A Multicenter Study of Pediatric Macular Holes: Surgical Outcomes With Microincisional Vitrectomy Surgery.

Autor:	Kothari N; Bascom Palmer Eye Institute, University of Miami, Miami, FL, USA., Read SP; Bascom Palmer Eye Institute, University of Miami, Miami, FL, USA., Baumal CR; New England Eye Center, Tufts Medical Center, Boston, MA, USA., Capone A; Associated Retinal Consultants of Michigan, Royal Oak, MI, USA.; William Beaumont School of Medicine, Oakland University, Auburn Hills, MI, USA., Chang E; Retina and Vitreous of Texas, Houston, TX, USA., Drenser KA; Associated Retinal Consultants of Michigan, Royal Oak, MI, USA.; William Beaumont School of Medicine, Oakland University, Auburn Hills, MI, USA., Ferrone PJ; Long Island Vitreoretinal Consultants, North Shore-Long Island Jewish Medical Center, Great Neck, NY, USA., Nudleman E; Department of Ophthalmology, School of Medicine, Shiley Eye Institute, University of California San Diego, La Jolla, CA, USA., Rao P; Associated Retinal Consultants of Michigan, Royal Oak, MI, USA.; William Beaumont School of Medicine, Oakland University, Auburn Hills, MI, USA., Sisk RA; Cincinnati Eye Institute, University of Cincinnati, Cincinnati, OH, USA.; Department of Ophthalmology, Abrahamson Pediatric Eye Institute, Cincinnati Children's Hospital, Cincinnati, OH, USA., Smiddy WE; Bascom Palmer Eye Institute, University of Miami, Miami, FL, USA., Yonekawa Y; Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA., Berrocal A; Bascom Palmer Eye Institute, University of Miami, Miami, FL, USA.
Jazyk:	angličtina
Zdroj:	Journal of vitreoretinal diseases [J Vitreoretin Dis] 2019 Nov 18; Vol. 4 (1), pp. 22-27. Date of Electronic Publication: 2019 Nov 18 (Print Publication: 2020).
DOI:	10.1177/2474126419887555
Abstrakt:	Purpose: Pediatric macular holes occur often related to trauma and rarely require surgical intervention. The purpose of the present study was to evaluate outcomes of microincisional vitrectomy surgery. Methods: A multicenter retrospective consecutive case series was conducted of pediatric patients undergoing surgery for macular hole repair. Results: A total of 31 eyes from 8 centers were included in this study. The mechanism of macular hole development was blunt trauma in 30 eyes (97%) and industrial laser in 1 eye (3%). The rate of anatomic closure after primary vitrectomy was 81% (25 eyes); the final anatomic closure rate after a secondary vitrectomy was 94% (29 eyes). There was a statistically significant improvement in visual acuity from initial presentation (20/164) to final follow-up (20/100) ( P = .009). Conclusions: Microincisional vitrectomy surgery for pediatric macular holes results in substantial anatomic success and modest improvement in visual acuity. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2019.)
Databáze:	MEDLINE
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