Comparative Study between Pars Plana Vitrectomy with Internal Limiting Membrane Peel and Pars Plana Vitrectomy with Internal Limiting Membrane Flap Technique for Management of Traumatic Full Thickness Macular Holes.

Autor: Ghoraba HH; Professor of Ophthalmology, Faculty of Medicine, Tanta University, Tanta, Egypt.; Medical Director, Magrabi Eye Hospital, Tanta, Egypt., Leila M; Associate Professor of Ophthalmology, Retina Department, Research Institute of Ophthalmology, Giza, Egypt., Ghoraba H; Ophthalmology Specialist, Magrabi Eye Hospital, Tanta, Egypt., Heikal MA; Assistant Professor of Ophthalmology, Faculty of Medicine, Benha University, Benha, Egypt., Elgemai EEM; Ophthalmology Consultant, Damanhour Teaching Hospital, Damanhour, Egypt.; Ophthalmology Consultant, Magrabi Eye Hospital, Tanta, Egypt.
Jazyk: angličtina
Zdroj: Journal of ophthalmology [J Ophthalmol] 2019 Apr 21; Vol. 2019, pp. 1959082. Date of Electronic Publication: 2019 Apr 21 (Print Publication: 2019).
DOI: 10.1155/2019/1959082
Abstrakt: Purpose: To compare the efficacy of PPV and ILM peel versus PPV and IFT in patients with traumatic FTMH.
Methods: Retrospective interventional comparative case series including two groups of patients with traumatic FTMH. Patients were divided into group I (ILM peel) and group II (IFT). The main outcome measure was closure of the macular hole and restoration of the foveal microstructure. The independent-samples T -test and ANOVA test were used to study the mean between 2 groups and calculate the P value, whereas the bivariate correlation procedure studied the interaction between the variables tested.
Results: Group I included 28 patients. Mean preoperative MLD was 757 µ m. Mean preoperative BCVA was approximately 20/320. Group II included 12 patients. Mean preoperative MLD was 529.5 µ m. Mean preoperative BCVA was 20/320. Group I had a macular hole closure rate of 75% versus 92% in group II P =0.05. Mean BCVA improvement was 2.5 lines in group I versus 5 lines in group II P =0.02. Disrupted ELM and IS/OS was the most salient finding in both groups.
Conclusion: IFT has a significantly superior anatomic and functional outcome compared to ILM peel in traumatic FTMH.
Databáze: MEDLINE
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