improvement of mean visual acuity (from 0.9 to 0.4 logarithm of the minimum angle of resolution units, p < 0.0001, Wilcoxon signed-rank test). At the final visit, 15 (78.9%) eyes achieved a visual acuity ≥ 20/40. Outer retinal gliosis was found to be associated with less favorable postoperative visual acuity. Factors related to the formation of outer retinal gliosis were worse preoperative visual acuity and a large MH with a diameter > 400 μm.

Conclusion

Tailored ILM flap technique is an effective method for favorable anatomical and visual outcomes for treatment of primary MH.

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Titel: Tailored internal limiting membrane flap technique for primary macular hole
verfasst von: Jia-Horung Hung
Yu-Harn Horng
Hui-Chen Chu
Meng-Syuan Li
Shwu-Jiuan Sheu
Publikationsdatum: 01.04.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology / Ausgabe 4/2020
Print ISSN: 0721-832X
Elektronische ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-019-04596-5

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Tailored internal limiting membrane flap technique for primary macular hole

Abstract

Purpose

Methods

Results

Conclusion

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Ophthalmika in der Schwangerschaft

Operative Therapie und Keimnachweis bei endogener Endophthalmitis

Bakterielle endogene Endophthalmitis

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Update Augenheilkunde

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

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