INVERTED INTERNAL LIMITING MEMBRANE FLAP TECHNIQUE FOR MACULAR HOLES IN HIGH MYOPIA WITH AXIAL LENGTH ≥30 mm
| Autor: | José Ríos, Andrea Oleñik, Carlos Mateo |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Visual acuity genetic structures medicine.medical_treatment Sulfur Hexafluoride Visual Acuity Retinal perforation Vitrectomy Endotamponade Basement Membrane Surgical Flaps Macular retinoschisis 03 medical and health sciences 0302 clinical medicine Ophthalmology medicine Humans Macular hole Aged Retrospective Studies business.industry Internal limiting membrane High myopia General Medicine Axial length Middle Aged Retinal Perforations medicine.disease eye diseases Surgery Axial Length Eye Myopia Degenerative 030221 ophthalmology & optometry Female sense organs medicine.symptom business Tomography Optical Coherence 030217 neurology & neurosurgery |
| Zdroj: | Retina. 36:1688-1693 |
| ISSN: | 0275-004X |
| DOI: | 10.1097/iae.0000000000001010 |
| Popis: | To evaluate the closure rate of macular holes in highly myopic eyes treated with the inverted internal limiting membrane flap technique.Retrospective study in 33 consecutive patients (33 eyes) with a myopic macular hole (axial length ≥30 mm) and no associated macular retinoschisis, undergoing 23-gauge pars plana vitrectomy combined with the inverted internal limiting membrane flap technique.Mean initial logarithm of the minimum angle of resolution best-corrected visual acuity was 0.59 (range, 0.22-1.8) (Snellen fraction, 20/80). At the 1-month postoperative control visit, the macular hole was closed in all patients. Reopening of the hole occurred in 2 patients. Visual acuity improved in 13 patients (39.4%): final mean ETDRS (Early Treatment Diabetic Retinopathy Study) improvement was +80 letters, and logarithm of the minimum angle of resolution was 0.4 (20/50). Staphyloma with macular involvement was present in all patients. Dissociated optic nerve fiber layer was observed in 25 patients (75.7%) and was absent in 2 (6.1%); in the remaining 6 patients, the layer could not be assessed. Gliosis was found in 14 patients (42.4%).Vitrectomy plus the inverted internal limiting membrane flap technique was effective for treating macular holes in eyes with axial length ≥30 mm and no associated retinoschisis. |
| Databáze: | OpenAIRE |
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