Outcomes of Macular Hole Surgery with Short-Duration Positioning in Highly Myopic Eyes
| Autor: | Haritina El Adssi, J.-B. Conart, Jean-Paul Berrod, Jérôme Selton, Isabelle Hubert, F Trechot, Catherine Creuzot-Garcher |
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| Rok vydání: | 2014 |
| Předmět: |
Pars plana
medicine.medical_specialty Supine position Visual acuity genetic structures business.industry medicine.medical_treatment Vitrectomy Retrospective cohort study Phacoemulsification medicine.disease eye diseases Surgery Ophthalmology Prone position medicine.anatomical_structure medicine sense organs medicine.symptom business Macular hole |
| Zdroj: | Ophthalmology. 121:1263-1268 |
| ISSN: | 0161-6420 |
| DOI: | 10.1016/j.ophtha.2013.12.005 |
| Popis: | Purpose To evaluate the outcomes of macular hole (MH) surgery with 3-day prone positioning in highly myopic eyes and to compare them with those from non–highly myopic eyes. Design Retrospective nested case-control study from a cohort of 496 consecutive patients (496 eyes) who underwent surgery for MH. Participants Forty-seven highly myopic eyes (with axial length >26 mm) were included in the study group and were matched for MH size and duration of symptoms with 47 non–highly myopic control eyes selected from the same cohort. Methods All patients underwent pars plana vitrectomy, internal limiting membrane peeling, and 17% hexafluoroethane gas filling. Patients then were advised to maintain strict face-down positioning for 3 days only and to avoid the supine position during the night for a minimum of 1 week. Main Outcome Measures The MH closure rate, the relationship between axial length and closure rate, the best-corrected visual acuity (BCVA), and the surgical complications were analyzed. Results The mean axial length was 28.5±2.2 mm in highly myopic eyes and 23.3±1.1 mm in controls ( P P = 0.045). Anatomic outcomes tended to decrease when axial length increased ( P = 0.066). Mean BCVA improved in both groups (0.41±0.39 logarithm of the minimal angle of resolution [logMAR] vs. 0.68±0.34 logMAR) but was significantly lower in highly myopic eyes ( P Conclusions Macular hole surgery with 3-day postoperative positioning in highly myopic eyes resulted in satisfactory anatomic and functional outcomes. However, the MH closure rate and mean improvement of visual acuity were less favorable than those in control eyes. Longer axial length may increase the risk of anatomic failure. |
| Databáze: | OpenAIRE |
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