Short-term results of surgical treatment in large idiopathic macular hole cases

Purpose To evaluate results of the surgical treatment for large stage (Stage 3 and 4) idiopathic macular hole cases with and without ILM flap technique. Methods Sixty eyes of 60 patients diagnosed with idiopathic macular hole (MH) were included in the study. Complete ophthalmologic examination and S...

Full description

Saved in:

Bibliographic Details
Published in:	International ophthalmology Vol. 44; no. 1; p. 187
Main Authors:	Doğruya, S., Karabacak, D. D., Altınışık, M., Delibay, Y., Kayıkçıoğlu, O. C., Kayıkçıoğlu, Ö. R.
Format:	Journal Article
Language:	English
Published:	Dordrecht Springer Netherlands 21-04-2024 Springer Nature B.V
Subjects:	Acuity Child Child, Preschool Diameters Evaluation Eye Female Height Humans Male Medicine Medicine & Public Health Ophthalmology Original Paper Patients Postoperative Period Retinal Perforations - diagnosis Retinal Perforations - surgery Statistical analysis Success Surgery Surgical Flaps Tamponade Tomography, Optical Coherence Visual acuity Optical coherence tomography Idiopathic macular hole Macular hole base diameter
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Purpose To evaluate results of the surgical treatment for large stage (Stage 3 and 4) idiopathic macular hole cases with and without ILM flap technique. Methods Sixty eyes of 60 patients diagnosed with idiopathic macular hole (MH) were included in the study. Complete ophthalmologic examination and SD-OCT examination were performed in all eyes. MH stages, MH base diameter, height and closest distance were measured quantitatively. Postoperative and 3 months visits were evaluated. Results The mean age of the cases was 65.0 ± 8.0 (range 30–84) years, there were 31 (51.7%) female and 29 (48.3%) male patients with a mean follow-up period of 18.1 ± 16.7 (range 3–63) months. The mean best corrected visual acuity recorded at preoperative and third month control visits were 0.89 ± 0.40(preoperative) logMAR, 0.82 ± 0.60(3 month) logMAR ( p < 0.05). The mean MH index was 0.48 ± 0.16, the closest hole distance was 517.86 ± 210.89 µm and mean basal diameter of holes was 947.78 ± 361.90 µm and the average height was 448.93 ± 79.80 microns. There was no statistically significant difference between anatomic results of macular hole surgery with (n = 22) and without (n = 38) flap in terms of hole closure (86.4% vs. 92.1% p > 0.05). In 90% (54 cases) of the cases, closure was observed after the first surgery. Two eyes that failed macular hole surgery were reoperated. In one of these eyes, anatomical success was obtained with macular hole massage and mechanical cytumulation. However, anatomical success could not be achieved in the other eye. Conclusıon In the treatment of large macular holes, pars plana vitrectomy, internal limiting membrane peeling with/without flap and gas tamponade demonstrated high anatomical and functional success.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1573-2630 0165-5701 1573-2630
DOI:	10.1007/s10792-024-03121-w